GOPC PPP and Radi Collaboration - A Prelude to eHR Sharing
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To
enhance the healthcare service quality through the combined
efforts from both the public and private healthcare sectors
in Hong Kong, the Government and Hospital Authority (HA) have
launched a range of Public-Private Partnership Programmes (PPP).
Among others, the General Outpatient Clinic Public-Private Partnership
Programme (GOPC PPP) and the Pilot Project on Enhancing Radiological
Investigation Services through Collaboration with the Private
Sector (Radi Collaboration) are to be introduced in this article. |
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The
GOPC PPP and the Radi Collaboration were launched by the HA to help cope
with the rising demand for general outpatient service and radiological
imaging service respectively. The two programmes are supported by the
Public Private Interface - Electronic Patient Record Sharing Pilot Project
(PPI-ePR) that allows participating private practitioners, with the patients'
consent, access to the medical records of patients of the HA.
Developed
in the vision as a fundamental infrastructure in underpinning healthcare
transformation, the PPI-ePR also aims to pave the way for the implementation
of the territory-wide Electronic Health Record Sharing System (eHRSS).
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GOPC
PPP
The
GOPC PPP was launched in mid-2014 to help the HA manage the demand
for general outpatient service, enhance patient access to primary
care services, provide choice to patients for receiving primary
care services from the private sector, promote the family doctor
concept, and foster the development of the eHRSS. Under the Programme,
patients with specific chronic diseases and in stable clinical condition
are given a choice to receive treatment provided by private doctors.
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Programme
Details
| Target
patients : |
Initially,
the Programme covers clinically stable patients having hypertension
with or without hyperlipidemia currently taken care of by the HA GOPCs.
The HA will soon expand the scope to cover stable diabetes mellitus
patients on selected oral medications. |
| Districts
: |
Pilot
in Kwun Tong, Wong Tai Sin and Tuen Mun districts |
| Service
Package: |
Patients
receive up to 10 subsidised medical consultations per year, covering
both chronic and acute care; drugs for treating their chronic conditions
and episodic illnesses to be received directly from private doctors
at their clinics; and investigation services provided by the HA as
specified through private doctors' referral |
| Fee
: |
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Patients
to pay the HA's GOPC fee (presently $45 as per Gazette) for
each consultation |
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Recipients
of Comprehensive Social Security Assistance (CSSA) or holders
of valid full or partial medical fee waiver certificates can
enjoy the same fee waiver arrangements as for the HA's services |
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Patients
may choose to receive additional services or drugs beyond the
Programme scope at their own expenses or by Elderly Health Care
Vouchers for elders aged 70 or above |
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For
service provision, participating private doctors may receive
a maximum total payment of $2,708 per year (on a reimbursement
basis), covering a maximum of 10 consultations, including the
HA GOPC fee of $45 to be paid by the patients to the private
doctors direct after each consultation |
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For
more information of the GOPC PPP, please refer to the following website:
www.ha.org.hk/ppp/gopcppp
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Radi
Collaboration
With
increase in cancer cases and demand for radiological imaging services,
the Radi Collaboration was rolled out in 2012 to fully subsidise
patients from selected cancer groups to receive radiological investigation
services at designated private service providers. |
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Programme
Details
| Target
patients : |
HA
patients suffering from colorectal cancer, breast cancer, nasopharyngeal
cancer, lymphoma, head and neck cancer, stomach cancer, prostate cancer,
corpus uteri cancer, cervix cancer, sarcoma or germ cell tumor fulfilling
pre-defined clinical eligibility criteria. |
| Service
: |
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Computed
Tomography (CT) and / or Magnetic Resonance Imaging (MRI) as
prescribed by doctor; |
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Drugs
related to the scan (e.g. contrast, steroid) for patient in
need |
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In
case of sudden change of patient's condition, provision of initial
treatment to stabilize a patient before transfer to HA, if so
required |
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Generally
speaking, investigation results are returned to HA in electronic form
through the Radiological Image Sharing Pilot Project within 5 working
days. For more information of Radi Collaboration, please refer to the
following website: www3.ha.org.hk/ppp/radi.aspx
Ride
on PPI-ePR
The
PPI-ePR has made possible the sharing of integrated and patient-based
information from the HA to private practitioners and return the relevant
patients' clinical data, images and reports in the GOPC PPP and the Radi
Collaboration respectively. Such sharing can ensure the availability of
complete and accurate clinical information to facilitate the provision
of healthcare as the base of running the PPP Programmes.
Ride
on PPI-ePR
Being
an integral part of the PPP programmes, the PPI-ePR pilot project also
serves as the foundation for eHRSS by
As
at the end of February 2015, the PPI-ePR has enrolled over 410,000 patients
and more than 3,300 private healthcare professionals. When the eHRSS commences,
these patients and private healthcare professionals will be invited to
migrate to the new system and the concept of "records follow patients"
can be realised.
For
more information of PPI-ePR, please refer to the following website: www.ha.org.hk/ppp/ppiepr
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