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Practice EDI Administrator’s Workshop

Date post: 13-Jan-2016
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Practice EDI Administrator’s Workshop. Pathology Messaging Implementation Programme (PMIP). Objectives of the Day. Introduce the HA/local team Overview of the project – nationally Overview of the project – locally The practice EDI administrator: Roles and responsibilities - PowerPoint PPT Presentation
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Practice EDI Administrator’s Practice EDI Administrator’s Workshop Workshop Pathology Messaging Implementation Pathology Messaging Implementation Programme Programme (PMIP) (PMIP)
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Page 1: Practice EDI Administrator’s Workshop

Practice EDI Administrator’s Practice EDI Administrator’s WorkshopWorkshop

Pathology Messaging Implementation Pathology Messaging Implementation ProgrammeProgramme

(PMIP)(PMIP)

Page 2: Practice EDI Administrator’s Workshop

Objectives of the DayObjectives of the Day Introduce the HA/local team Overview of the project – nationally Overview of the project – locally The practice EDI administrator:

Roles and responsibilities Cryptography requirements in the practice Practice installation testing using “NMAS” Testing with local labs The practice implementation pack

Page 3: Practice EDI Administrator’s Workshop

The <<insert name>> The <<insert name>> TeamTeam Introduce the Presenter(s) Introduce the Project Manager Who is involved at the HA/PCGs/PCTs Who is involved from the Trusts/labs

Page 4: Practice EDI Administrator’s Workshop

PMIP National OverviewPMIP National Overview Clinically safe and robust without information

loss, substitution or addition Builds upon NHS and supplier experience of Pathology

links All practices enabled to electronically receive

pathology results for: Haematology, Biochemistry and Microbiology

All NHS pathology laboratories in Trusts to be sending messages for the above disciplines to the new standard within the time-scale PHLS are also planning implementation

Page 5: Practice EDI Administrator’s Workshop

PMIP Implementation “Road PMIP Implementation “Road Map”Map” 60% of practices enabled by Mar ’02

Need to tackle the huge job of 8,800 practices upgrades independent of labs

Work with suppliers to upgrade and test 100% of practices enabled by Dec ’02

Labs must undergo through testing Concerned with proven ability to receive messages

from local labs Local “Benefits Realisation”

Introducing procedural changes for the practice team Starting daily use of pathology messages by the

practice Maximising use and value of pathology messaging

Page 6: Practice EDI Administrator’s Workshop

PMIP – The BenefitsPMIP – The Benefits Improved privacy and confidentiality Improved data quality Improved tracking and auditing of results Improved legibility of results Improved local clinical analysis Capability to set alert facilities Enhanced efficiency at practices Time reduction spent locally searching for

records and results

Page 7: Practice EDI Administrator’s Workshop

PMIP –The New BitsPMIP –The New Bits Developed by users, suppliers and centre

Acknowledgements and audit trails

“Cryptography” (scrambling of data)

RFA 99 v1.1 for GP systems

NMAS central testing system

Clinical good practice guidance

Page 8: Practice EDI Administrator’s Workshop

PMIP – GPSS PMIP – GPSS ImplementationImplementation RFA 99 v1.1 upgrade and configuration Load of national dummy patient database

Enables local end to end testing Pre-configuration of NMAS as a “Trading

Partner” (a local lab) EDI S/R ID X.400 address

Systems training as required for the practice

Page 9: Practice EDI Administrator’s Workshop

PMIP – Local OverviewPMIP – Local Overview Context (within the LIS) Scope (what is in/out) Plan (how is this going to be delivered) Who is responsible for what Timetable for roll out and implementation

Page 10: Practice EDI Administrator’s Workshop

The Practice EDI Administrator The Practice EDI Administrator RoleRole

Page 11: Practice EDI Administrator’s Workshop

Practice EDI Administrator Practice EDI Administrator - Primary Role- Primary Role

Generates and administers the practice’s security keys

Undertakes the formal practice installation test Administers and sets up the new/upgraded, GP

clinical system’s functionality for messaging

Page 12: Practice EDI Administrator’s Workshop

Practice EDI Administrator Practice EDI Administrator - Secondary Role- Secondary Role

Acts as first point of contact for supplier installation and training

Liases with the HA on Tracking Database information updates

Liases with the HA and NHS trust for maintenance of the pathology messaging link

Contributes to the ongoing work process changes within the practice for benefits realisation

Page 13: Practice EDI Administrator’s Workshop

CryptographyCryptography

Page 14: Practice EDI Administrator’s Workshop

CryptographyCryptography Also referred to as encryption or PKI encryption

Why are we using it? Guarantees the accuracy of the record Satisfies the Data Protection Act and the General

Medical Council about confidentiality Enables GPs common law duty of care towards their

patients

Page 15: Practice EDI Administrator’s Workshop

Crypto DemystifiedCrypto Demystified

Public Keys:Anybody can use

Private Key:Opens all padlocks,I have the only one

Page 16: Practice EDI Administrator’s Workshop

So Many Padlocks…So Many Padlocks… Problems:

Lots of public keys to give out Lots of people giving out lots of public keys What happens if I lose my private key? How do we manage all these damn public keys?

Solution: Public Key distribution via a “Key Server” A means of verifying the public keys before they are

made available (this IS Dr Blogg’s & Partners Key) Ease of management of public key when cancelled or

no longer trusted

Page 17: Practice EDI Administrator’s Workshop

Overview of the ServiceOverview of the Service

Tracking Database maintained by HA/PCT staff and used to register for keys

Public Key Server

NHSnet

Labs Private Keys

Practices Private Keys

Page 18: Practice EDI Administrator’s Workshop

Practice Role: Key Practice Role: Key GenerationGeneration Pre Registration

Coordinating with RFA 99 v1.1 upgrade Requesting registration for cryptography Receiving the authentication code (direct) Receiving the reference code (from the HA) Generating the keys Re-inputting the Password

Who does it, when and in case of absence

Page 19: Practice EDI Administrator’s Workshop

Example Authentication Example Authentication CodeCode

Subject: "Electronic Pathology Messaging Security Authorisation Code".

As you know, electronic pathology messaging is currently being implemented in your health community. This e-mail contains your “authorisation code” which you will need in order to set your computer system up to receive encrypted pathology messages.

Please ensure that you keep the contents of this e-mail safely so as to avoid losing the information it contains.

Your authorisation code is: XXX XXX XXXX

To complete the set up of your system for secure pathology messaging you will also require a “reference code”. Please see below for details of how you will be provided with your reference code.

Please note that both of these codes have a limited lifespan of 30 days. The authorisation code provided in this e-mail, and its associated reference code, will expire on <DATE>.

Page 20: Practice EDI Administrator’s Workshop

Practice Role: Key Practice Role: Key RevocationRevocation Planned Revocation

Surgery closure/merger GP system change (new EDI S/R ID)

Emergency Revocation “Disaster” or security breach

Practice Policy Who in the practice can request revocation Who to contact when requesting revocation How are results handled in the interim

Page 21: Practice EDI Administrator’s Workshop

HA Role: GP Key HA Role: GP Key RevocationRevocation Planned Revocation

Via Tracking Database Emergency Revocation

Via Escalation Contacts Escalation Contacts for GPs

Who from the practice can request revocation What procedures for authentication will be used Will it be HA or PCT level

Page 22: Practice EDI Administrator’s Workshop

National Message Assurance National Message Assurance ServiceService(NMAS)(NMAS)

Page 23: Practice EDI Administrator’s Workshop

What is NMASWhat is NMAS National Message Assurance Service A centrally provided tool for:

Systems suppliers Local implementations

Provides 5 services: Message checking Message testing Clinical governance message checking GP practice installation testing RFA testing

Page 24: Practice EDI Administrator’s Workshop

Why is NMAS Why is NMAS Required?Required? Clinical safety & robustness Enable appropriate responsibility VFM – improved efficiency of testing and

development Strategic – EHR and the need for

standardised information

Page 25: Practice EDI Administrator’s Workshop

NMAS: OverviewNMAS: Overview

NMAS

TDbase

Lab Practice

Testing reports& example acks

Path reportsE-mail and acks

Path reports and e-mail

testing reports

Org details & updates

Page 26: Practice EDI Administrator’s Workshop

NMAS Practice Installation NMAS Practice Installation TestTest Conducted by Practice EDI Administrator

• E-mail request to NMAS• Report returned to Practice EDI Administrator and

GP system supplier• Tracking Database automatically updated on pass

Tests practice:• Communication links• Acknowledgement generation• Cryptography• Tracking Database details

Page 27: Practice EDI Administrator’s Workshop

End to End Testing - End to End Testing - OverviewOverview Tests:

Communication links Acknowledgement generation Cryptography Range of report types Procedures

Occurs after: Lab message testing Practice installation test

Uses: National dummy patients (test messages)

End to end testing does not test systems

Page 28: Practice EDI Administrator’s Workshop

Implementing End to End Implementing End to End TestingTesting

This will vary from HA to HA Complete this slide to reflect your own plans

Page 29: Practice EDI Administrator’s Workshop

Information available from the Information available from the HAHA

Leaflets:• Implementation of National Standard Pathology Report

Messaging in General Practice• Encryption of Pathology Result Messages in General

Practice Implementation Pack for General Practices Local Escalation Contact Information Project Plan By contacting ______ <<insert HA lead>>

Page 30: Practice EDI Administrator’s Workshop

Additional Sources of Additional Sources of InformationInformation

Local trading partner agreements• From your HA or Lab (clarifies responsibilities)

GP system supplier handouts• Shows how to generate keys and complete NMAS

installation testing The national pathology website:

• http://nww.nhsia.nhs.uk/pathology


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