PRISON HEALTH PRO SYSTEM: THE TASMANIAN EXPERIENCE Dr David Onu CPHS, Tasmania 22 November 2014 ACHMO 2014 Outline • Tasmanian Prison Structure • Prison Health Service • History of Prison Health Pro (PHP) • Development and deployment • Access and data structure • Potential futures ACHMO 2014 Tasmanian Prison Service • Risdon Prison Complex: male max/med (303) • Ron Marwick Minimum Security: males (180) • Mary Hutchinson Women’s Prison-all security (50) • Launceston Reception Prison (28) • Hobart Reception Prisons (36) • Ashley Youth Detention Centre (37) • Hayes Prison Farm: Closed (68) • Wilfred Lopez Centre-secure mental facility ACHMO 2014 Tasmanian Prison Service • 1200 inmates yearly • 510 inmates at each time • 300 permanent inmates • Men and Women ACHMO 2014 Prison health services • Provided by DHHS on MOU btw DOJ and DOH • Standard equivalent to that in the community • Health clinic at each of 6 prison facilities • Clinical Director + 2 MO (1 part time) • Nursing staff, Pharmacists, Dentist, Physio, etc. • 6 bed in-patient facility • Prison Health Pro ACHMO 2014 History of PHP • E-health record first developed by Dr Chris Wake in Darwin and Alice Springs • Designed from Medical Director suite to fit specific prison needs and as alternative to paper-based records • Further development by FileMaker developers • PHP rewritten in FileMaker 7 • Introduced to Tasmanian prison system in 2008 • Used in all prison locations across the State ACHMO 2014 Access to PHP • Different levels of access granted to all health and administrative staff • Data is regularly backed up at DHHS servers • Real time access to health records despite prisoner movement across different locations • External patient records uploaded as PDF, images, etc. • Easy data retrieval and reporting • Invaluable for audit and research ACHMO 2014 • Individual user account/PW • 9 user access levels -Admin & Manager -Data Manager -Doctor & Manager -Nurse & Manager -Nurse mental health -Pharmacy technician • User session logging • User account management ACHMO 2014 Analog Stopwatch © adrianTNT Getting Access • Click on PHP icon on desktop • Enter username and password • Click login button ACHMO 2014 Open PHP.fp7 Main Menu • Session info • Log Out • Change Password • Patients/OTS find • User Management • System Settings • Clinic and Reports • Feedback ACHMO 2014 Identification Blood Borne Virus Pathology Information Discharge Plan PRN Medications Risk Alerts Images and Files Scripts Location / Discharge Tier One Care Plan At Risk / SASH - allergies, disability, key diagnoses Appointments Vaccination Consultations Hospitalization Referrals Diagnoses ACHMO 2014 Analog Stopwatch © adrianTNT Main Menu • Patients – individual patient data • Clinic – lists of patients, appointments, consultations • Reports – access to standard reports • User Management-user account settings • System Settings-admin setup functions • Feedback- about bugs and feature requests ACHMO 2014 Patient Log-in ACHMO 2014 Tier 1 Assessment ACHMO 2014 Applications of PHP ACHMO 2014 CPHS Work rates-Direct Consults 18000 16000 14000 12000 10000 Nurse 8000 Doctor 6000 Others 4000 2000 0 2008 2009 2010 2011 2012 ACHMO 2014 2013 CPHS Work rates-Indirect Consults 3500 3000 2500 2000 Nurse 1500 Doctor Others 1000 500 0 2008 2009 2010 2011 ACHMO 2014 2012 2013 CPHS Work rates-Total Consults 20000 18000 16000 14000 12000 Nurse 10000 Doctor 8000 Others 6000 4000 2000 0 2008 2009 2010 2011 ACHMO 2014 2012 2013 • Electronic prescribing on the horizon • Upgrade to current FileMaker platform • Mobile device deployment • Web browser deployment ACHMO 2014 Analog Stopwatch © adrianTNT Acknowledgement • Mr David Head FileMaker developer for sharing some of his slides in this presentation • Dr Chris Wake Prison Health Pro developer ACHMO 2014