Eng Version

Personal Health Record Pilot Project
Electronic Staff Health Record for
HA Employees
TONG YH¹, WONG WL¹, YAO KF¹, NG KK¹, LAI LY¹, CHEUNG C², NGAN T², CHAN KP², CHU HK², CHANG F², HO W², LAU KY², CHEUNG NT¹
¹ Health Informatics, Information Technology Services, Head Office, Hospital Authority, HKSAR
² Information Technology, Head Office, Hospital Authority, HKSAR
Every individual is one of the most important stakeholders to take care of his or her own health. It is widely
believed that individuals are better empowered and engaged to manage their own health through better
access to their own health information. Personal Health Record (PHR) generally is an electronic application
through which individuals can maintain and manage their health information, and that of others for whom they
are authorized, in a private, secure and confidential environment that allows the individual or other authorized
persons to access and share such information.
Objectives
Leveraging the expertise and infrastructure of health IT systems in the Hospital Authority (HA), the PHR Pilot Project
“Electronic Staff Health Record for HA Employees” (eSHR) was conducted from April 2008 to March 2012 to collect
information about the local adoption of PHR for the future development and implementation of a Patient Portal in the second
phase of the territory-wide Electronic Health Record (eHR) programme in Hong Kong.
Methodology
Partnership with HA Head Office (HAHO) Human Resources Division, Focus Group Interviews with different staff groups were
conducted in 2008 to collect opinions on PHR development and implementation for own health management. With the
support of HAHO Management and other stakeholders, “My PHR” (now named “eSHR”) to be accessed by HA staff LAN
account at non-CMS workstations through HA intranet was developed by leveraging the infrastructure of HA ePR with clinical
data scope referring to the PPI-ePR model.
Content & Functions
“My Clinical Summary”
Home Page of eSHR
“My Laboratory Reports”
“My Radiological Reports”
Content of eSHR
Health Information Links
(including “Smart Patient”
of HA)
Access Control
User Registration (opt-in at first logon)
User Subsequent Logon
(double password authentication)
First Authentication:
First Authentication:
HA’s LAN ID & password
HA’s LAN ID & password
Second Authentication:
HKID Number & LAN ID
[against HA Corporate User ID (CUID) system]
Second Authentication:
3 random characters of the
“Second Password”
(Positions of the 3 characters are randomly
picked by system to improve security)
“Second Password” setup
“Second Password”
Authentication
Finish registration & access eSHR
Logon History
Access eSHR
Result & Findings
The Pilot Project was successfully implemented in New
Territories East Cluster and Hong Kong West Cluster in
April 2010 and March 2011 respectively. Up to 9 March
2012, there were 5785 users, 37% of which have more
than two eSHR access. Participation rate was
approximately 35% among 16414 staffs of the two
clusters*. The number of access to different types of
clinical information was comparable (23% “My Clinical
Summary”, 24% “My Laboratory Reports”, etc.). 23%
of users have made 1675 requests for helpdesk
support to unlock account or reset second password.
Findings from eSurvey
When logging out eSHR, eSurvey has been conducted.
The response rate was 29% (1703 respondents, 1365 complete submissions).
eSurvey Questions
Agree (n=1365)
I’m satisfied with eSHR
75%
I shall continue using eSHR
89%
eSHR information is adequate
75%
eSHR information is useful for my health management
77%
eSHR information and reports are easy to understand
71%
eSHR is easy to use and no training is required
68%
*Data source: HA CMSIII MIPo, as of December 2011
Acknowledgement
Special thanks to HAHO Human Resources Division, HAHO Information Technology Services, New Territories East Cluster
and Hong Kong West Cluster for their support to the Pilot Project all along.