In a letter to the director of Helse Midt-Norge, hospital director Grethe Aasved at St. Olav’s hospital expresses great horror at how important decisions about the error in the record system dragged on. news has tried to get a comment from Helse-Midt in this matter, but they have not had a chance to answer our questions on Friday. Many employees have gone in torchlight processions towards the Health Platform. Photo: ingrid lindgaard stranden / news Challenging management structure The Helseplattforma journal system has been introduced at St. Olav’s hospital and gradually in several municipalities in central Norway. Much works according to plan, much does not. Those responsible for the system are in different companies and roles. Helseplattformen AS is the IT company with just over 300 employees. They also have their own board. Trondheim municipality and other municipalities that use the journal system buy into the joint-stock company. Hospitals, which are part of the specialist health service, are not co-owners. In the municipalities, the system is used in the health and care services. The GPs were also supposed to be involved, but they are sitting on the fence, dissatisfied with the solution. The board of Helse Midt-Norge has the ultimate responsibility and can adopt matters against the wishes of the local boards. It happened most recently when Helse Møre og Romsdal wanted to postpone the introduction of the records system there. In the letter to Helse Midt-Norge, Aasved writes that even serious problems with the records system take too long to resolve because so many people have to be heard. Grethe Aasved believes that it is taking too long to sort out the problem with the Health Platform. Photo: Tariq Alisubh / news Locked record One of the recurring problems with the Health platform was that the record locked if more than one health worker was in the patient record at the same time. This could mean that vital patient information did not reach those who were in the middle of the treatment. In April last year, the National Health Inspectorate thought this had to be resolved as soon as possible. The data provider Epic in the US was supposed to work on the case. In May, St. Olav’s hospital reached an agreement with Hemit, the computer company of Helse Midt-Noreg, that health personnel could call an emergency number to have other users thrown out. But the municipalities said no to health personnel there being thrown out. It was then that the hospital used “emergency” several times to gain access to vital patient information, according to the letter from the director at St. Olavs. Only in September did the municipality agree to the agreement with Hemit. Patients at St. Olav’s are used to seeing such posters Photo: Linda Bjørgan / news Unable to use “doctor” in the computer system Aasved cites several examples of how the record system was adapted to be used both in the municipalities and in hospitals. The municipalities have been given a “postpone” button in the record system to avoid collecting external information about medicine that the patient has received. The hospital wants this button to be removed because it can lead to misuse and lack of coordination of medicines. They have been refused. The word “doctor” could not be used in the record system. It is called “clinician” so that other professional groups than doctors in the municipalities can also use the system. In the specialist health service, clinic does not mean the same as doctor, Aasved points out in the letter. “Care plan” is not documented in the same place in the record in the municipal health service as in a hospital. As a result, the documents end up in different places in the journal and it becomes difficult to get an overview. Stig Slørdahl (left) is the managing director of Helse Midt-Norge. To senior chairman Odd Inge Mjøen. Photo: Grete Thobroe / news Health app with incomplete medical overview On helsenorge.no, all health information about you must be found when you log in. Patients who are registered in the Health Platform are encouraged to use the app HelsaMi. In December 2022, St. Olav pointed out that the drug overview in HelsaMi was not correct. The hospital wanted the function to be turned off. They were refused. In June last year, the hospital sent another letter with the wish that the case should be dealt with, but this has not yet happened. The health platform was supposed to follow the patient everywhere in the health service. This is not yet the case, according to the letter from Aasved. To take care of patient safety, the hospital has therefore long introduced extra measures. Quits as director during the spring The letter from Aasved is a response to the request from the director of Helse Midt-Norge. Stig Slørdahl asked for concrete examples of how the management structure has affected responsibility for patient safety at the hospital. The letter was written on 15 January. A little over a week later, Aasved announced that she would be stepping down as director during the spring. In December, she turns 70. She came to St. Olav as director in 2018. Hospitals in Møre and Romsdal will introduce the record system in April. Following pressure from the management in Helse Midt-Norway, the local healthcare company is now investing in upgrades at Epic systems in the USA and in the local development work to make the healthcare platform sufficiently safe and user-friendly.
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St. Olav used emergency justice to break into patient records – news Trøndelag – Local news, TV and radio
