Development of Electronic Shared Care Record The Dumfries & Galloway experience

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Mike Lundy - IT Project Manager
Development of Electronic
Shared Care Record
The Dumfries & Galloway
experience
Dumfries & Galloway
Approx - 125 miles
Background
• Development commenced in Nov 2001
• 6 month consultation with all stakeholders and
potential user’s
• System to match development of ICP for mental
health
• Electronic information was available for all
admissions/discharges etc, but not community
activity
• 4 months programming
Background (Cont)
• Buy “off the shelf” or “build in-house”
• 9 Community Mental Health Teams and Team
Leaders all established
• Not all teams co-located into single offices
• All records currently paper based
• Poor activity recording
• Information only accessible within office hours
Aims
• Effective information sharing and access to
clinical information to all community based
clinical staff
• Active involvement of stakeholders through
consultation
• Improved quality of information
• 24\7 access to client information
• Enhanced communication.
• Improved quality and ease of reporting.
Progress to Date
• All Community Mental Health Teams connected
to system
• 130+ users
• 95+% of all CMHT clinical staff trained in use of
system
• Ongoing review and rewriting of system as
required to meet changes in practice
• Continuing support and training for all
practitioners
Progress to Date (Cont)
• Accessible regionwide
• Provision of additional hardware to support the
rollout.
• Improved and quicker reporting
• Additional networking and infrastructure
• Links to other IT developments (SSA, SSD)
• Improved computer literacy across clinical staff
• Improved sharing of information/Joint working
Progress to Date (cont)
• Development of Information Sharing Protocol
across NHS D&G and DGC.
Difficulties Encountered
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Infrastructure
Training
Staff Resistance
Technophobia
Roles & Responsibilities
Rewriting/reprogramming
Data Transfer/Information Sharing
Etc, etc, etc
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