Presentation for:
North West ASSIST Branch Event
“Successful Sharing of NHS Patient and Local Client Data”
working with The Countess of Chester NHS Foundation Trust
By:
Jayne James
Appointments and Booking Coordinator
Countess of Chester Hospital NHS Foundation Trust
Tel
01244 365000
Email
jayne.james@coch.nhs.uk
Web
www.coch.org
Tom Rothwell
Managing Director
Medisec Software
Tel
01625 583925
Email
tom.rothwell@medisecsoftware.co.uk
Web
www.medisecsoftware.co.uk
And
Contents
Patient Journey Presentation
Demonstrations
EReferrals (GP)
EDischarge
Specialists in the generation and communication
of Clinical Correspondence, Demographic and
Patient Management information between
Hospitals, GP Surgeries and other Health
Agencies via NHS NET
Specialists in Clinical Correspondence
Surgery
Hospital
Data
Data
Patient / Problem
Systems
Systems
Complex
Unstructured
Complex
Detailed
Not consolidated
Detailed
Integrated
Summary
Integrated
Poor
Communication
Replication
Data Capture
Quality
Little Information
Share
Risk
Fragmented
View
Resources
Effectiveness of Healthcare Service
Non
consolidated
Animation
Surgery
Other Health Agencies
Hospital
Data
Data
Systems
Systems
Patient / Problem
MEDISEC PRODUCTS
TRUST
NET
EReferrals (GP)
EReferrals (Social Services)
EDischarge
•Clinical
Correspondence
•Integrated with
Hospital
systems
•Workflow
•Audit/Control
•Specialised
utilities
Improved Quality
•Secure delivery
•Integrated
•NHS Net
with Practice
•Encryption
processes
Reduced Risk
Effectiveness of Healthcare Service
•Web Access
•Patient data
•Electronic
Referrals
Better use of resources
Animation
Key Objectives
Improve quality and timeliness of communication
Provide a manageable process
Medisec Software Products
TRUST
LIVE 1999
Clinical correspondence /Medical Secretarial Workflow
NET
LIVE 2000
Web Access across NHS Net and acknowledged / timely electronic delivery
EReferrals (GP)
LIVE 2004 (Choose and Book ?)
Export referrals from surgery and manage in hospital
EReferrals (Social Service)
LIVE 2004
Manage Discharge Liaison for referrals between NHS / Social Services
EDischarge
DNF LIVE 2003 ; DDC PILOT July 2005
Manage discharge data sets in hospital and export as electronic DNF and
Discharge Summary
Key to Progress – what we have done
Collaboration at all levels
Understanding (all viewpoints)
Test solutions
Check usability
We are facilitators
Complexity
Focus on outcomes for
Patient / GP / Hospital / Social Service
Understand key processes (e.g. TTO)
Importance
Winners
Patients / Health Agencies
Compounding
Generic solutions e.g.
Any PAS
Any Discharge document
Any Referral
Integration
Single sourcing data
Advanced computing techniques
Focus / skills / experience / ‘can do’ attitude
Solve problem don’t shift it!
Current R&D
Generic document export and import management
Control of exported data by sender or recipient
Delivery from any to any
No compromise of existing systems infrastructure
Process management
Tools
Measurement
KPIs
Reporting
Future R&D
Potential for Single Assessment Process
Other technologies
Voice recognition
Hand held devices
EReferrals (GP) Presentation and Demonstration
EReferrals (GP) – Hospital / Surgery Links - overview
SURGERY - send referral and monitor action
Integrated via WORD command button - Independent of practice system
M
Predefined agreed dataset (template and data capture screen)
Add attachments
E
Send to Hospital department - encrypted
D
M
Management of signed or unsigned referrals
I
E
Monitor progress via MedisecNET journal
S
Confirmed delivery to hospital
Hospital – manage referral with Hospital File Manager (HFM)
Ereferrals
(GP)
E
C
Task management - predetermined and bespoke tasks; colour coded
User administration
Referral and XML dataset management
Events journalised for hospital and surgery scrutiny
Automated import of referral letter to Meditech - screen scraping / key stroke
macros
I
T
E
C
Case management tools - workflow within hospital
Automated identification of patient for linkage in MPI
D
N
E
T
H
INTEGRATED WORD COMMAND BUTTON
PREDEFINED AGREED DATASET
ADD ATTACHMENTS
SEND TO HOSPITAL DEPARTMENT
CONFIRMED DELIVERY TO HOSPITAL
MANAGEMENT OF SIGNED / UNSIGNED
EReferrals Demonstration
Jayne James
Medisec Software
Jayne James
Appointments & Bookings Co-ordinator
Countess of Chester NHS Foundation Trust
Background
• Live May 2004
• 31 of 39 GP Surgeries on line to date
• Approx 2500 E-referrals received each month
Medisec Software with Meditech
• Compatibility
• Search Tools
• Automated Electronic logging of Referrals
Comparisons with alternative systems
& processes
• Access to referrals at all times
• Ability to carry out entire referral process electronically
• Management of Fast track referrals
• Capacity & Demand targets
• Workload & Performance management
• GP able to view audit trail
Benefits
• Speed
• Clear and precise audit trail
• Reassign referrals immediately
• Ability to send attachments
• Reporting mechanisms
• Flag system to monitor workload & performance
• Referral letters ALWAYS available for clinic
appointment
Thankyou
Any questions ?
EDischarge Demonstration
End