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Central Referral Service
“Right Care, Right Place, Right Time”
General Information Session - 30th October 2013
Frances Downey Project Coordinator
Emma Davies
Project Coordinator
[email protected]
Information Session - Overview
Background
Overview of Service
Next Steps
Questions
Project Team
Janice Shields
Senior Project Coordinator
Frances Downey
Project Coordinator
Emma Davies
Project Coordinator
Caitlin Hynes
Senior Project Officer
Bill Darby
Senior Project Officer
Trish Baldwin
CRS Nursing Coordinator
Background
February 2013: MfH, DG and SHEF ORC endorsed the
metropolitan CRS for outpatient referral management.
There is a need for a coordinated and sustainable
model for outpatient referral management across the
system to support patients receiving their care within a
clinically appropriate timeframe, in the most
appropriate location.
Scope
In Scope
Out of Scope
All steps of the outpatient referral
process from referral generation to
site specialty acceptance
Hospital site operational
processes for management of
outpatient waitlists
External referrals from General
Practitioners and Private
Specialists
Follow-up outpatient
appointments
WA Health referrals from rural
Specialists
Unplanned presentations
Referrals for first (initial) doctor-led
outpatient appointments
WA Health rural outpatient
clinics
Public metropolitan hospitals
Mental Health Services
Key Project Deliverables
Standardised and streamlined referral process, with a
single point of entry for external referrals
A metropolitan central referral unit – staffed with a
Co-ordinator, CPANs & clerical staff
A policy and supporting business rules
Referral education and support for external referrers
and WA Health staff on CRS requirements
Service capability database
ICT solutions that align with existing and planned WA
Health applications
Expected Outcomes
Improve information at the point of referral and access
for GPs and private referrers
Improve tracking, auditing and reporting of referrals
Improve referral allocation to the most appropriate
site, based on postcode and specialty required
Improve completeness of mandatory referral
information
Trend away from paper-based systems and expand
electronic systems
Central Referral Service: What is it?
Single point of referral entry for all public Doctor-led
outpatient services
Receive and allocate external referrals from GPs and
Private Specialists
Only referrals to Doctor-led outpatient services
Referrals will be allocated based on postcode, level
of service required, specialty required and indicative
wait times across the system.
Central Referral Service: What it is NOT…
Not responsible for appointment booking
Will not clinically triage referrals
Will not accept referrals for Allied Health services
Will not manage metropolitan inter-hospital and
internal referrals
Is not responsible for referrals for registration onto
the ESWL
Referral Pathway
Referral Pathway
WA Health templates
Urgent referral process
Acknowledgment to GP at receipt and allocation
Mode of referral delivery
Named referrals
Doctor-led Procedural clinics
Referral not appropriate for site
Clinical triage
Central Referral Service
Will be staffed with:
Nurse Coordinator (recruited)
Clinical Priority Access Nurses (recruitment underway)
Clerical Supervisors
Clerical Staff
Data Analyst
Located in Midland
Service Capability Database
Will detail the referral acceptance and exclusion
criteria for each specialty across hospitals
Sites are currently populating templates
Will inform the CPANs in the CRS as to the most
appropriate site and specialty to allocate to
Will be able to be updated as required to align with
planned area reconfigurations
ICT Requirements
Trend away from paper-based referral methods
and increase electronic functionality over time
Interim solution using SharePoint distribution
Utilise eReferrals when available
Enhancements will be made to the GP Website
GP Engagement
Hospital Liaison GP Group
Medicare Locals
GP workshops
Representation on the Project Control Group
Timeline
The Central Referral Service is to be operational in
a test environment towards the end of 2013.
Next Steps…
Ongoing consultation with hospital staff, health
services and GPs
Endorsement of business rules and policy
Operate service in a test environment
Communication and education to referrers and
hospital staff regarding implementation and
operational processes
Roll-out to all hospitals early 2014.
More Information
[email protected]
http://www.health.wa.gov.au/hrit/home/central_referral_s
ervice.cfm
Site workshops November
Hospital site information sessions November/December
Project team happy to meet with any groups/individuals
at their request
Questions?