Transcript ELECTRONIC CANCER REFERRAL - Irish GP Practice Managers

Electronic Cancer Referral
Dr Regina Codd
GP Community Oncology Team
NCCP
About the National Cancer Control Programme
Established in 2007 to
implement the national cancer
strategy
NCCP Structure
Director
Surgical Oncology
Network East
Radiation Oncology
Network South
Medical Oncology
Network West
Community Oncology
8 cancer centres and a satellite centre
Community Oncology
Community Oncology
General Practice /
Primary Care
Guidelines / Standards /
Integration
Prevention
Information
Communication
Survivorship
‘Early Detection of Cancer: A Needs Assessment
of GPs’( ICGP 2006)
 Delay in Patient presentation
 Lack of clear recommendations
 Inequity of access
 Long waiting lists
 Lack of access to hospital based diagnostics
Why is cancer important?
What is the extent of the problem in Ireland
1 in 3 will develop invasive cancer
1 in 4 will die from cancer
29,745 new cases annual average 2007--2009 (National Cancer Registry, 2011)
60% die within 5 years of diagnosis
134,000 cancer survivors (National Cancer Registry, 2009)
Incidence will increase by 45% between 2010 and 2020
Incidence will increase by 110% between 2020 and 2030
(National Cancer registry 2008)
Actual Case Numbers of Invasive Cancers for 2005 and Projected Case Numbers for 2010 - 2035
% increase
2010 - 2020
% increase
2010 - 2030
2005
2010
2015
2020
2025
2030
2035
Head and Neck
277
352
452
573
709
882
1078
55
129
Oesophagus
334
389
453
530
620
718
815
32
73
Stomach
453
468
491
516
545
569
581
10
21
Colorectal
2111
2422
2863
3402
4065
4805
5537
40
97
Pancreas
384
459
540
637
751
878
1016
39
91
1831
2084
2457
2906
3460
4086
4746
30
70
Melanoma skin
606
767
985
1247
1556
1918
2323
64
154
Female breast
2196
2720
3294
3976
4752
5670
6724
46
108
Gynaecological
1002
1146
1350
1587
1850
2154
2464
38
88
Kidney
375
501
542
625
731
870
1023
34
91
Bladder
474
497
543
594
650
705
745
19
42
Brain and CNS
306
382
448
530
634
757
896
39
97
Lymphoma
601
804
996
1231
1514
1852
2233
53
129
2415
2871
3437
4093
4828
5668
6559
43
97
All excl NMSC
15678
19060
23187
28110
33831
40399
47296
47
111
All cancers
21973
26283
31798
38379
46049
54780
63845
46
108
Lung
Prostate
Source: NCRI, 2008
Healthy lifestyle can prevent
at least 30% of cancers
1.
2.
3.
4.
5.
Never smoking
Maintaining a healthy weight
Being physical active
Limiting alcohol
Taking care in the sun and never using a sun bed
People with all five healthy behaviours live an average of 14 years
longer than people who do not have any of them; are less likely to die
from cancer or heart disease
Referral Guidelines for Suspected Cancer
• Shared approach between Primary and Acute Care
• Evidence based and timely referral, prompt
diagnosis
• Assist GPs to identify and manage symptoms that
may
indicate cancer
– GPs are familiar with presenting features and alert to
unusual
patterns or recurrence
– GPs know where to refer and what to refer urgently
– GPs know the appropriate investigations they can
order
– Patients and carers get appropriate support and
information
Multidisciplinary Care
• Diagnostic expertise
• Surgeons with specialised cancer expertise & high volume practices
• Radiation and Medical Oncologists with sophisticated knowledge
& experience plus access to hi-tech therapy
• Compassionate, caring environment with supportive nurses, social
workers and other health care professionals
Benefits of developing cancer electronic oncology referral
forms
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•
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Provision of direct access for GPs to the cancer teams at
the eight designated cancer centres
Streamline the cancer referral process
Reduce communication difficulties
Provide automatic confirmation of receipt of GP referral
Reduce delays in patient referral for suspected cancer
Aim to increase the number of patients diagnosed at an
early stage and maximise the potential for cure
Getting Started
• It is very easy to register with Healthlink. This service is available free to
all GPs. All you need is a computer, the internet and to register with
Healthlink. To register you just need to complete the following three
steps:
1.Complete a registration form and send it to Healthlink (this is available
on their webpage www.healthlink.ie )
2.Healthlink will then email you an encryption certificate and ring you to
set this up over the phone
3.Healthlink will set up a username and password for your online
Healthlink Account
• If you currently use Healthlink, the electronic cancer referrals will be
automatically available to you.
• For further information please ring their helpdesk on (01) 8825606 or go
to www.healthlink.ie. Their help desk is open Monday to Friday 9am to
5pm.
ICGP Accredited Software Systems
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Socrates
Helix Practice Manager
Health One
Complete GP
Helix Practice Manager (HPM)
Screen Shots for Presentation
Setup: Administration Tab – Practice & Machine Config
Practice Config - Enable Electronic Referrals
Machine Config - Healthlink Details
Administration – IMC Number in User Set up
Patient File
Documents Drop Down – Electronic Referral
Patient Details (registration & medical) will be auto
populated
Message when accepted
Stored in Patient file
Tasks
HL7 Messages
Health 1
Screen Shots for Presentation
Set up: Tools and options
Referrals – Healthlink
Patient Chart
Referral Forms
Auto populated but can Configure what Health 1 items it
displays
Socrates
• Live Demonstration
NCCP
Kings Inns House
200 Parnell Street
Dublin 1
www.cancercontrol.hse.ie
[email protected]
Tel 01 8287100 ext 170
Discussion and your feedback