Transcript Powerpoint template - Scottish National Users Group

Key Information Summary (KIS)
Miss Kathleen McGuire
Long Term Conditions & Community
Ward Manager
What is the KIS?
• KIS provides support for patients with:
– Anticipatory Care Plans (ACPs)
– Long Term Conditions (LTCs)
– Mental Health Issues
• KIS is a summary medical history & patient wishes
used to share patients ACPs with other services
• KIS replaces eHNF/LTC notification and “special
notes” sent to OoH, and the ACP template in EMiS
• The KIS uses existing ECS infrastructure
Benefits of KIS?
• KIS is patient-centred, patient involved in creation of
the KIS with their GP
• KIS reduces errors and saves time as automatically
and securely downloaded from GP Practice systems to
the ECS.
– KIS contains up-to-date patient information from GP records
– Some information pre-populated from GP record. Additional
detail built up over time.
• KIS improves patient care by sharing important
information which is accessed using Emergency Care
Summary (ECS)
– KIS can be accessed by clinicians in: A&E; OoHs; NHS24; SAS
Sample information on KIS
Consent to share KIS set to yes
Practical advice on what
helped deterioration in the past
ACP box ticked
Information on what family
know about patient’s condition
KIS Consent Model
• KIS is optional, patient/GP/carer discuss need
• Explicit patient consent required before sharing KIS
– Exception if patient cannot give consent (eg lacks capacity)
clincian can make clinical decision to create KIS on behalf of
patient only under special circumstances as described in
Data Protection Act
• Consent is not required to view a KIS on ECS
• Further detailed information re consent - KIS FAQs
document available on the ECS website
• KIS information is only accessed/used in emergency
situations
Sharing the KIS
Get patient consent
before sharing KIS
(Updates every 2 hours)
Who should have an ACP shared via KIS?
• QOF QP006 requires practices to identify 5% of
practice list that are at significant risk of emergency
admission, with SPARRA as suggested tool to help
identify suitable patients
• QOF QP indicator QP007 states that:
– “contractor identifies minimum of 15% of patients identified
in QP006 who would most benefit from, and creates, an
Anticipatory Care Plan (including Poly-pharmacy review) that
is shared with local out of hours service and has appropriate
review date
What makes a KIS an ACP?
• Any additional information about a patient’s
condition, and their care package including:
– Patient’s personal wishes,
– involvement with other agencies,
– self-management advice/support,
– falls prevention/support/equipment,
– Community Team(s) involvement
– Telehealth/Telecare
– Equipment/adaptions and Rehabilitation support
What makes a KIS an ACP cont...
• Making the KIS information available to access
by other agencies at times of deterioration in
an emergency situation
• Ensuring that the “patient has ACP” box in KIS
is ticked and a date entered for review (may
be necessary contractually for 2014/15)
• Ensuring patient has consented to having their
ACP shared via KIS
Identifying patients for ACP/KIS
• SPARRA reports used to help identify patients
at significant risk of emergency admission
– SPARRA available monthly from ISD, issued to
practices by LTC Information Analyst
– Reports divided into sections to allow practices to
focus on the 40-60% risk score cohort of patients
in first instance(as per QOF)
– SPARRA also used to inform discussions at multidisciplinary team meetings
• Clinical judgement and information from team
Who should have an ACP/KIS?
Step-by-Step Summary
• Practice identifies 5% of practice patients for
ACP/polypharmacy review
• SPARRA report received monthly – practice
identify patients with risk score 40-60% most
suitable likely to benefit from ACP
• If not enough patients suitable in 40-60%
SPARRA cohort, look to 20-40% patient group
• Invite & encourage patients to participate in
ACP development
Step by Step Summary (cont.)
• Discuss current/future needs, review
polypharmacy with patient and record ACP
in KIS (with patient’s consent to do so)
• Discuss patients with ACP at MDT meetings –
refer/signpost patients for relevant
interventions to support and keep patient
well
ACP Routemap
Additional Information
• ACP document in EMiS can be used as a
partially populated form for use on visits –
available on eHealth Facilitators Athena page
• Pilot being finalised to ensure KIS/ACP
available ASAP on presentation at A&E
• Training plan for all services using the KIS is
currently being developed
Further Resources
• Resources including patient leaflets, posters,
patient FAQs, clinical FAQs available to view
and print at:
http://www.ecs.scot.nhs.uk/kis
OR
http://www.scimp.scot.nhs.uk/betterinformation/care-summaries/kis