Transcript What’s in IT for Clinicians

What’s in IT for Clinicians
GOLD STANDARDS
For GOLD PATIENTS
Dr Elizabeth Ireland
Dr Libby Morris
WHAT’s in IT for PATIENTS!
GOLD STANDARDS
For GOLD PATIENTS
Dr Elizabeth Ireland
Dr Libby Morris
Gold Standards Framework
Scotland 2003-6
To enable all primary
care teams to offer
any patient nearing
the end of life, the
same access to high
quality palliative care
so they can choose, if
they wish to die at
home.
‘Looming epidemic of need for end
of life care’
‘Why are we leaving it to luck?’
Joanne Lynn
“What will we need when we are dying?
We need reliability, We need a care system we can
count on- Doing RIGHT thing at RIGHT time
To make excellent care routine we must learn to do
routinely what we already know must be done
All that it takes is innovation, learning,
reorganisation and commitment !”
Better Health Better Care
•We are committed to the delivery of high quality palliative care
to everyone in Scotland who needs it,
on the basis of need not diagnosis,
and according to established principles of equity and personal dignity.
•Extend the use of high quality
generalist palliative care standards in all care settings
LIVING and DYING WELL
National Action Plan
Palliative and End of Life Care
LIVING and DYING WELL
LIVING and DYING WELL
•Assessment and Review of palliative and
end of life care needs
•Planning and delivery of care for patients
with palliative and end of life care needs
•Communication and Coordination
•Education, training and workforce
development
•Implementation and future developments
Direct Enhanced Service
QIS Key Performance Indicators for Out
of Hours
Communication and Coordination
ACTION 16
NHS Boards should ensure that safe and
effective processes, electronic or otherwise, are
in place 24/7, to all relevant profressionals and
across sectoral organisational boundaries of
patient information as identified in the electonic
palliative care summary ( ePCS) regarding any
patient identified with palliative care needs and
who gives consent
ACTION 17
The Scottish Government will appoint a clinical
lead to take forward the national roll out of the
ePCS in 2009
ACTION 18
The National eHealth Clinical lead will establish
a Palliative care eHealth advisory group to
explore mechanisms to encourage and
maximise the use of the ePCS and to identify
further opportunities created by technology
and telemedicine to support and enhance
palliative and end of life care.
Palliative Care Summary
Dunblane
4th Nov 2008
System Overview
PRACTICE
GP
consultation
ECS update
OOH
clinician
NHS
24
ECS summary
request &
display
ECS
System
Practice Admin.
Staff
A&E
Ambulance
1. During consultation
Who saw
who2.forDue to prescription
practice?
3. Other Patient contact
TBD…
Palliative Care Summary
Macmillan Nurses led initiative
Palliative Care Forms
– Based on Gold Standards Framework
Scotland (GSFS)
– Paper process already in place in
many GP Practices
– IT Development to assist with key
patient group
GSFS Solution
Extension to ECS dataset to include more
detailed information to send to OOH for
Palliative Care patients (known as PCS)
Move from paper to electronic information
Reduction in faxes from GP Practices to OOH
Centres
Consent Model
ECS – Implied to send, Explicit to view
PCS – Explicit to send, Implied to view
Palliative Care OOH
Summary
Palliative Care Dataset
Captured within GP system – some already
pre-populated:
–
–
–
–
–
–
–
Palliative care register flag (Read code) consent
Carer details and key professionals
Diagnosis and current treatment
Preferred place of care
Current care arrangements
Patients and Carers Awareness of Conditions
Advice for OOH care
Summary
ECS connected to 99% of practices
Accessed by A/E, NHS24 and OOHs
Palliative Care Summary next
development
Pilots in Grampian for EMIS and INPS
Next year for GPASS and ASCRIBE