Transcript Why Practices need to change Dr Paul Baughan Roslynne O’Connor

Why Practices need to change
Paul Baughan GP
Roslynne O’Connor Practice Manager
Overview
 Examples of some changes we have introduced
 Impact of changes on GP Practice
 Why practices must change with eHealth
 Group Discussion
Dollar Health Centre
- Became ‘paperlite’ 1997 when changed to
EMIS
- Scanning into EMIS 2001
- Introduced e-booking of appts 2005
- e-mail prescription request service
- truly paperless this year with backscanning of old paper records.
We are not IT geeks, and are
not even particularly IT
knowledgeable…
We are not IT geeks, and are
not even particularly IT
knowledgeable…
But we do like change – even if we
do not always understand the full
implications.
We are not IT geeks, and are
not even particularly IT
knowledgeable…
But we do like change – even if we
do not always understand the full
implications.
Three examples:
1. Docman transfer
2. Backscanning old records
3. Electronic transfer of
clinical information
1. Docman Transfer
-piloted in Ayrshire Dec 06
-rolled out to Borders, Fife, Dumfries and
Galloway Health Boards
-Forth Valley Health Board June 08
Impact on practice
- Exporting patients – great
- Importing (registering) new patients
– some problems
2. Back-scanning
Back Scanning Impact
 Initial preparation work prior to scanning
 Space on server
 How to import 4500 PDF files into
Docman
 Handling of new patients’ records
 Requests for copies of medical records
3. Electronic transfer of information
 SCI-DC backfill
Scottish Care Information – Diabetes Collaborative Electronic
Management of data
 SCCRS (Scottish Cervical Call and Recall System)
 SCI Gateway – some immediate discharge letters being sent
 Out of Hours correspondence
 SPARRA information (patients at risk of admission)
 NHS Mail clinical e-mail
 Patient e-mail
 Hospital correspondence scanned via Docman
 Occasional fax
And non-electronic
 Prescription box
 Lab van
 Post
 Telephone messages (converted to e-tasks)
Impact
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Several places to check for information
Lots of different passwords which expire at different times
Back-ups
Once information has been ‘gathered by admin team
needs to be transferred to GP
 Need good audit trails
 Need good back-up of info
 Need procedures to file information within single e-Health
record
Conclusion
 eHealth has transformed clinical practice
 Lots of new initiatives which improve speed and
efficiency of processing patient information
 Direct benefits for patient care
 But
– sometimes we are slow to assess the impact on GP
practice.
– sometimes we are not good at sharing information on
how we need to adapt our internal practice systems
Questions?
What are the wider implications
of:
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Lab results back fill
GP Connect
Palliative Care Summary (ePCS)
Developments to Emergency Care Summary (ECS)
Chronic Medication Service