1 / 13

Shared records – shared care

Shared records – shared care. Richard Pope Airedale NHS Trust Richard.pope@anhst.nhs.uk. Background. 1998 district diabetes system required 1999 “common clinical system” (SystmOne; TPP, Leeds) 2000-3 in-service development 2004 on dramatic growth

cocheta
Download Presentation

Shared records – shared care

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Shared records – shared care Richard Pope Airedale NHS Trust Richard.pope@anhst.nhs.uk

  2. Background • 1998 district diabetes system required • 1999 “common clinical system” (SystmOne; TPP, Leeds) • 2000-3 in-service development • 2004 on dramatic growth 5M patient records >400 practices routinely >5000 concurrent users increasing secondary care links

  3. “SystmOne” • Central data centre • Fully functional GP system • Records shared with other units • Sharing procedure – evolved

  4. Diabetes Homeless project Palliative care Emergency depts (Airedale and Bradford) Renal medicine Surgery Rheumatology Cancer MDTs HM Prison service Child Health ………. “SystmOne” in Airedale and Bradford - links with:

  5. Shared records – clinical use • Clinic consultation/comms • E-referral • E-consultation • Clinical alerts/warnings • Governance • Health needs assessment

  6. Clinic consultation /comms • In-clinic use • All “shared” data available • Interactive • Real time communications • Targeted messaging /alerts

  7. E-referral • Referrals for clinic review direct booking possible record viewable from time of referral • Within team referrals

  8. E-consultation • Request for opinion without face to face consultation • Access to full record • Timely • Triage possible in ~40% cases • Medical/nursing/podiatry contacts

  9. Clinical alerts/warnings • Set automatically or manually • Flag the record • Recalls can be set by third party • Safety flags • Outstanding test results

  10. Governance • Central view of clinical performance • Validation/revalidation GPwSI, etc

  11. Health needs assessment • Predict future demand microalbuminuria +ve type 1 diabetes risk of renal failure ~10yrs planning renal replacement services

  12. Shared records-shared care • Highly valued clinical system • Allows secondary care to support local service delivery in new ways • Very rich data set • Critical mass effects • “Operational” training crucial • Scale of future deployment?

  13. Success due to:- • The Phoenix Partnership (Frank Hester/Sat Virk) • Dr John Parry / Dr John Connelly • Tony Megaw / Ian Roberts • IT depts Airedale/Bradford Trusts/PCTs • Clinical colleagues

More Related