E-Referral 2003

the good old days…

WMR e-Business Project Purpose

• To support the implementation of Service Coordination through the development and uptake of relevant online business tools for the member agencies of Western Metropolitan Region Primary Care Partnerships

WMR e-Referral & Service Directory

AIM: To improve access to information about services available, and to roll-out a secure referral system for community based agencies

KEY OBJECTIVE: the development of a regional electronic service directory that:

• improves information access

• supports best referral practices

• supports an electronic referral system

How it works – Sharikatkoo & Connectingcare.com

How it works – Sharikatkoo & Connectingcare.com

How it works – Sharikatkoo & Connectingcare.com

How it works – Sharikatkoo & Connectingcare.com

How it works – Sharikatkoo & Connectingcare.com

What has it meant to my agency

• Regional eReferral & Service Directory• A common language across agencies• Common expectations for practitioners• A tool for changing practice• An incentive for partnering• Early signs of benefits

How did we get here ?

WMR Key Stakeholders involved

WMR culture & history of collaboration

Leadership & early commitment = a regional approach

Attracted funding to undertake significant PPPS work (WMR Best Practice Manual)

Receiving eReferral

Registering /Proposed

Receiving Agencies at January 2004

• Doutta Galla CHS – HACC and Primary Health, HARP

• Djerriwarrh CHS• ISIS PC CHS – Linkages &

ABI (HACC and PH 2004)• Wyndham City Council • Brimbank City Council• Melton Shire Council• Hobsons Bay Council• Maribyrnong City Council• Moonee Valley City

Council• Melbourne City Council

(implementing 2004)

• Western Region Community Health Service – HACC & Primary Health

• Western ACAS (Sunshine Hospital – Western Health)

• North West ACAS (MECRS – Melbourne Health)

• Essendon RDNS (receive only)

• Altona RDNS (receive only)

• Sunshine RDNS (receive only)

• Westcare GP clinic Melton (10 General Practitioners)

the Vision

The big picture benefits

• ICT can increase productivity, improve processes & support strategic positioning– Not a simple task– ROI in a tight fiscal environment– Shorter business & technology cycles

• Productivity – (~ 2 – 5% increase at agency level) – 1.66% GDP ($B10.6) 1.26% labour productivity

• Transformation (capacity & culture)

From NOIE Ovum Report – Productivity in ICT in Australia 2003

the Reality

Service Directory – Search & Refer or Securely Send

Services available in selected region (by service type)

Keyword search for Provider or Service

Select a Provider and jump directly to referral

Direct access to Providers home pages

Send files securely attached to an email

Referral Protocol (aka Cheat Sheet)

Service Directory – Provider Details

Service Directory – Provider Details (cont)

Service Directory – Service Details

Service Directory – Service Details (cont)

Electronic Referral Login

Electronic Referral

Electronic Referral (cont)

Electronic Referral – Consumer Consent

Electronic Referral – Profiles

Electronic Referral – Final Screen

e-Referral Model (secure email)

Agency AHas Internet connectionCan send referralsNot PKI registeredCannot receive referrals

Agency BPKI registeredCan send referralsCan receive referrals

Connectingcare.com Web ServerHolds PKI Public Keys for registered agencies

Agency A sends referrals through Connectingcare

Agency B sends and receives referrals through Connectingcare

Work ongoing …

Work ongoing …

Work ongoing …

Work ongoing …

Work ongoing …

Work ongoing …

Anecdotal responses indicate…

•Dietetics CHS about twice the time is available to the specialist assessment and therapeutic intervention in the initial assessment

•Aged LGA saving more than one hour a week when sending referrals (with CMS generating SCTT), and saving up to 10-15 minutes per re-assessment visit

•Podiatry CHS having time for an additional client appointment each day (changed intake and registration process, with a dedicated intake worker)

WMR eBusiness Project

•A proven system, working today•Relatively cheap & low risk•Best fit Statewide & Commonwealth directions•Early benefits starting to be seen•Innovative use of PKI•Usability•Ongoing Agency commitment•System offers Acute and PAC referral ‘targets’

E-Referral 2004…