ereferral programme archie macdonald jenny baird martina zelikova
TRANSCRIPT
eReferral Programme Archie MacDonald
Jenny Baird
Martina Zelikova
SCI Gateway
Electronic Message
Outcomes
GP System Hospital PMS or Outpatient System
Referral
GP completes and submits referral letter
Registration
Referral arrives at hospital.
Referral registered on Hospital PMS
Vetting
Clinician vets
Referral status updated electronically on SCI
Gateway or alternative mechanism
Referrals
Patient Record updated
Patient Recordupdated
Patient Recordupdated
Electronic Management of Referrals
Paper based Referral
GP Hosp Registration Vetting Make
Appt (OP)
0-11 days
sort
4-58 days
1-14 days1-36days2-8 days1-9 days
100 % Manual
Total possible 5-78 days
OPD – Registration, Clinical Review & Booking Process –
Referrals Electronically
Administration Timescales
GP Hosp RegistrationClinicalReview Arrived
CNADNA
0 – 5days
MakeAppt
Hosp
We can provide you with timescales for each Health Board –e.g. In January >50% of appointments were made within 5 hrs
Aims for the eReferral Programme 95% of Gp referrals sent via SCI Gateway
90% of referrals managed electronically in Secondary care
Quicker•Referrals get from the GP to the hospital the moment they are sent;•Referrals can be accessed and managed quickly in the hospital;•Patient appointments can be booked sooner.
Safer•Less risk of transcription errors;•Reduced risk of missed or delayed referrals; •GP has greater feedback about the patient's journey.
Better•More efficient process, improved patient experience;•Electronic process provides a better audit trail;•Reduced use of resources e.g. paper, storage, postage.
Benefits to Patients & Staff
8385
88 89 90 91 91 91 91 9395
88
0
10
20
30
40
50
60
70
80
90
100
Ap
ril 20
09
Ma
y 20
09
Jun
e 2
00
9
July 2
00
9
Au
gu
st 20
09
Se
pte
mb
er 2
00
9
Octo
be
r 20
09
No
vem
be
r 20
09
De
cem
be
r 20
09
Jan
ua
ry 20
10
Fe
bru
ary 2
01
0
Ma
rch 2
01
0
[%]
National % of Referrals Sent to SCI Gateway by GPs Milestone of 95%
National Progress Referrals sent by GPs via SCI Gateway
91 9493
10095
9999 9994 95
94
82 85
100 95
0
5
10
15
20
25
30
35
40
4550
55
60
65
70
75
80
85
90
95
100
Ayrsh
ire a
nd
Arra
n
Bo
rde
rs
Du
mfrie
s an
dG
allo
wa
y
Fife
Fo
rth V
alle
y
Gra
mp
ian
Gre
ate
r Gla
sgo
wa
nd
Clyd
e
Hig
hla
nd
La
na
rkshire
Lo
thia
n
Orkn
ey
Sh
etla
nd
Ta
yside
We
stern
Isles
Sco
tlan
d
[%]
% of Referrals Sent to SCI Gateway by GPs
Referrals sent to SCI GW by GPs progress by Healthboard
March 2010
9 10 10 1114
18 2022
3842
47
14 17 1922
2832
3742
4650
55
13
25
0
10
20
30
40
50
60
70
80
90
100
April 2009
May 2009
June 2009
July 2009
August 2009
Septem
ber 2009
October 2009
Novem
ber 2009
Decem
ber 2009
January 2010
February 2010
March 2010
[%]
National % of Referrals Managed Electronically National trajectory
National Progress for Electronic Management of Referrals
36
16
61
29
52
32
62
30
94 93
82
47
0
11
91
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
Ayrshire and A
rran
Borders
Dum
fries and Gallow
ay
Fife
Forth V
alley
Gram
pian
Greater G
lasgow and
Clyde
Highland
Lanarkshire
Lothian
Orkney
Shetland
Tayside
Western Isles
Scotland
[%]
% of Referrals ManagedElectronically
Electronic Management of Referrals Progress by Healthboard March 2010
0
50
100
150
200
250
300
0 - 2days
3 - 7days
8 -14days
15 - 21days
22 - 28days
29 - 35days
36 - 42days
43 - 49days
50 - 56days
57 - 63days
February 2010
NHS Ayrshire & Arran Crosshouse HospitaleTriage - Trauma & Orthopaedic SurgeryNumber of Days between Submission & Electronic Management of Referral
0
50
100
150
200
250
300
0 - 2 days 3 - 7 days 8 -14days
15 - 21days
22 - 28days
29 - 35days
36 - 42days
43 - 49days
50 - 56days
57 - 63days
March 2010
NHS Ayrshire & Arran Crosshouse HospitaleTriage - Trauma & Orthopaedic SurgeryNumber of Days between Submission & Electronic Management of Referral
0
50
100
150
200
250
300
0 - 2 days 3 - 7 days 8 -14days
15 - 21days
22 - 28days
29 - 35days
36 - 42days
43 - 49days
50 - 56days
57 - 63days
March 2010February 2010
NHS Ayrshire & Arran Crosshouse HospitaleTriage - Trauma & Orthopaedic SurgeryNumber of Days between Submission & Electronic Management of Referral
“I think it would be fair to say that we find e-triage to be simple, effective and convenient” Dr Colin Clark, Lead Clinician Dermatology North East Glasgow
“The system is very fast and easy to use. Referrals should no longer get lost in the post!” Dr Miles Fisher, Clinical Director Medicine North East Glasgow
“E-triage has been helpful in reducing the massive piles of paper we used to have to deal with, and reduces the chance of referrals going astray. We would welcome the few remaining practices who still do not routinely send electronic referrals switching to this method….”Prof Colin Munro & Dr Felicity Campbell, Dermatology South Glasgow
“We have found eTriage to be very helpful to keep track of all referrals coming in and we would encourage other specialties to use the system” Jean Cherry & Irene Miller, Health Records Senior Supervisors, Stobhill Hospital
“Quotes” from NHS Greater Glasgow and Clyde
