SCI Gateway

e-Referrals for Wales

SCI Gateway Product Overview

An electronic messaging system

An electronic messaging system

Could be used for other types of messages

Could be used for other types of messages

Transfers messages from one electronic system to another

Transfers messages from one electronic system to another

Uses structured electronic templates

Uses structured electronic templates

Uses secure internet technology

Uses secure internet technology

Project Phases

Pre-Evaluation Work

Scoping and Engagement

Proof of Concept

Early Adopter

National Roll Out

Evaluation and Planning

Project Phases

Proof of Concept

Early Adopter

National Rollout

•Technical review and evaluation

•Security infrastructure hosting arrangements

•Test operational processes

•Cardiff and Vale Healthcare Community

•Pilot site in Gwent

•Develop model

•FBC for national rollout

•Engagement of wider healthcare community

•Phased approach to national implementation

•Continuous Improvement and Development

SCI Gateway Product Overview

Secure communication of clinical data:

• Communications using familiar Internet technologies including for example: HTTP, Secure, Sockets Layer (SSL) for encryption

• Electronic documents that comply with Nationally agreed standards and national XML information definitions

Schema & Template-based Referrals

• Referral of clinical and demographic information

• Clinical guidance, key messages and links to relevant on-line resources

• Data pre-populated from GP system, minimal manual data entry required

• Multi-user "workflow" functionality to support primary care working practices

SCI Gateway Product Overview

Integration – GP Systems

• SCI applications available from within the GP system (from the SCI tab)

• Auto-insertion of patient clinical and demographic data from the GP system within referrals

• Import facilities to update patient records with information from immediate discharge letters

Integration – Hospital PAS and Portal

• Outpatient booking facility from GP surgery• Immediate confirmation of appointment booking• Provide the patient with a printed appointment letter before leaving the surgery. • Appointment before referral - an appointment may be booked before full clinical data is transmitted• Facility to send discharge information to the GP including essential clinical information

Scenario overview

• Patient assessment• Patient record • Optional GPASS

Patient feels unwell…

visits GP

1 • GP logs on to SCI Gateway • stand-alone, or through GPASS

GP decides to refer

2

• choose provider & specialty• select referral protocol

GP selects New Referral

3

Complete Referral Details

GP enters referral

information

4

• protocol-based clinical info

Sendreferral

5A

• save unsent referral• get other requisite info

Park (optional)

Referral Received by Recipient

6

GP decides to refer… and sees log-on screen

…or if using a stand-alone Web browser,

sees same screen

Clicks SCI tab on Consulting Room

screen …

GP logs on to SCI Gateway

taking the GPASS example from now on, when logged sees various buttons and a

‘bulletin board’

GP accesses his referrals

Referrals can be sent from here,

once ready

The list can be filtered by clicking

on an

The Referrals button links to the GP’s

referral work list, shown here

…and set filters can be cleared

And new referrals can created from this

work list screen, as we’ll see now …

A new referral is created

First thing is to choose destination –Vale of Glamorgan

RMC

Generic Referral Chosen

The GP then confirms this new referral has been

kicked off

Specialty Based Referrals to follow (where appropriate)

Referral details are then completed

Demographics and

administration fields are auto-

populated

Referrals may be parked for later

completion

Parked referrals are marked In Progress. Clicking the patient

name re-opens it

Once complete, the referral can be sent

A set of tabs gives access to

the various referral sections

Clinical Referral information /

other information can be typed in

Generic referral template

Click the patient name to access a referral for

manual processing

Hospitalsreceive

referrals

Sent but as yet unprocessed referrals

are marked as submitted

Work flow lists support referral management

Secondary Care end

Proof of Concept Process

GP RMCHospital Site

Create ReferralSend Referral

Receive ReferralSeed DatabaseDirect Referral

(to appropriate Site)

Receive ReferralLog ReceiptInitiate Clinical Prioritisation Process

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