tpp workshop - paul nathan
TRANSCRIPT
Dr Paul Nathan, GP
Patient Access to Information
• Interest in improving quality of care by better use of our information systems
• Passionate about General Practice
Who Am I?
• Remind ourselves about the standard
• Look at some of the data from my practice and what this means
• Opportunity to discuss around the tables
• Consider some process redesign for your practice
• Look at Ideas in development
• Finally look at practical solutions with suppliers
Aim and format for workshop
• Highlight in patients records that they have communication needs, and explain how those needs should be met
• Share those needs with other organisations with consent
• Ensure patients have information in accessible way and communication support if they need it
Accessible Information Standard
Disease Registers
Additional Numbers
• Where do we start?
• How do we identify patients ?
• What processes do we need for new patients?
• What do we do for existing patients?
Table Discussion
ProtocolsStatus MarkersAuto-consultations
TemplatesRemindersPrompts
There are lots of ways of doing things!
Flexibility of SystmOne
• Need for verification of use of codes
• Establishment of “disease registers”
• Clarification of use of codes
• Communication with patients
• Sharing information with other organisations
Use of Standard
• How could your practice implement this standard?
• What difficulties can you foresee?
Table Discussion 2
1. Run reports to identify patients who may be appropriate
2. Training staff about standard
3. Design a process which works for the practice
4. Send out letters to identify if there is a need for additional information requirements
5. Act on the letters
Where Do You Start?
RemindersPromptsTemplates
Yorkshire is ahead of the game and has provided a solution if you want to use it
Solutions to Implementation
Dear _______________,
At this Medical Practice we want to make sure that we give you information in a way that is clear to you.
Our records show that you may have a disability that means you find it difficult to read or understand the information that you are given by the Bentham Medical Practice.
Is this correct?Yes No
Please can you tell us how we need to communicate with you?
By phoneI use a hearing aid I do not use a hearing aid
With a British Sign Language interpreterBy email
I use a screen reader I do not use a screen reader
By text messageI use a text to speak app I do not use a text to speak app
With Easy Read pictures and wordsBy letter using large type
If you need anything that is not on the list above, please tell our receptionist when you come in for your next appointment and we will do our best to meet your needs.
Yours sincerely,
Letter to Patients
Patient Information Status Codes
• Developed by Clinical Support Unit
– Tested in four local practices – Developed by
• Lucy Speller • Barry Clarke • Des Carter – here today
Yorkshire & Humber Prompt
Yorkshire Prompt Special requirements for access protocol
• Training requirements regarding coding
• All staff aware of the standard
• Understanding SCR and additional consent
Create templateUse status markersCreate a view
Possible Solutions
Status markers
Template View added to clinical trees
Test Patient
Template View
Template View (continued)
Recording Consent
• Understanding coding issues with this standard
• What should be recorded in a medical summary
• England and Wales partially sighted certification = 0
• Gaining consent for additional information to be shared with SCR
SCR
What resources do I need to be able to address the patient information needs?
• How do I convert to braille?
• Use of email from notes?
• Text type
• Patient online access - results of tests, letters etc.
What other solutions do I need?
Completing the Circle
• Letter to patients
• Update to new patient questionnaire
• Clinical system support
• List of appropriate codes
• Consent of patients to share this information
• Practical provision of services to patient
What additional assistance do you need?
Practical Support
