Why Practices need to changeWhy Practices need to change

Paul Baughan GPPaul Baughan GP

Roslynne O’Connor Practice ManagerRoslynne O’Connor Practice Manager

OverviewOverview

Examples of some changes we have introducedExamples of some changes we have introduced

Impact of changes on GP PracticeImpact of changes on GP Practice

Why practices must change with eHealthWhy practices must change with eHealth

Group DiscussionGroup Discussion

- Became ‘paperlite’ 1997 when changed to Became ‘paperlite’ 1997 when changed to EMISEMIS

- Scanning into EMIS 2001 - Scanning into EMIS 2001

- Introduced e-booking of appts 2005 - Introduced e-booking of appts 2005

- e-mail prescription request service- e-mail prescription request service

- truly paperless this year with back-- truly paperless this year with back-scanning of old paper records.scanning of old paper records.

Dollar Health CentreDollar Health Centre

We are not IT geeks, and are We are not IT geeks, and are not even particularly IT not even particularly IT knowledgeable… knowledgeable…

We are not IT geeks, and are We are not IT geeks, and are not even particularly IT not even particularly IT knowledgeable… knowledgeable…

But we do like change – even if we But we do like change – even if we do not always understand the full do not always understand the full implications. implications.

We are not IT geeks, and are We are not IT geeks, and are not even particularly IT not even particularly IT knowledgeable… knowledgeable… But we do like change – even if we But we do like change – even if we do not always understand the full do not always understand the full implications.implications.

Three examples:Three examples:

1. Docman transfer1. Docman transfer2. Backscanning old records2. Backscanning old records3. Electronic transfer of 3. Electronic transfer of

clinical informationclinical information

1. Docman Transfer1. Docman Transfer

-piloted in Ayrshire Dec 06piloted in Ayrshire Dec 06-rolled out to Borders, Fife, Dumfries and -rolled out to Borders, Fife, Dumfries and Galloway Health BoardsGalloway Health Boards-Forth Valley Health Board June 08-Forth Valley Health Board June 08

Impact on practiceImpact on practice

- Exporting patients – great- Exporting patients – great

- Importing (registering) new patients - Importing (registering) new patients – some problems– some problems

2. Back-scanning2. Back-scanning

Back Scanning ImpactBack Scanning Impact Initial preparation work prior to scanningInitial preparation work prior to scanning Space on serverSpace on server How to import 4500 PDF files into How to import 4500 PDF files into

DocmanDocman Handling of new patients’ recordsHandling of new patients’ records Requests for copies of medical recordsRequests for copies of medical records

3. Electronic transfer of information3. Electronic transfer of information

SCI-DC backfillSCI-DC backfillScottish Care Information – Diabetes Collaborative Electronic Management of dataScottish Care Information – Diabetes Collaborative Electronic Management of data

SCCRS (Scottish Cervical Call and Recall System)SCCRS (Scottish Cervical Call and Recall System) SCI Gateway – some immediate discharge letters being sentSCI Gateway – some immediate discharge letters being sent Out of Hours correspondenceOut of Hours correspondence SPARRA information (patients at risk of admission)SPARRA information (patients at risk of admission) NHS Mail clinical e-mailNHS Mail clinical e-mail Patient e-mailPatient e-mail Hospital correspondence scanned via DocmanHospital correspondence scanned via Docman Occasional faxOccasional fax

And non-electronicAnd non-electronic Prescription boxPrescription box Lab vanLab van PostPost Telephone messages (converted to e-tasks)Telephone messages (converted to e-tasks)

ImpactImpact

Several places to check for informationSeveral places to check for information Lots of different passwords which expire at different timesLots of different passwords which expire at different times Back-upsBack-ups Once information has been ‘gathered by admin team needs Once information has been ‘gathered by admin team needs

to be transferred to GPto be transferred to GP Need good audit trailsNeed good audit trails Need good back-up of infoNeed good back-up of info Need procedures to file information within single e-Health Need procedures to file information within single e-Health

record record

ConclusionConclusion

eHealth has transformed clinical practiceeHealth has transformed clinical practice Lots of new initiatives which improve speed and Lots of new initiatives which improve speed and

efficiency of processing patient informationefficiency of processing patient information Direct benefits for patient careDirect benefits for patient care But But

– – sometimes we are slow to assess the impact on GP sometimes we are slow to assess the impact on GP practice.practice.

– sometimes we are not good at sharing information on sometimes we are not good at sharing information on how we need to adapt our internal practice systems how we need to adapt our internal practice systems

Questions?Questions?

What are the wider implications What are the wider implications of:of:

Lab results back fillLab results back fill GP ConnectGP Connect Palliative Care Summary (ePCS)Palliative Care Summary (ePCS) Developments to Emergency Care Summary (ECS)Developments to Emergency Care Summary (ECS) Chronic Medication ServiceChronic Medication Service