Transcript RNZCGP Annual Quality Symposium

Electronic Referrals@ Hutt
• Conditions for implementation
• Seeing the Potential
• What lessons did we learn?
• Where to from here?
• Appendices
RNZCGP Annual Quality
Symposium - Feb 2009
1
Electronic Referrals@ Hutt
Conditions for implementation
1. Clinical interests & leadership
2. Organisational leadership
3. Real “agreed” problems to solve
4. Relationship & trusts
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Clinicians
IT & clinicians
Vendors
RNZCGP Annual Quality
Symposium - Feb 2009
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Electronic Referrals@ Hutt
Seeing the potential
1. Better communication between providers
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Clarity on information needed
Timeliness
Tracking of referrals
2. Quality & patient safety
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Medication
Timeliness
RNZCGP Annual Quality
Symposium - Feb 2009
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Electronic Referrals@ Hutt
Seeing the potential
1. Effective & efficient process
2. Patient involvement, strengthening
relationships,, electives, self booking
3. Foundation towards eHR.- Standards
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Content
Structure
Format
Codes
RNZCGP Annual Quality
Symposium - Feb 2009
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Electronic Referrals@ Hutt
Lessons
1. Clinicians has to lead
2. Start with the willing, keep door open
3. Don’t make it too complicated
4. Start, add, refine, learn (mistakes!)
5. Cannot ignore basics (closing the loop)
6. Conditions – need to be good enough
RNZCGP Annual Quality
Symposium - Feb 2009
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Electronic Referrals@ Hutt
Lessons (continue)
7. Solves some problems but creates new
responsibilities/challenges
8. What else is going on?
9. Hand over from project to BAU
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ongoing “governance” group
support resources – maintenance, bugs, enhancements
10. Highlight need for a vision of a district
“electronic health model”
RNZCGP Annual Quality
Symposium - Feb 2009
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Electronic Referrals@ Hutt
Where to from here
1. Set up a BAU governance group
2. Develop a district level “electronic health
model”
3. Use above 2 to decide what release two
looks like
4. Share learning with sector and spread the
“gospel”
RNZCGP Annual Quality
Symposium - Feb 2009
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Electronic Referrals@ Hutt
• Appendices
– Overview of electronic referral model
– Draft concept of Hutt district “electronic health
model”
RNZCGP Annual Quality
Symposium - Feb 2009
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HVDHB Electronic Health Model – Stage 1
Electronic Referrals (Point to Point)
Patient Details
GP
Hospital
Diagnosis
Medication
Imaging
Laboratory
Comments
Sent
Received
Decision
Sent
Received
Decision
Messaging, Routing & Reporting
Standards – content, structured, formatted, codified
RNZCGP Annual Quality
Symposium - Feb 2009
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HVDHB Electronic Health Model – Overview (Providers & Residents)
Providers Applications & Repositories
Hospitals
Aged
Care
Lab
Primary
Care
Hutt Resident
Pharmacy
Imaging
Messaging, Routing & Reporting
Updates,Retrieves, View
Individual/Aggregated, Identifiable/Anonymised
Patient
Vitals
Medications
Lab
Imaging
RNZCGP Annual Quality
Symposium - Feb 2009
Security
My Health
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HVDHB Electronic Health Model
Pathway (Current to Vision)
• 3 broad stages
– Stage 1
• connect & communicate between providers (Point 2 Point)
– Stage 2
• introduce Hutt Valley repositories & develop access tool
– Stage 3
• introduce Hutt resident access & “my health repository”
RNZCGP Annual Quality
Symposium - Feb 2009
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HVDHB Electronic Health Model
Pathway (Current to Vision)
• Stage 1 functions to connect &
communicate:
1.
2.
3.
4.
5.
Electronic referrals
Electronic discharges
Electronic Laboratory
Electronic Pharmacy
Electronic Imaging
RNZCGP Annual Quality
Symposium - Feb 2009
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