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Electronic Links to GPs and Primary Care. The St. James’s Experience Martin Buckley, Manager Information Management Services (IMS). St. James’s hospital. Early beginnings. 2000 Started pilot project with the South Inner City of Dublin Partnership in Primary Care. (SICP).

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Electronic links to gps and primary care

Electronic Links to GPs and Primary Care

The St. James’s Experience

Martin Buckley, Manager

Information Management Services (IMS).

St. James’s hospital.

HISI Conference 16th Nov. 2005


Early beginnings
Early beginnings

  • 2000

    • Started pilot project with the South Inner City of Dublin Partnership in Primary Care. (SICP).

      • (52 GPs in 29 Practices) (20 PHNs ; 5 Physio. ; 15 OTs)

  • Main Objectives

    • Develop a Secure E-mail framework.

      • (using Digital Certificates, Encryption, etc.)

    • Initial Messages.

      • Referrals and Discharge letter


  • Key milestones
    Key Milestones

    • 2001

      • Secure e-mail in place.

        • GP to GP ; GP to Hospital ; GP to Community Clinic.

        • limited use, but strong motivation to continue.

    • 2002

      • Renamed: Primary Care eTeam Project

      • Additional partners

        • Eastern Health Shared Services

        • South Western Area Health Board

        • South City Community Nursing Services


    Key milestones1
    Key Milestones

    • 2003

      • EHSS Support Services

        • Digital Certificates (Digi-sign , Class 2).

        • Managed services for GPs

          • Secure e-mail server ; Practice management server.

        • Technical support

      • St. James’s Secure Extranet

        • Radiology reports

        • OPD appointment details

        • Community Nurse Referrals


    Key milestones2
    Key Milestones

    • 2004

      • Participation in HSE (HeBE) GP Messaging Group.

        • Assisted with HL7 message definitions.

      • Decision to join Healthlink Online.

        • Development of laboratory message.


    Current position
    Current position

    • Secure E-mail.

      • GP to GP

      • GP to Community Clinics (e.g. Meath, Baggot Street).

      • GP referrals to St. James’s OPD Clinics: 547

    • Secure SJH Extranet.

      • Active GPs: 25

      • OPD Clinic appointment details: 1,086

      • Radiology Reports (in HL7 format): 1,007

      • PHN Referrals: 1,409

    • Healthlink (since Aug. 2005).

      • Active GPs: 50

      • Laboratory results: 8,500


    SECURE E-MAIL / MESSAGING INFRASTRUCTURE

    SJH HOSPITAL DATABASES

    SJH EXTRANET

    HEALTHLINK

    PHYSIO.

    O.T.s

    PHNs

    GPs

    EHSS Digital IDs Secure E-mail

    Physio; O.T.s Comm. Nursing

    SJH OPD REFERRALS

    Community CLINICS

    OTHER GPs


    Eteam s unique focus
    eTeam’s Unique Focus

    • Involves all members of the primary care Team.

    • Secure electronic communication

      • within teams and

      • between teams and hospitals.

    • Forms basis for Virtual Primary Care Teams.


    Planned next steps
    Planned Next Steps

    • Extend Healthlink messages

      • Radiology Dec. 2005.

      • Discharge Summary Mar. 2006.

      • Other messages 2006.

    • Extend SJH Extranet

      • Physiotherapy referrals

      • Occupational Therapy

    • Support for Virtual primary care teams.


    Lessons learned
    Lessons learned

    • Challenges

      • Multi-agency collaboration.

      • Emerging Technology / standards.

      • Process changes.

    • Main Drivers / Success factors

      • Buy-in and enthusiasm of GPs and Primary care team.

      • Single umbrella partnership structure for South Inner City.

      • National initiatives on Data standards and Interoperability (HL7).

      • Valuable part of the overall relationship with the Hospital.

        (GP Liaison group, website, other services).



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