1 / 24

MEDICAL INFORMATICS Assignment II - Case Study of a Health Care Computer System The Castle Surgery, Carrickfergus

MEDICAL INFORMATICS Assignment II - Case Study of a Health Care Computer System The Castle Surgery, Carrickfergus. JAMES LAPPIN CIARAN KING SIOBHAN KILLEN. SYSTEM STUDIED: Emis Integrated General Practice Computing System. OBJECTIVE:

cormac
Download Presentation

MEDICAL INFORMATICS Assignment II - Case Study of a Health Care Computer System The Castle Surgery, Carrickfergus

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MEDICAL INFORMATICS Assignment II - Case Study of a Health Care Computer System The Castle Surgery, Carrickfergus JAMES LAPPIN CIARAN KING SIOBHAN KILLEN

  2. SYSTEM STUDIED: • Emis Integrated General Practice Computing System • OBJECTIVE: • A study of the practice’s progress in to becoming a paperless practice, minimising or eliminating paper records.

  3. THE EMIS SYSTEM

  4. THE CASTLE SURGERY: • 14, 000 patients • 25 computers • All patient records are electronic, although the paper records are still kept • All rooms have electronic locking • Self Check-In and JX board

  5. KEY FEATURES (EMIS): • Complete patient management • Intelligent prescribing • Definitive medical records • Formulary management • Integrated consultation mode and appointments • Mentor library • Integration with Microsoft Word • EMIS Drug Explorer • Electronic insurance reports • Surveys and Audits

  6. SECURITY: • Not live, for the moment • User ID – 3 letters and 3 numbers • Password changes every 60 log-ins • User can only be logged into1 pc at a time • Back up tapes • Audit trail • Log-out if idle (not EMIS)

  7. ADVANTAGES (1): • Full patient record in front of the doctor; all details can be accessed at the touch of a button • A summary sheet about the patient can be printed out if going on a house call • Notes can be typed up then and there abbreviations are recognised; saves time • Searches and audits are made so much more simple in comparison to using a paper based system • Lab test results are sent straight through to the doctor’s computer; efficient and beneficial to patients

  8. ADVANTAGES (2): • Internal messaging system between GPs and receptionists mean messages can be sent as soon as they are needed. It also prevents the doctor being disturbed by the telephone • Appointment spaces are clearly seen by the receptionist when a patient calls so no need for flicking through pages in an appointment book • Doctor can see any changes to the appointment schedule immediately on their screen • The self check-in reduces the receptionists’ work load

  9. ADAVANTAGES (3): • Prescribing drugs for a patient is made easy by a full list of suitable drugs shown, the system remembering the doctor’s preferred choice and through warnings of patients allergies or interactions with other drugs • The doctor has a link to patient information leaflets which can be printed out for the patient to take home; saving consultation time and pleases the patient

  10. DISADVANTAGES (1): • Admission of a new patient takes a great deal of time; no straightforward transfer of paper notes • The system depends on the competency of individuals and skills vary • Training outside the practice must be taken before using the system • Logging in and out of the system can get tiresome • Staff may forget passwords, especially as they change after 60 log-ins

  11. DISADVANTAGES (2): • Not all security issues can be totally minimised • Self check in and JX board is no use for visually impaired patients • All the advantages gained for prescribing drugs relies on the information input to be up to date • The interface is ugly • The surgery would not be able to operate without if the system functioning successfully

  12. PATIENT APPOINTMENTS: • Can be made in person or over the phone • Patients can check in at the reception or manually on a computer • The doctors computer notifies him or her that the patient is waiting

  13. Example of Appointment

  14. APPOINTMENTS CONTINUED: • Patients are called to the surgery at the touch of a button • There is a JX board in reception telling the patient when her or she have been called • The patient records are on screen before they enter the consultation

  15. Fictional patient

  16. All previous medical history can be accessed easily

  17. If needed prescriptions can be printed

  18. Alternative arrangements can be made

  19. Some services available

  20. PATIENT INFORMATION: • There is a wealth of information that can be printed off the computer system and given to patients • Some further reading about the illness that they are suffering from • Can help to reassure

  21. ACKNOWLEDGEMENTS Thanks to: Dr. IAN BUCHANAN LISA “resident IT boffin” And all at Castle Surgery

More Related