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National Docman Conference 2014. Dr Masood Nazir General Practitioner Clinical Informatics Advisor NHS England. National Docman Conference 2014 #Docman. A Paperless NHS by 2018 Are patients & clinicians ready for this?. Electronic Document Management in Healthcare. Dr Masood Nazir

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National docman conference 2014

National Docman Conference 2014

Dr Masood Nazir

General Practitioner

Clinical Informatics Advisor

NHS England

National Docman Conference 2014 #Docman


A paperless nhs by 2018 are patients clinicians ready for this

A Paperless NHS by 2018Are patients & clinicians ready for this?

Electronic Document Management in Healthcare

Dr Masood Nazir

General Practitioner

Clinical Informatics Advisor

NHS England


Mr/s D

Dr S



What are the benefits of paperless to the nhs
What are the benefits of paperless to the NHS?

We owe patients a seamless, paperless NHS, but if they want a letter - fine


What is patient online

Patient Online will empower patients to take greater control of their health and wellbeing by increasing online access to services

What is Patient Online

Repeat Prescriptions Online

GP Appointments Online

View your GP Records

What is Patient Online?


Examples from patients practices
Examples from Patients & Practices

Helping Practices to work efficiently

Patients & carers expect more

Patients want access to their test results and letters at least

as well as SCR data

Patients with long term conditions I am a working mum looking after a small child, a part-time job, a husband, a house… I also have Diabetes, an under-active Thyroid, asthma and I don’t have time to be ill! I now order my prescriptions, book my appointments to see the doctor, check my test results and sometimes I even go over the conversation I had in my consultation with the Doctor when I feel I need to clarify issues.

All new patients are provided with registration details for online services


What do we need to do next

2. Supporting Practices

1. Putting in the Technology

3. Engaging with Patients

What do we need to do next

SUPPLIERS


In turn the job has evolved
In turn the job has evolved

  • GP’s have to be more vigilant with the content of mail

    • More often the hospital letter states “In the meantime I will ask your GP to ……..”

  • Instead of just filing into paper records it needs attaching into electronic record; and data quality is now an implication, so summarising is now required to ensure the electronic record reflects the patients current status


“An individual without information can’t take responsibility.

An individual with information can’t help

but take responsibility”

Jan Carlzon, business leader (QuoteDaddy)


Virtual meetings and communication some days i need a tardis collaboration
Virtual meetings and communication responsibility. :some days I need a TARDIS - Collaboration

  • Solutions(although not quite as

  • good as a TARDIS):

  • Skype

  • Microsoft Office 365

  • WebEx

  • and many more . . .

i-Engage – Meetings from Planned Care Solutions using Microsoft Office 365

Microsoft Lync device for virtual meetings

“Eat your lunch, sign prescriptions, answer queries from reception staff, get involved, pay attention and contribute !”

CCG Chair


Current pathway
Current Pathway responsibility.

PAPERBASED DOCUMENT SCANNING PROCESS

LETTER RECEIVED

LETTER OPENED

LETTER DATE STAMPED

LETTER CHECKED TO ASCERTAIN MOST RELEVANT CLINICIAN / REFERRING CLINICIAN – MAINTAIN CONTINUITY OF CARE & MARK ON LETTER

CHECK LETTER TO SEE IF IT HAS ALREADY BEEN SCANNED (DUPLICATE)

NO YES

SCAN LETTER FORWARD TO …………

INTELLISENSE FILE LETTER

FILE AS APPROPRIATE

WORKFLOW TO CLINICIAN & CODER (9 PROCESSES)


What are the benefits of this
What are the benefits of this? responsibility.

  • No paper, resulting in:

    • No opening of mail

    • No date stamping

    • No scanning

    • No opening, twice daily, of NHS Net account

      This has already been done for you!


Future pathway
Future Pathway responsibility.

EDT / NHS NET DOCUMENT SCANNING PROCESS

LETTER IN DOCUMENT VIEWER

LETTER CHECKED TO ASCERTAIN MOST RELEVANT CLINICIAN / REFERRING CLINICIAN – MAINTAIN CONTINUITY OF CARE

INTELLISENSE SCAN LETTER

FILE AS APPROPRIATE

WORKFLOW TO CLINICIAN & CODER

(5 PROCESSES)



How does a commissioning body influence anything
How does a commissioning body influence anything? responsibility.

•Mandatory elements in contracts

•Funding projects

  • National

  • Local

    •Transfer of good practice

  • Gallery of examples /Awards

  • “Do once and share”

    •Influence by… influence


Technology funds
Technology Funds responsibility.


NHS TREASURE MAP responsibility.

Innovations – Promote, Share & Spread your GEMS

Mobile Working

Sharing Information

Education

9

1

4


Shared information is a relationship of trust
Shared responsibility. information is a relationship of trust

Patients and information are the two most under-used resources in the NHS

Dr. Richard Fitton

Cartoon with thanks to the British Medical Journal



The challenge
The challenge responsibility.

  • Implementing Electronic Document Management Solutions is a challenge, a major project and a substantial change to the way care is delivered

  • But it is achievable, and others have achieved it and gained many benefits

  • Achieving a paperless NHS remains a challenge, but sharing of data is one of the first steps on the road to achieving


Thank you responsibility.


Any questions? responsibility.


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