1 / 41

Shared clinical records in the world of PbC

2007 TPP All Rights Reserved . 2. Shared records are here its up to you to use them as agents for change. The major risk for new service delivery is the fragmentation of the clinical recordRecord sharing within and between traditional health communities is vitalEffective single records acr

dirk
Download Presentation

Shared clinical records in the world of PbC

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. 2007 TPP All Rights Reserved 1 Shared clinical records in the world of PbC Dr John Parry General Practitioner Clinical Director TPP

    2. 2007 TPP All Rights Reserved 2 Shared records are here its up to you to use them as agents for change

    3. 2007 TPP All Rights Reserved 3 Experience to date: Single patient record system Remotely hosted Primary care system GP, community, CHS OOH, A&E, palliative care, diabetes unit, community teams, PCT wide reporting Making it up as we went along?

    4. 2007 TPP All Rights Reserved 4 Inescapable Issues Consent Data Protection Caldicott ultra vires rules

    5. 2007 TPP All Rights Reserved 5 Basics Keeping patient record accurate, relevant, useful and maintained Keeping information secure Security inc physical Security confirm patient authority to release Disclosure Patient access

    6. 2007 TPP All Rights Reserved 6

    7. 2007 TPP All Rights Reserved 7

    8. 2007 TPP All Rights Reserved 8

    9. 2007 TPP All Rights Reserved 9

    10. 2007 TPP All Rights Reserved 10 From the NMC [http://www.nmc-uk.orgf ] (Draft code) Respect peoples confidentiality You must respect peoples right to confidentiality You must ensure people are informed about how and why information is shared by those who will be providing their care You must not disclose confidential information unless this is done in line with the law of the country in which you are practising Share information with your colleagues You must keep your colleagues informed when you are sharing the care of others

    11. 2007 TPP All Rights Reserved 11

    12. 2007 TPP All Rights Reserved 12

    13. 2007 TPP All Rights Reserved 13 http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=61243 http://www.publications.parliament.uk/pa/cm200607/cmselect/cmhealth/422/422we22.htmhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=61243 http://www.publications.parliament.uk/pa/cm200607/cmselect/cmhealth/422/422we22.htm

    14. 2007 TPP All Rights Reserved 14 The Care Record Guarantee Our Guarantee for NHS Care Records in England This new system will: hold records about your care in a national computer system so that, wherever in the country you need care, health care professionals can have access to the most up-todate information; allow you to control whether information in electronic records made about you by the organisation providing your care can be seen elsewhere in the NHS; show only those parts of your record needed for your care; allow only authorised people (who will need a Smartcard as well as a password) to access your records; allow only those involved in your care to have access to records about you from which you can be identified, unless you give your permission or the law allows; allow us to use information about your health care, to improve the services we offer or to support research, in a way that doesnt reveal your identity; keep a note of everyone who accesses the records about you; and be operated in line with internationally approved information security standards.

    15. 2007 TPP All Rights Reserved 15 No longer just a personal aide memoir more a communication tool. Old message about making adequate notes still true; need to acknowledge other data used in decision making Scrutiny by others becomes more routine Strange sensation of having diabetic care looked at by consultant What will happen when a clinician is shopped following shared medical record access?No longer just a personal aide memoir more a communication tool. Old message about making adequate notes still true; need to acknowledge other data used in decision making Scrutiny by others becomes more routine Strange sensation of having diabetic care looked at by consultant What will happen when a clinician is shopped following shared medical record access?

    16. 2007 TPP All Rights Reserved 16 No longer just a personal aide memoir more a communication tool. Old message about making adequate notes still true; need to acknowledge other data used in decision making Scrutiny by others becomes more routine Strange sensation of having diabetic care looked at by consultant What will happen when a clinician is shopped following shared medical record access?No longer just a personal aide memoir more a communication tool. Old message about making adequate notes still true; need to acknowledge other data used in decision making Scrutiny by others becomes more routine Strange sensation of having diabetic care looked at by consultant What will happen when a clinician is shopped following shared medical record access?

    17. 2007 TPP All Rights Reserved 17 Background [Dr Richard Pope Consultant Diabetologist & Medical Director Airedale NHS Trust] Why diabetes? In 1999 Secondary to primary care shift clinical effectiveness developing shared care good relationships no integrated record multi system, multi profession long term condition engaging patient central to success need for a single info system ..the perfect exemplar

    18. 2007 TPP All Rights Reserved 18 Issues with record sharing? Security Confidentiality Consent What are we sharing Practicality Do we really understand what our patients wishes are?

    19. 2007 TPP All Rights Reserved 19 Record Sharing with secondary care how is it used? In clinic consultation tool clear benefits access to information (common fields in templates) avoid duplication instant communication - into the record active messaging patient engagement .doing what we do now but better

    20. 2007 TPP All Rights Reserved 20 Transformational change - a journey begins Intra- (district) team referrals E-referral (predated choose and book) The diabetes foot clinic E-consultation Pro-active record sharing Targeted interventions (OOH)

    21. 2007 TPP All Rights Reserved 21 Transformational change - at the tipping point Local delivery of healthcare The financial demands on the NHS Influence of PbR / PBC / Alliances The growth/scope/cost of the GPwSI tier Governance in the new primary care environment Advances in telehealth There is a need for the delivery of a different form of clinical support to staff seeing patients

    22. 2007 TPP All Rights Reserved 22 Transformational change - one approach Shared records a new way of thinking deploy the decision makers at the earliest appropriate point in a patients journey but we do this now..

    23. 2007 TPP All Rights Reserved 23 Transformational change - one approach Shared records a new way of thinking deploy the decision makers at the earliest appropriate point in a patients journey but we do this now.. Use shared records overtly to focus senior secondary care input outside the hospital with the aim of preventing or streamlining face to face contacts in specialist clinics or an acute care setting

    24. 2007 TPP All Rights Reserved 24 What does this mean? E-consultation strategic and acute care support potential for radical change in patient flows, with improved care and efficiency (even where good standards of referral practice exist now) estimate diabetes 50 70% of current referrals can be managed with remote support. Similar potential gains likely in other long term conditions SystmOne one (crucial) tool; many others (eg telemedicine) S1s advantage? its in the record

    25. 2007 TPP All Rights Reserved 25

    26. 2007 TPP All Rights Reserved 26 Benefits of integrated shared records using SystmOne Palliative care Westwood Park A/E LCD Remote Access Heart failure nurses CKD Community pharmacists

    27. 2007 TPP All Rights Reserved 27

    28. 2007 TPP All Rights Reserved 28

    29. 2007 TPP All Rights Reserved 29

    30. 2007 TPP All Rights Reserved 30

    31. 2007 TPP All Rights Reserved 31

    32. 2007 TPP All Rights Reserved 32

    33. 2007 TPP All Rights Reserved 33

    34. 2007 TPP All Rights Reserved 34

    35. 2007 TPP All Rights Reserved 35

    36. 2007 TPP All Rights Reserved 36

    37. 2007 TPP All Rights Reserved 37

    38. 2007 TPP All Rights Reserved 38

    39. 2007 TPP All Rights Reserved 39

    40. 2007 TPP All Rights Reserved 40

    41. 2007 TPP All Rights Reserved 41

    42. 2007 TPP All Rights Reserved 42 Shared records are here its up to you to use them as agents for change

More Related