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Electronic Referrals@ Hutt

Electronic Referrals@ Hutt. Conditions for implementation Seeing the Potential What lessons did we learn? Where to from here? Appendices . Electronic Referrals@ Hutt. Conditions for implementation Clinical interests & leadership Organisational leadership Real “agreed” problems to solve

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Electronic Referrals@ Hutt

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  1. 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

  2. Electronic Referrals@ Hutt Conditions for implementation • Clinical interests & leadership • Organisational leadership • Real “agreed” problems to solve • Relationship & trusts • Clinicians • IT & clinicians • Vendors RNZCGP Annual Quality Symposium - Feb 2009

  3. Electronic Referrals@ Hutt Seeing the potential • Better communication between providers • Clarity on information needed • Timeliness • Tracking of referrals • Quality & patient safety • Medication • Timeliness RNZCGP Annual Quality Symposium - Feb 2009

  4. Electronic Referrals@ Hutt Seeing the potential • Effective & efficient process • Patient involvement, strengthening relationships,, electives, self booking • Foundation towards eHR.- Standards • Content • Structure • Format • Codes RNZCGP Annual Quality Symposium - Feb 2009

  5. Electronic Referrals@ Hutt Lessons • Clinicians has to lead • Start with the willing, keep door open • Don’t make it too complicated • Start, add, refine, learn (mistakes!) • Cannot ignore basics (closing the loop) • Conditions – need to be good enough RNZCGP Annual Quality Symposium - Feb 2009

  6. 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 • 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

  7. Electronic Referrals@ Hutt Where to from here • Set up a BAU governance group • Develop a district level “electronic health model” • Use above 2 to decide what release two looks like • Share learning with sector and spread the “gospel” RNZCGP Annual Quality Symposium - Feb 2009

  8. Electronic Referrals@ Hutt • Appendices • Overview of electronic referral model • Draft concept of Hutt district “electronic health model” RNZCGP Annual Quality Symposium - Feb 2009

  9. HVDHB Electronic Health Model – Stage 1 Electronic Referrals (Point to Point) GP Hospital Messaging, Routing & Reporting Patient Details Diagnosis Medication Imaging Laboratory Comments Sent Received Decision Sent Received Decision Standards – content, structured, formatted, codified RNZCGP Annual Quality Symposium - Feb 2009

  10. Messaging, Routing & Reporting HVDHB Electronic Health Model – Overview (Providers & Residents) Providers Applications & Repositories Hutt Resident Hospitals Lab Aged Care Primary Care Pharmacy Imaging Updates,Retrieves, View Individual/Aggregated, Identifiable/Anonymised Security Patient Vitals Lab Imaging Medications My Health RNZCGP Annual Quality Symposium - Feb 2009

  11. HVDHB Electronic Health ModelPathway (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

  12. HVDHB Electronic Health ModelPathway (Current to Vision) • Stage 1 functions to connect & communicate: • Electronic referrals • Electronic discharges • Electronic Laboratory • Electronic Pharmacy • Electronic Imaging RNZCGP Annual Quality Symposium - Feb 2009

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