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5 Hospitals, 32 Primary Care using the same EHR VAS

Norrbotten. 14 Municipalities och 1 County Council. 250 000 Citizens. 5 Hospitals, 32 Primary Care using the same EHR VAS. Municipalities commitments to use the VAS peephole.

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5 Hospitals, 32 Primary Care using the same EHR VAS

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  1. Norrbotten 14 Municipalities och 1 County Council 250 000 Citizens 5 Hospitals, 32 Primary Care using the same EHR VAS

  2. Municipalities commitments to use the VAS peephole • Each municipality have super users, 1-2 personnel. This super users has acquired more knowledge to support other users within the municipality. • Each municipality have a technical contact person. • We update the County Council with information about new users that need access and when access shall be removed. • For each patient we always need consent from the patient. • Logg control • Registration/deregistration of patients and users

  3. The Norrbotten County Council commitments • Each Primary Care center will be set up roles and permissions for the new municipal users belonging to the current Primary Care center. • County Council Technology department will acquire, manage and maintain extended licenses for access and privileges in the VAS • County Council Technology department will acquire, organize and distribute safety boxes (link to a personal mobile) to the municipality user • Provide support to municipal users • Designated persons at the Primary Care center will provide support to the users

  4. Norrbotten 2012 • 14 municipalities, about 500 nurses, occupational therapists and physiotherapists have now access to the following journal information from journal system VAS • Patient journal overview ;epicrises, referrals and answers • Radiographs, referrals and responses • Drug List • Test overview, LAB-list • AVK therapy list • Message function

  5. The road to long-term solution • Collaboration, infrastructure, • systems and management • Sitsh card and HSA catalog • National Patient • Overview (NPÖ) • VAS+ • Meddix Municipalities can access VAS The goal of a common communications platform for the people in Norrbotten Completed may 2010

  6. Logg in 1 2b Passing firewall 2 3

  7. Logg in 4 5 VAS Access verification.

  8. Access to “my” patients at the Primary Care center ÖrnäsetsPrimary Care center Elderly housing Örnäset A2 A3 A4 A1 Kalle Lisa Olle … Maja Pelle Eva … ect..

  9. Compliance with Patient data law

  10. The project's importance for the medical safety • All users/patients have consented and most have believed that the municipality already had access to the journal all the time • The project has contributed to "good and safe care", Nurse/rehab staff can check and ensure that ordinations are performed correctly. (Earlier some ordinations were performed on oral report with several persons involved and is reprehensible from a medical point of view of safety) • Gives a safer assessment for municipal nurses

  11. The nurse follow up on his patient's test result quick via the peephole Save time, the nurse can verify the information in the medical journal instead of call the clinic and ask. Saves time in Primary Care center reception which don't have to service the municipality nurses with the information from the journal All use the same drug list, of recent version, (many medical errors have been made in the municipality due to incorrect pharmaceutical lists)

  12. The nurse can see the background, purpose and objectives of the ordination and treatment and therefore, understand and observe the desired versus the undesirable effects of treatment. The rehab staff can make judgments on a guaranteed basis, eg. mobilization/ imobilisering after op, pacemaker for TNS, bleeding risk facing acupuncture etc.. Biggest winner is patient, decreasing error treatments because information transfer mistakes.

  13. Meddix communication platform for municipalizes and County Council. Municipalastes Primary Care Center Specialized Healthcare Hospital / In- and outmessageto the emargancyunit Health Insurance HospitalPatient ready to leave for home that needs collaboration between organisations for maintaining good healthcare Persona living at homePatient living at home that needs collaboration between organisations for maintaining good healthcare School Work employment Cooperation plan regarding discharge Cooperation plan regarding discharge within the Primary Care ect. Relatives ect Cooperation plan regarding discharge Psychiatric conditions laws etc. LPT/LRV (ÖPT/ÖRV)

  14. Access to journal information is a quality assurance of good and safe care Next step NPÖ Nationell Patient Overview Long-term solutions according to the national e-health declaration.

  15. Thank you  Anna-Lena Andersson anna-lena.andersson@soc.lulea.se

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