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A review of Technology in Action
An overview of how Shared Care Records and other technologies can improve performance within a GP’s practice and meet Government targets
Dr Amir HannanFull-time GP
Information Management & Technology LeadTameside & Glossop PCT
Member of the Records Access CollaborativeMember of the HealthSpace Reference Panel
(www.healthspace.nhs.uk)Member of the Clinical Leaders Network (www.cln.nhs.uk)
Thornley House Medical CentreThornley St
Hyde SK14 1JY
21st November 2007
See notes below each slideCartoon taken from www.mediclicks.net
Health Warning
• All products described in this presentation are simply examples and do NOT suggest that they are the only ones or the best of their kind.
• They simply represent what we are using today in our practice.
What government targets?
• Quality and Outcomes Framework• Public Health agenda
– Circulatory disease– Cancer– Diabetes– Obesity– Adult Mental Health– Dental Health– Sexual Health– Children’s health
• Patient Access• Our NHS, Our Future
– Fair, personalised, effective, safe
Practice
• Immediate care
• Continuing care
• Preventative care
• Health promotion
Health Authority
GP practices
CommunityHealth VisitorsDistrict Nurses
Community Mental Health Team
Acute Trust
ManagementClinicians
“Old” organisations working within Tameside & Glossop
Practice ManagersReceptionistsSecretaries Counsellors
Nurses
Local Medical Council
GPs
Dr Hannan, IM & T lead, Tameside & Glossop PCT, May 2003
PCTChief Executive
PCT BoardPEC
Directors eg FinanceClinical LeadsRBMS / Tier 2
Communications Manageretc
GP practices
CommunityHealth VisitorsDistrict Nurses
Community Mental Health Team
Specialist nurses eg dermatology
GPSIsSalaried GPs
Out of Hours service
Strategic Health Authority
Acute Trust
ManagementClinicians
Social Services
Patient Participation GroupsPatients
Voluntary Sector
MINDVictim SupportAge Concern
Local Government
OthersHealth Protection Unit
Immunisation Co-ordinatorOldham PCT
Different organisations working within Tameside & Glossop PCT
Practice ManagersReceptionistsSecretaries Counsellors
Nurses
Local Medical Council
GPs
Pharmacists
Co-opIndependents
Dr Hannan, IM & T lead, Tameside & Glossop PCT, May 2003
SHA Community
Acute Trust
Others
General Practice
Patient
PCTSocial services
Pharmacists
Voluntary sector
Local government
3-D View of Reality Today showing Complexity of Communication
Acute Trust
Acute Trust
Acute trust
Dr Hannan, IM & T lead, Tameside & Glossop PCT, May 2003
PCT
PCT
PCT
SHACommunity
Acute Trust
Others
General Practice
Patient
PCT
Social services
Pharmacists
Local government
Acute Trust
Acute trust
PCT
PCT
Voluntary
The NHS and Partner OrganisationsThe Patient’s World
PatientFamily
FriendsWork
TV, radio, newspaper
Surgery
waiting room
Surgeryconsulting room
A & EOOH waitingroom
2007
Internet
SHACommunity
Acute Trust
Others
General Practice
Patient
PCT
Social services
Pharmacists
Local government
Acute Trust
Acute trust
PCT
PCT
Voluntary
The NHS and Partner OrganisationsThe Patient’s World
PatientFamily
FriendsWork
TV, radio, newspaper
Surgery
waiting room
Surgeryconsulting room
A & EOOH waitingroom
2007
Internet
Towards a Partnership of Trust
IT solutions in General Practice
• Letters directed to specific patients for recruiting to RA• Inviting patients following blood tests• Records Access magazine• Plasma screen• BP machine• Patient calling system• Patient Access to EHRs• E-mail• Ordering repeat prescriptions / Booking appts on-line• www.patientra.co.uk• www.patientopinion.org.uk• Wellness Diary• Boardroom / Health Promotion Room• Kiosk• Practice Web-site
• EMIS clinical system• Population Manager• QMAS• Mentor / www.gpnotebook.co.uk• Docman• Lexacom• Pathology lab results• Texting• Referral letters• PDA• Practice Network
– power-point presentations– Forms eg PHQ9, Tameside Sports Trust form
• Warfarin clinic• Diabetes
– Introduction– Pre-questionnaire forms
• www.asthma.org.uk www.mom-e.com• www.onmedica.net• Chart and Chart Online• EMIS /PAERS linked to Mentor• Map of Medicine & Practice Based Commissioning• Dr Fosters and Practice Based Commissioning• Google maps• HealthSpace• NHS Choices / NHS Direct• NHSmail• Choose and Book• EMIS & QUTE• EMIS Mobile• Electronic Transfer of Prescriptions• Blood tests ordering• Reviewing PACS data• HealthSpace Advanced account• (PACS)
Patient Practice
Red indicates to be introduced soon
The Quality and Outcomes Framework (QOF)
4 domains – each domain consists of a set of measures of achievement known as indicators against which practices score points according to their level of achievement
Clinical domains (655 points)Coronary heart disease (10 indicators)Heart failure (3)Stroke & TIA (8)Hypertension (3)Diabetes (16)COPD (5)Epilepsy (4)Hypothyroidism (2)Cancer (2)Palliative care (6)Mental health (4)Asthma (2)Dementia (2)Depression (2)Chronic Kidney Disease (4)Atrial fibrillation (3)Obesity (1)Learning disabilities(1)Smoking (2)
Organisational Domain (181 points)Records and Information (12)Information for patients (4)Education and training (8)Practice Management (10)Medicines management (9)
Patient Experience Domain (108 points)
Additional Services Domain (36 points)Cervical screening (4)Child health surveillance (1)Maternity services (1)Contraceptive services (2)
Holistic Care payment (20 points)
www.primis.nhs.uk
Chart data down to individual patient (only viewable by the practice)
Once data from a practices is uploaded, it can be compared with others via Chart Online
Choose and Book
www.chooseandbook.nhs.uk
The Best IT solution as determined by
the practice!
• Quality and Outcomes Framework• Public Health agenda
– Circulatory disease– Cancer– Diabetes– Obesity– Adult Mental Health– Dental Health– Sexual Health– Children’s health
• Patient Access• Our NHS, Our Future
– Fair, personalised, effective, safe
Immediate careContinuing carePreventative careHealth promotion
Government Practice
Any Questions ?
Practice ID 7399Access ID 2558Password HAUGTON1Click on “Viewing Medical Record” 2nd password HAUGHTON
Pictures taken from www.mediclicks.net
Practice ID 10028Patient ID 2450Password qwert123Pass phrase qwert123Example record on EMIS main-server
You can also try this out by logging on www.patient.co.uk/surgery.asp
