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EMIS launches care integration projects

Tags: Adastra   consent   EMIS   PCT  

09 May 2008

GP systems supplier EMIS has announced two new projects which will help to ensure care is fully informed and correctly delivered.

Using their web-based software EMIS Web, the company is launching pilots, focused on integrating its primary care records software with other systems in two locations.

In Gateshead, out-of-hours staff using Adastra systems will be able to access primary summary care records from EMIS Web as they treat patients from the area.

Another pilot will take place at the Royal Liverpool University Hospital, where EMIS Web is being used to seamlessly link primary and secondary care delivery for Liverpool Primary Care Trust.

Sean Riddell, EMIS Healthcare managing director, told EHI Primary Care: “These two flagship projects demonstrate how joined-up thinking between different providers can not only improve patient care but also save the NHS money through more efficient service delivery.

“Ultimately these projects will offer the potential to improve the care of the millions of patients whose records are stored on EMIS systems throughout the country, seamlessly integrating their GP record with other system, which is what I think most patients would want.”

The Gateshead pilot – being run with the Gateshead PCT and Out of Hours Group – will see specially developed EMIS components sitting inside the Adastra software, via a seamless link.

With the patient’s consent, the OOH clinician will be able to open a summary of the patient’s ‘in hours’ primary care record via an EMIS Web tab, helping to improve continuity of care.

The real time summary will include details of medication, allergies and long-term conditions. Pilots will begin later this month.

Riddell said: “This is not only a cost-effective solution but one that will be delivered with minimal disruption to clinicians, as it will operate within the existing software framework.

“It is not intended to be a replacement of the Summary Care Record, we will simply integrate the data, and Adastra, who are seeking spine integration compliance, will then share it with the Spine.”

He added: “More than 60m patients receive OOH treatment supported by Adastra systems, which are used in 95% of UK unscheduled care hubs. I believe that these patients expect clinicians to be able to see their record, and we are simply facilitating this.”

In Liverpool, the PCT has signed up over 40 GP practices from the region to a primary care diversion service at the Royal Liverpool University Hospital’s A&E department.

After being identified by the A&E clerk, the patient with a primary care problem is referred to the primary care nurse for a consultation. During the consultation, with consent from the patient, a summary of the patient’s primary care medical record can be viewed via EMIS Web – including details of medications, allergies and any previous diagnoses.

Using an A&E template, the nurse records the consultation with the patient in the system and decides whether the patient is suitable for diversion back to their GP. If the patient agrees to be referred back the GP, the primary care nurse can book a same or next-day GP appointment, but the patient still has the option to attend A&E.

Kate Warriner, Primary Care IM&T Development Manager for Liverpool PCT said: “Interoperability has played a crucial role in making this project work. Using EMIS Web has brought considerable practical benefits with minimal disruption including enabling the GP to view the A&E consultation back at the practice.”

Riddell added: “The work in Liverpool is demonstrating the key importance of interoperability to ensure patients get the right level of care. Provided adequate consent measures have been taken, it is essential that all healthcare practitioners can work with the best notes possible and with the patient’s care at the front of their mind. More needs to be done like this to ensure integration is achieved across the health environment.”

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Joe Fernandez

© 2008 E-HEALTH-MEDIA LTD. ALL RIGHTS RESERVED.

Reader's Comments
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Reader's Comments

1

Fantastic initiatives...

09 May 08 20:05

...and clearly more in line with the outline recommendation from the SCR review released this week namely explicit patient consent which also appears to be the direction implemented in Wales.

Of particular interest in the Liverpool pilot is the ability for the GP to view the A&E encounter 'digitally' rather than via fax transcription - the question I would then have is how is this endorsed and added to the GP record - is it coded in some way to indicate its origin.

Given the discussion on the Single shared record that Dr Hawking has led elsewhere in these pages, I can immediately see that this Master / Slave approach with the control of the patient record left with the Practice following an external encounter as being both pragmatic and intrinsically 'safer'.

I wonder if EMIS feels able to publish specifications for this integration so that other suppliers might be able to follow suit?

I look forward to hearing about the results of the pilot - good luck.


2

Not news

14 May 08 08:05

How is the announcement of these pilots breaking news, TPP's SystmOne have had integration with out of hours and certain A&E departments for some time and are actively delivering the aossociated benefits. Their solution is here and working as we speak, now thats news!


3

To "Hot News"

kevin.beatson@york.nhs.uk

14 May 08 09:05

well thank you ..

yes .. System One has it ... but thats not much use to everyone else is it?

the news might not be Hot .. but it is good .. for existing emis users. obviously, you think everyone esle should jump ship??


4

Who needs an SCR and Spine?

14 May 08 11:05

I am just an ignorant geriatric patient and outsider, but please could some clever Insider explain, in words of one syllable, why, if this kind of record-transfer works, what is the purpose of the Spine and SCR?


5

SCR - essential for clinicians to deliver good, safe care

14 May 08 17:05

For the benefit of the geriatric patient who does not understand the SCR - it stops doctors like me from harming people like you when we see you in all sorts healthcare scenarios - A&E, Out of Hours, Hospital inpatients etc. Your medical record summary with significant medical conditions, allergies and other salient health related information can be accessed and checked. In my experience many patients forget important parts of their history and some doctors forget to ask too. In an emergency situation, with an unconscious or incoherent patient, this sort of information is essential. Missing information can cause medical misdiagnoses and treatments to fail or even harm. Given a choice between a medical professional having access to my medical summary or not I would always go for access.


6

insert the word "hope"...

cunpr@globalnet.co.uk

14 May 08 21:05

The poster above falls into the mantra trap. Does anyone know that the SCR or their like are either essential or safe?

Lets read it agin; For the benefit of the geriatric patient who does not understand the SCR - it (might) stops doctors like me from harming people like you when we see you in all sorts healthcare scenarios - A&E, Out of Hours, Hospital inpatients etc. Your medical record summary with significant medical conditions, allergies and other salient health related information can be accessed and checked (if its accurate). In my experience many patients forget important parts of their history and some doctors forget to ask too (and so the SCR, which requires human activation and updating will be naturaly more reliable?). In an emergency situation, with an unconscious or incoherent patient, this sort of information is essential (but totaly unecessary and delaying. In true medical emergencies care is protocol and pathway driven. Would you want me to log in to your SCR before I delivered the 200 joules?). Missing information can cause medical misdiagnoses and treatments to fail or even harm (as can ill thought postings and imprecise entries made by people who "will not be on duty" or who "were not responsible" for the record). Given a choice between a medical professional having access to my medical summary or not I would always go for access.

Given a choice I'd rather have a doctor who had his eyes open treat me. Read the report again - something I think about a balance of debate about the potential benefits and disbenefits. I don't know whether multicontributor guardianless records will save lives or not but I am willing to that they might or might not unlike some who power ahead with their eyes shut.


7

Reply "To Not News"

15 May 08 09:05

Not News is correct in that the capabilities have been around a while, I'd rather have capabilities and benefits now rather than jam tomorrow. As for jumping ship, as a SystmOne user who has changed over, it was jumping ship, but from a boat that was adequate but lake bound, to an ocean traveling cruise liner.


8

re: SCR - essential for clinicians to deliver good, safe care

15 May 08 16:05

>>I am just an ignorant geriatric patient and outsider, but please could some clever Insider explain, in words of one syllable, why, if this kind of record-transfer works, what is the purpose of the Spine and SCR?<<

I assume your question is this. Individual GP systems can 'publish' extracts of a given patient's information on request in real time. So why do all GP systems have to disgorge summaries on all their patients (needed or not) into a central repository?

Pseudo-anonymised central data warehouses are already supposed to exist elsewhere under NPfIT for statistical purposes. Therefore one can only assume that a centralised summary extract storage system is

1. thought to be more resilient such that it outweighs the risk of 'single point of failure' (like say Millenium for example http://tinyurl.com/3j9br3)

2. 'someone' wants to trawl unanonymised data

3. the whole thing is a ghastly and very expensive mistake

Other answers on a CD please to a randomly chosen junior civil servant ;-)

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