Electronic Messaging The GP’s Perspective Dr Donal Buckley GPIT Training Director Irish College of General Practitioners
Messaging – What do you need ¨ Local Availability of Message Carrier- e. g Healthlink or NEHB Local Extranet ¨ Happy hospital with lab Middleware ¨ IT Security- certificate/antivirus /firewall ¨ Happy GP ¨ Software on GP computer ¨ Internet Access ¨ Practice Management Software – “not a printer”
The Process ¨ GP Decides to investigate- e. g Blood test ¨ Practice Management Software records Lab request e. g Full Blood Count (FBC) ¨ Refer to local hospital or practice does test Hospital opportunity to Label/Barcode/input once Practice prints pt’s demographics label from GP software ¨ Laboratory receives labelled samples + Processes ¨ Lab software generates result message
¨ Message held on hospital server or central server ¨ GP Practice Admin- log onto internet ¨ All daily results for practice downloaded ¨ GP reads messages ¨ GP “manages” results ¨ Message integrated into Pt record
Benefits ¨ Much quicker result ¨ No typing for Admin ¨ Retrievable…doesn’t fade with time ¨ Accessible from different location / times ¨ Integrated into pt record ¨ Printable for referral to other specialist ¨ Probably keeps Patients out of Hospital with quick results
Difficulties ¨ Availability ¨ Cost – upgrades- patches ¨ IT Support - Offsite ¨ Training ¨ Internet Access ¨ Viruses / Security ¨ Practice Management Software open to the internet – was stand alone access
What else ¨ Radiology ¨ OPD Requests + Proformas ¨ Direct Access Testing – e. g Colonoscopy ¨ Referrals ¨ Discharge Summaries ¨ A+E Attendances, ¨ Birth + Death Notification ¨ Health Service / Local Hospital Newsletter
Primary Care Reimbursement Service (PCRS)- formerly known as the GMS payments Board ¨ Present- Capitation Lists + Online STCs ¨ For future services – e. g: Special Type Consultations, Maternity Schemes, Methadone protocol, new services…….
National Disease Surveillance Centre Outbreaks………Avian Flu, Mad Dr Disease
Immunisations ¨ National Procurement of centralised recording of Vaccinations – Childhood, Adolescent, Healthcare worker Status , ? Travel
Why is it Successful? ¨ Right environment – Celtic Tiger, Pt expectations, The Internet and Ryanair. com ¨ Training and GPIT ¨ Heartwatch – 20% of GPs ¨ Saves time, money and paper. ¨ Healthlink ¨ Health Services ¨ Improves Patient Care
What do we require? ¨ HSE Structure– Software Accreditation – Messaging Board – Training – Coding ¨ Funding + Support ¨ Promotion ¨ Standards
The Key ¨ Simple INTERGRATION
We don’t want this!
Thank you ¨ Any questions? ¨ Dr Donal Buckley ¨ GPIT Training Director ¨ Irish College of General Practitioners
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