electronic health messaging- the geelong experience dr jeff urquhart - gp liaison officer barwon...
Post on 19-Dec-2015
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Electronic health messaging-
The Geelong experience
Dr Jeff Urquhart- GP Liaison Officer Barwon Health- ITIM program manager Geelong Division of General
Practice- Geelong Hospital clinical assistant- GP in spare time
BackgroundGood breading ground for IT projects
1 central public hospital210 GPs
Mostly under 1 division of general practice
200+ specialists98% associated with public hospital
2 predominant software vendors1 main pathology provider2 radiology providersAbility to liaise between hospital, GPs & specialists
BackgroundBarwon Health
400 beds40,000 EMD attendances per yearCORDis
Filemaker ProIn house development teamCIS introduced 2001 to all clinical unitsFunded till June 2003 EDPS
Surgical professor clinical champion
Current ProjectsEmailed encrypted HL7 discharge summaries (Equery)Emailed encrypted HL7 radiology reports (Equery)Templates for referral to surgical outpatients and antenatal clinic
Currently faxedAbility now to email using PKI (pilot testing)
Radiology Reports & Discharge Summaries
High use of CORDis80% summaries completed within 2/24 of patient discharge
Equery v2Simple to set up as already used by pathology in GeelongNo cost to GPsUses FTPInterfaces with all windows based GP softwareNo PKI required however will migrate practices to PKI with ver 3 late 2004
Radiology Reports & Discharge Summaries
Equery v 2Pilot phase Feb 2003- July 2003 for discharge summariesCurrently 40 practices (160 GPs) on line – 80%Radiology messages from Agfa RIS commenced last week
ResultsVery stableFew failuresGP practice feedback
Decreased staff filing timeNo scanning requiredConsistent interface for checking pathology, discharge summaries and now radiology reports
Outpatients templates - lessons
Initial consultation lacking adequate clinical staffGP concerns
Inadequate consultation regarding change to business process with possible increased workloadGPs wanted information prompting and intelligent interface
Outpatient templates - lessons
ConsultantsToo much demographic informationToo difficult to find important information quickly including
Reason for referralWhich clinicAge of patientUrgency of referralPrevious consultant involved in Mx
Future projects 2004Emailed encrypted HL7 GP letters from smaller departments using ARGUS
EndocrinologyNeurosciencesPain clinicDiabetes referral centre
Roll out other referral templatesPain clinicDiabetes referral centreACAS
Other requirementsSet up mail server at divisionSet up consistent and permanent emailing address standards between hospital GPs and specialists ie
