it roll-out across primary and secondary care in wales andrew griffiths chief information officer...
TRANSCRIPT
IT Roll-Out Across Primary and Secondary
Care in Wales
Andrew GriffithsChief Information Officer (Health)Director of NHS Wales Informatics
Service
Optometry - Technology Refresh and Connectivity
Technology Refresh and Connectivity to NHS Network for Optometrists
• Citrix Platform Architecture and Infrastructure in place
• Secure access available to NHS Network via RSA token
• Platform provides: NHS Email, E-library, HOWIS and WCCG access for a small number of pilot practices
• Practices can still register to participate by emailing:
• Plan to connect all sites by 30th September
Optometry - Technology Refresh and Connectivity
• Statistics at 14-09-2015:
• 327/392 practices signed up to the connectivity scheme
• 246/327 [75%] practices have connected
Aneurin Bevan LHB Cardiff & Vale LHB Cwm Taf LHB Betsi Cadwaladr ULHB
ABM ULHB Hywel Dda LHB Powys Teaching LHB0
10
20
30
40
50
60
70
80
Ophthalmic Connectivity Status
Number of Practices Expected to Connect Number of Confirmed Connections
Optometry Referrals
• Capability delivered to enable electronic referrals using the Welsh Clinical Communications Gateway [WCCG]
• 3 condition specific referral templates developed [Cataract, Glaucoma and General Ophthalmology]
• Instant transfer of referral to chosen hospital with referral status updates available
• Integration work undertaken with secondary care systems to ensure receipt and management of referrals
• Pilot underway with 9 sites across Wales
• 130+ referrals made since pilot commenced in July ‘15
General Ophthalmology Referral Template
Reason for Referral• Clinical Data• Sight Test Type• Examination Date• Referred Eye• Priority• Prism
Occular Examination• Relevant Findings• Tonometry
History and Health• Previous Occular History• Family History• Relevant General Health• Known Medication• Clinical Alerts
Cataract Referral Form
Reason for Referral• Sight Test Type• Examination Date• Referred Eye• Priority• Clinical Data
Signs, Symptoms History• Lens Appearance• Other Pathology Detected• Tonometry• Occular History• Previous Refraction• Clinical Alerts
Impact and Health• General Health Conditions• Relevant Medication
Glaucoma Referral Template
Reason for Referral• Clinical Data• Sight Test Type• Examination Date• Referred Eye• Priority
Signs, Symptoms History• Tonometry• Optic Nerve Head• Visual Fields
History and Health• Visual Fields• Family History• Know Health Conditions• Known Medication• Clinical Alerts
Next Steps / The Future
BPMN Create Referral
«L
an
e»
PA
S«
La
ne
» W
CP
«P
oo
l» C
on
su
ltan
t
«L
an
e»
WA
P«
La
ne
» W
CC
G
Worklist -ReferralTriage
RejectReferral
AcceptReferral
ConsultantReview Reviews
PrioritiseReferral
ForwardsReferral
«P
oo
l» M
ed
ica
l Cle
rk«
Po
ol»
Op
tom
etris
ts
CreateReferral
BookAppointment End
«P
oo
l» G
P
«L
an
e»
GP
Sy
ste
ms
Start
End
«L
an
e»
WC
RS
ReferralPrioritsed
Referral Document
UpdatePriority and
Clinicdetails
End
Outcome
RedirectReferral
ViewReferral
Attempt AutoPatient Match
PAS System Services
Outcome
Accept
SearchPatient
ChooseSpeciality
ChooseConsultant
ChooseWaiting
List
ChoosePathway
ChoosePrioritisation
Group
ResolveDuplicateReferrals
CreatePAS
Referral
End
Create Task -Referral Prioritise
Return Referral- MedClerk or
Referrer
Create Task -Return Referral
Vie
we
d
Re
turn
ed
Outcome
Outcome
Book
Delivered
Send
Prio
ritised
Outstanding Tasks
Optometrist creates a referral using WCCG
Health Board
WCRS
WCP
Aim: The Single Record
R
PatientAdministration
Systems (NPAS)
National Laboratory
System (LIMS)
Emergency Department
System (EDCIMS)
Radiology Information
System (RADIS)
Picture ArchivingSystem (PACS)
Community Care Information
System (CCIS)
PharmacySystem
Other Clinical and
Departmental Systems
Specialist Applications
Single Record Applications
GP Practice SystemsCommunity Care
Information System (CCIS)
Welsh Clinical Portal (WCP)
My Health On Line (MHoL)
Indexing Services
Master Patient Index (MPI)
Welsh Care Records Service
Index
National Active Directory(NADEX)
Interoperability Services
Repository Services
Diagnostic Reports Service(DRS)
Welsh Care Records Service
Repository (WCRS)
National Image Sharing XDSRepository(XDS-VNA)
National Reference Data Service (NRDS)
Welsh Clinical communications
Gateway (WCCG)
National Integration Services
IHR ServicesGP Links/Data
Transfer Service (DTS)
NHAISNHS England
Spine Services
Patient Screening Services
Child Health System
(CH2000/CYPRIS)
Infrastructure
Network (PSBA)
National Data Centres
Server Infrastructure
Standardised Devices and
Platforms
Mobile Device Management
Corporate Apps
Howis and Content Management
Office Applications
Finance and HR
Secondary Uses
Business Intelligence Self Service Dashboards Reporting Services Big Data
Applications: 1. Discharge Medicines Reviews
