carryduff surgery & emis
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Carryduff Surgery & EMIS
Roisin Boyle
Amanda Bradley
Andrew Craven
Introduction - Outline
Give a brief description of the Carryduff Surgery
Compare the advantages and disadvantages of the fully computerised patient records system in use at the surgery
Detail some possible improvements
Introduction - Carryduff Surgery
Carryduff Surgery, Hillsbourgh Road, Carryduff
Approximately fifteen minutes outside Belfast
Introduction - Carryduff Surgery
Practice first opened in 1978 Moved to current premises in 1989 A practice population of around 8000 4 GPs, 1 Registrar, 2 Nurses, 8
Receptionists, 1 Practice Manager A completely paperless practice!
EMIS - Introduction
“Egton Medical Information Systems” Invented in Leeds, 1982 “Written by Doctors for Doctors” A multifunctional computer program
devised to:-– Assist GPs during and after consultations– Ease the job of the Receptionist– Provide the best possible service to Patients
EMIS - Cost To Surgery
Installed in 1991 for £13,000– 75% Subsidised by NHS
Maintained Yearly for £3000-4000– 30-50% Subsidised by NHS
EMIS - Features
Complete Patient Record Computerised Appointment System “One Click” Prescriptions “Mentor” Medical Database Email:-
– Internal – Between GPs– External – Test Results
Patient Record - Advantages (1)
Full record of patient’s history, including:-– Drugs– Past Medical History– Hospital Admissions
Time saved for:– Doctor, as all info one click away– Receptionist, as no need for manual filing– Patient, as no need to wait on doctor or
receptionist
Patient Record - Advantages (2)
Hospital letters directly scanned into patient’s notes as attachments
Ability for doctor to print out summary sheets on patient’s for home visits
Searches and Audits easily conducted
Patient Record - Disadvantages
Time required to put all relevant information onto system
Possible security issues Doctor can focus too much on patient
information onscreen which could intimidate the patient
Appointments - Advantages
Cuts waiting times for patients making appointments
Easily search for free emergency appointments
Doctor immediately aware of appointment changes onscreen
Able to compare waiting times for patients Receptionist almost completely cut out of
equation through use of an electronic sign
Appointments - Disadvantages
Patients have to be checked into appointment system by receptionist
Problematic if patient’s can’t read, or unable to view sign (e.g. blind people)
Prescriptions - Advantages
Comprehensive list of drugs at your fingertips Repeat prescriptions easily printed by both doctor
and receptionist Script printouts a lot more legible than a doctors
handwriting Allergy warnings Last date of issue recorded Drugs listed in order of highest use
Prescriptions - Disadvantages
Relies on drug information being up to date Aptitude of doctor in using computer
effectively
Email - Advantages (1)
Test results sent direct to doctor Internal email between GPs Hospital referrals sent direct by email Some patients can email GP with minor
complaints Repeat prescriptions can be ordered through
email at the surgery website
Email - Advantages (2)
Doctors can email themselves for reminders!
Email alert when new mail received Emails can be sent to doctor even when
they aren’t in the surgery Doctors not disturbed by phone during
consultation
Email - Disadvantages
Relies on doctor checking their mail daily Troublesome patients abusing the system Hospital letters not emailed (would be
preferred) Security issues
“Mentor” Medical Database
Patient information sheets available Photographs and video clips available Used for teaching:-
– Doctors– Patients– Students?
Other Features
Word Processor– Voice Dictation– Details Taken Directly From Patients’ Notes
“Prodigy” Decision Support Programme Protocols Macros Phone Directory Accountancy Programme
Security - Advantages
Usernames Password protected Computer locks itself when left unattended Firewalls Virus checker
Security - Disadvantages
Doctors have to go to bother of signing on and off EMIS
Forgetting passwords Leaving computer on Locum doctors
Backup
System backed up every night onto tape Two copies:-
– Fireproof safe– Remote location
Future Enhancements?
Voice dictation NHS Net Referral letters by email Restricted access to sensitive information IT training for doctors!
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