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Emergency Care Summary Programme
Thursday 24th November 2006
Kirsty MacleodeHealth Consultant, Scottish Executive Health Department
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NHS Scotland’s ECS Store
BackgroundWeb Browser Access to ECSECS pilot evaluationsSystem to System IntegrationsCommunication StrategyInformation GovernanceWhat’s next
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System Overview
OOH clinician ECS summary
request & display
ECS update
1. During consultation
2. Due to prescription
3. Other Patient contact
Who saw who for practice?
ECSSystem
NHS 24
A&E
Ambulance
TBD…
Practice Admin. Staff
PracticeServer
GP consultation
PRACTICE
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Login Page
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Find Patient
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Patients Search Results
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Patient Record - Demographics
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Patient Record – Medical Details
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Patient Record – Consent Withheld
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ECS Access Report
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ECS Evaluations
Three Evaluations of Web Browser Access: National Pilot – 2 NHS Board & 2 OOH Services
(most beneficial – in strategic direction/possibilities )
NHS24Accident & Emergency - 2 Hospitals
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GENERICWEB
SERVICE
ECS Web Service
PracticeServer
NHS 24 TAKE THE CALL AND
IDENTIFY PATIENT
OUT OF HOURS CENTRE
ADASTRATAYCARE
EMERGENCYCARE
Summary System
Integrate ECSto existing
NHS24call referral
WorkflowPass consentstatus only in OOH referral
Ask & record ConsentYes/Partial PRM systemwill automatically query
ECS Store with patientsDemographics & CHIconfirm ECS record
available
Reply with patients
ECS Record
Out of hour
patients
Professional to
professional advice
For Walk-ins create record inOOH system &Click on ECSicon presents
back record
Once NHS24 call referral receivedby OOH system
if Consent Yes orPartial ‘Go-fetch’
patients ECS & present back
record
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ECS – Systems Integration
OOH Call Management Systems complete:- Adastra- Taycare
In development - integration with:- NHS24 PRM system - Scottish Ambulance Services
Planning Accident & Emergency System/s integration
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Adastra CMS - Demographics
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ECS - No Consent
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ECS - Patient Match
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ECS Record - drill down Drug List
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Communication Strategy
During National Rollout of software:• CMO Letter to all NHS Boards CEO’s & GP’s• Information FAQ’s/Packs to all GP Practices • Local Press Media coverage• Posters/Leaflets to GP Practices
Conducted a National Mail-drop to all Households in Scotland – August 2006National leaflet supplied to all NHS BoardsNational Telephone Helpline………….
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Key Challenges – IG related
National ECS ‘users’ Access Protocol
Governance Protocol – cross-boundary access (DsPH & SGPC)
Audit
Information GovernanceBody/Authority
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ECS Factual Data - Accesses
The Number of ECS Record on the Store• 4, 423,878
154 GP Practices (commercial system supplier) now beginning to upload ECS records to national Store10 GPASS GP Practices Refusing to upload
Patient opt-outs:• 194 = 0.004%
Total Number of ECS record Access to-date:• 12,000 plus
Usage:• 30% by 4 NHS Board’s Accident & Emergency Department• 16% NHS24 (significant – 3 months mini pilot)• 54% 13 NHS Board OOH Services (Shetland & Orkney not used)
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What’s Next
Increase - content of the ECS recordExplore - bringing across ‘important’ information:
• Palliative Care Data• Special Notes• Child Protection Data• Violent Patient
Linking ECS Store with local SCI StoresIntegrating ECS - other Key national Products:
• Gateway
Explore feasibility of Patient Access
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Questions?