professional handover of care keith naylor 16 th december 2014
TRANSCRIPT
Professional Handover of CareKeith Naylor
16th December 2014
2
Set the scene
• Risks associated with not sharing data
3
Case Study – Mrs H
• 35 years old • Teaching Assistant • Mother of Two
Mrs H experiences depressive symptoms
GP, Dr. J prescribes Prozac on repeat
2009Mrs H has hurt her back
GP, Dr. W prescribes NSAID
15 days later she’s admitted
Vomiting blood
2 major operations
2 weeks in ITU
5 weeks in Hospital
4 months recovery
2006
Experiences knee pain
GP, Dr. G prescribes NSAID
Mrs H has abdominal pains
NSAID stopped, pain gone
the allergy is recorded in unstructured free text
2011
Combination of NSAIDs and Prozac increases likelihood of severe reaction
4
Case Study – Mr F
• 45 years old• Sales Executive
0
GP, Dr. X notices 6 recent walk-in centre visits for ‘minor ailments.’ Mr F’s BP is higher than before. Anti hypertensive drug started and a referral to a cardiologist – Mr F did not attend
6 months
8 months
x3x6
CV
Sees GP, Dr. D with cold. Dr.D notices 3 recent visits to A&E, that Mr F’s Blood Pressure is 150/90 and that he is overweight. Sends Mr F for cholesterol test and to return for repeat BP checks – which Mr F doesn’t attend. Cholesterol is high, Mr F invited back and didn’t attend
Mr F sees the occupational health doctor at work for ‘indigestion.’ This doctor is not aware of Mr F’s history. The doctor prescribes antacids, 3 days later Mr F collapses and dies. Post mortem reveals from a Heart Attack
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NIB Framework for Action Priorities
• Give care professionals and carers access to all the data, information and knowledge they need
• Support care professionals to make the best use of data and technology
• Electronic handover of care documents
• Care records to be mobile, editable and accessible to all those in the care process, including patients
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Professional Leadership through PRSB
7
CDGRS
Mar 15
Dec 14
Jun 15
May 15
CoreInformation
Models
DischargeSummary
Discharge Summary Workpackage Timeline
CDAProduced
DiagnosisModelled
MedicationsModelled
CDAProduced
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KN Slide(s)
• Questions we need to ask:– Who is using what (ITK, Kettering, EDIFACT, FAX, PDF, Paper)?– Who is using locally derived specification?– Who wants to be involved going forward?– Ask for Pilots/demonstrators …. Who wants to trial the updated
DS?
