benefits of the hampshire health record hugh sanderson clinical lead hhr
TRANSCRIPT
Why doctors get involved in electronic records (…. the US model)
In order of importance ……
1. Increases income2. Saves time3. Improves patient care
How does HHR improve direct patient care?
In July/August 2009 Support to OOH and A&E
64 GPs/A&E doctors accessed 4650 documents on 803 patients
Support to hospital pharmacists 38 pharmacists accessed 3540 documents on
1165 patients
PHT Haematology
Orglinks GP
Med Repeats
PHT Outpatient Appointment
PHT Biochemistry
SUHT Haematology
SUHT Biochemistry
GP Summary
Portsmouth Clinical Correspondence
Med Issues
SUHT Correspondence
0 500 1000 1500 2000 2500 3000
Most frequent document types accessed July - August 2009
PatientsFrequency
Do
cum
ent
typ
es
Just to say that the data access facility has been a fantastic benefit since Xmas. Hospitals try and close wards and dump patients into the community with totally inadequate information or discharge patients far too early and hospital letters simply don’t arrive for weeks. Access to hospital results in the total absence of any useful information is at least one useful survival tool. Also I’ve just seen someone on chemotherapy with a chest infection – no data on his blood tests from hospital since June but looking up his data on line helped me make a decision that he is safe to keep at home and not admit.
Happy New Year
Bern Bedford GP Hythe
I was called to treat a young woman who had collapsed in a gym at 11am on a Sunday. She had been successfully resuscitated by the time she reached hospital. I was able to view her record, see that she had previous cardiac problems and the medication she was on which supported our initial treatment and made it much easier. Her partner had no idea of the medication she was on and was also not really able to give us any medical details at that time. As a result the woman was treated in hospital and made a full recovery. Having access to the CDR really made a difference and was incredibly helpful
Justin Nicholas A&E Consultant
Patient from University academic staff came for her X-Ray result after the hospital told her to attend in “2 weeks” as they do – it takes 3-4 weeks for GP to get paper copy –
– this lady was 3rd wasted appointment this week like this.
But with your system – all that’s now history. Fantastic!
Nigel Dickson GP Southampton
Users and patient record accesses: Sept 08 - August 09
0
100
200
300
400
500
600
700
800
900
Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
User
s
0
2000
4000
6000
8000
10000
12000
Patie
nts users
patients
Benefits to patients
Majority feel that it is useful Strongly supported by the LMC Use is increasing BUT…
Some GPs are worried about potential threats to their income
Indirect benefits to patients
Pseudonymised analytical database (linked to IP/OP and A&E CMDS) to support: Commissioning Clinical Audit Production of statistical returns Health Services / Epidemiological Research
Commissioning
Diabetes pathway dashboard Initiation of care Ongoing monitoring Complications Juvenile to Adult care Secondary care use and costs
Secondary care use by Diabetic patients Andover PBC
-2
-1.5
-1
-0.5
0
0.5
1
1.5
13 26 32 41 7
Practice
Sta
nd
ard
ised
dis
tan
ce f
rom
Mea
n
A&E attendance rate
OP attendance rate
IP admission rate
Post Operative Wound Infection rates/ 100
patients
0
0.5
1
1.5
2
Trust A Trust B Trust C Trust D
GEN SURG
UROLOGY
ORTHO
ENT
Potential for Routine returns
Breast feeding at 6 weeks Contraceptive service provision by GPs Immunisation Retinopathy screening