carryduff surgery & emis
DESCRIPTION
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 - PowerPoint PPT PresentationTRANSCRIPT
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Carryduff Surgery & EMIS
Roisin Boyle
Amanda Bradley
Andrew Craven
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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
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Introduction - Carryduff Surgery
Carryduff Surgery, Hillsbourgh Road, Carryduff
Approximately fifteen minutes outside Belfast
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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!
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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
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EMIS - Cost To Surgery
Installed in 1991 for £13,000– 75% Subsidised by NHS
Maintained Yearly for £3000-4000– 30-50% Subsidised by NHS
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EMIS - Features
Complete Patient Record Computerised Appointment System “One Click” Prescriptions “Mentor” Medical Database Email:-
– Internal – Between GPs– External – Test Results
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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
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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
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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
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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
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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)
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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
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Prescriptions - Disadvantages
Relies on drug information being up to date Aptitude of doctor in using computer
effectively
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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
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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
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Email - Disadvantages
Relies on doctor checking their mail daily Troublesome patients abusing the system Hospital letters not emailed (would be
preferred) Security issues
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“Mentor” Medical Database
Patient information sheets available Photographs and video clips available Used for teaching:-
– Doctors– Patients– Students?
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Other Features
Word Processor– Voice Dictation– Details Taken Directly From Patients’ Notes
“Prodigy” Decision Support Programme Protocols Macros Phone Directory Accountancy Programme
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Security - Advantages
Usernames Password protected Computer locks itself when left unattended Firewalls Virus checker
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Security - Disadvantages
Doctors have to go to bother of signing on and off EMIS
Forgetting passwords Leaving computer on Locum doctors
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Backup
System backed up every night onto tape Two copies:-
– Fireproof safe– Remote location
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Future Enhancements?
Voice dictation NHS Net Referral letters by email Restricted access to sensitive information IT training for doctors!