innovations conference 2014 dr andrew knight fostering integration
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Dr Andrew Knight - Fostering Integration of General Practices with Cancer Services Through Improved Communication PathwaysTRANSCRIPT
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Fostering Integration of General Practices
with Cancer Services through Improved
Communication Pathways
Andrew Knight
Fairfield GP Unit
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The Fairfield GP Unit
Andrew Knight, Siaw-Teng Liaw
SW Sydney LHD Cancer Services
Geoff Delaney
The Ingham Institute
Afaf Girgis
The SW Sydney Medicare Local
Rene Pennock/Keith McDonald
The Cancer Institute of NSW
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2 projects
1. Needs analysis semistructured interviews 22 GPs across the region– Like cancer services
– Want information/access
– Patient care letters not timely
2. Speed up letters– Produce them quicker
– Transmit them better
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Q1. What are we trying to achieve?
Letters in a week.
Q2. How will we know the change is an
improvement?
Mosaic – dictation to approval of letters
Q.3 What changes do we think will make a
difference?
Process map and PDSA/rapid improvement cycles
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Aim: letters within a week…
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Expert reference group – admin, oncologist,IT,
GP practice manager, ML
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Microteam meetings
• Rapid improvement cycles to redesign process map
• Dictation to approval
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Priorities
1. Sustainable and routine
– Document the new process
– Regular data part of KPI dashboard
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Priorities
2. Digital transmission
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Currently mail.
Considered fax…
Digital
• The agenda
• Rapidly evolving environment
• Conversation begun
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Our strategy
• Mosaic to Cerner
• Cerner to GPs
– “GP communications”
– Argus/Healthlink
– Health E Net
• GP communications
• Plug into what follows
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Conclusion
• General practice and cancer services must work
together
• Partnerships required
• Timely communication necessary
• Possible to improve
• E health solutions required