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The Path to Paperless Programme. North Derbyshire Data Quality Team. Introducing the Team. David Hill. Project Manager. & Facilitator. Nikki Hinchley. Liz Gundel. Primary Care Data Quality Facilitator. Primary Care Data Quality Facilitator. Mrs Memory. A Brief History:. A LIS Project - PowerPoint PPT Presentation
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PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
The Path to Paperless Programme
North Derbyshire Data Quality Team
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Introducing the Team
Nikki HinchleyPrimary Care Data Quality Facilitator
Mrs Memory
Liz GundelPrimary Care Data Quality Facilitator
David HillProject Manager
& Facilitator
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
A Brief History:
• A LIS Project
• 3 Facilitators
• 2½ Years Ago
• Supported by PRIMIS
• 3 Extractions
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Work Programme …
• Read Training
• Template support
• PRODIGY Training
• Control Paperless Application Process
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Path to Paperless Programme Born
• 8 Practice Development Sessions
• Facilitate not Manipulate
• Pick & Mix
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Definition
• When all the major elements of the health record are held in electronic format as opposed to retaining paper
• Paper Frugal
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Why Bother?
CarrotOR
Stick
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Support Not A Burden
Practices
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
The Overview
(1 Hr) Clinical / Management A short session to help the practice timetable the migration from hard copy into electronic format. Produces an action plan for the months ahead, identifies roles and responsibilities.
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Mapping the Flows
All Staff (2Hrs) The Caldicott report recommends all healthcare organisations that deal with patient identifiable data should map information flows. Workshop session produces a draft data flow document for the practice. A follow up session is recommended.
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
HAVEN’T A CLUEDO
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Data CaptureMapping Information Flows
DATADATA
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Preparing the Protocol
( 2-3hrs) Clinical Staff
For a practice to be confident of consistent data input, a protocol needs to be produced and agreed by the Clinicians for the summarising process. DQ Team facilitate & advise on coding issues.
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Pruning & Coding
(Full Day) 1–1 personal. Once the protocol is written, the responsible staff may need training on its implementation. DQT member to supply full day training on site. May require Read Code session initially.
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Retention of Records
(1 hr Review) All Staff What to do with all the paper? What are the recommendations and principles for destroying original paper copies? Session will result in a practice policy.
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Things to Consider
• Who originated the document? • Copies Available from originator?• Scanning (JPEG & GIF)• Not destroying but securing• Refer to Current DoH guidance
(HSC 1998/217) www.doh.gov.uk/nhsexec/manrec.htm
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Legal Considerations
(1Hr Review) All Staff Cutting through the minefield of the medico- legal considerations, assessing the risks, making it work in practice, raising awareness of everyone’s roles & responsibilities.
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Refer to:
• Caldicott Principles
• Local Agreements (LMC)
• Data Protection Act 1998
• Freedom of Information Act 2000
• NHSIA
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Sharing the Programme
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The Application Process
Clinical/Management The PCT in conjunction with the HIS and LMC need to approve all applications for paperless status. This session reviews the process and prepares an action plan for the practice.
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Maintenance
Once paperless status is achieved, each practice should have a robust agreed policy for maintaining the validity of patient records. Decisions on priorities and process of updates need to be set out. This session should produce a part of the data input policy document.
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
In Summary
• Added Value• Facilitate (Practice Responsibility)• Follow up (Not Very Responsible)• Collaborate & Share• Carrot Shaped Stick
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
Any Questions?
PRIMIS Third National Conference Tuesday 1 April 2003
Birmingham
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