Vision leads the way in sharing patient records with EMIS
Barking and Dagenham, Havering and Redbridge CCGs have bought a Vision shared records and appointments solution to help deliver its Prime Minister’s Challenge Fund initiative to extend access to GP services, covering practices using Vision and EMIS systems.
Barking and Dagenham, Havering and Redbridge CCGs (BDHR) were awarded £5.6 million from the Prime Minister’s Challenge Fund for their ‘Better Access, Better Care, Better Standards’ bid to improve patient access to healthcare services, and in particular making more GP appointments available to patients. Part of BDHR’s approach was to create three care hubs that provide bookable appointments outside of normal practice opening hours for patients from the entire population of the combined CCG area. Two of these are based at GP practices and the third is located within a hospital.
BDHR chose Vision because it allows them to:
Book appointments at the care hubs for any patient across the entire combined CCG area
Make all patient records available to GPs working at the care hubs
Record consultation details during encounters at the care hubs and write this data back to the clinical system at the patient’s registered GP practice with a Read code, regardless of whether the practice uses a Vision or EMIS system.
Interoperate with the existing BDHR healthcare analytics service so GPs working at the care hubs can offer continuity of service and follow the same care plans as other primary and secondary care clinicians.
Vision offers a simple web interface that allows reception staff at the care hubs to search for patients across all patients in the combined CCG area, no matter which practice they are registered at. After selecting the appropriate patient it is then easy to book an appointment, edit or cancel existing appointments or check-in the patient using the fully featured appointment system.
Explicit Patient Consent
Data security and information governance are of paramount importance. Before opening a view of the patient record the user must confirm the reason for access; at the care hubs the patient is present and will typically give the clinician explicit consent to view their record. Sophisticated sharing agreements can be used to create exclusion lists at practice, GP and patient level to make sure any sensitive information is not shared. Clinicians are made aware of the Read codes on the exclusion list when opening a patient record so they know they might not be viewing the entire medical history.
During consultations GPs can work with patient records in various ways. The number of views available varies depending on the clinical system used at the patient’s registered practice, but can include:
The Journal view provides a searchable view of all aspects of the patient’s medical record.
The Prevention tab shows blood pressure, height, weight, alcohol and smoking status, allergies and peak flow information. It also allows new information to be added.
The Immunisations tab displays a record of the patient’s immunisations and allows new information to be added.
The Therapy tab shows a history of the medication prescribed to the patient and provides the GP with the opportunity to add new items
The Tests tab shows test results for the patient and allows new results to be added.
All information added is transferred back to the Vision or EMIS clinical system at the patient’s registered GP practice, where they are immediately notified that data has been added at the care hub.
Health Analytics Care Plans
There is a further tab that incorporates interactive care plans from the BDHR Health Analytics system, ensuring continuity and standardisation of care as the GP follows and updates the preferred local pathways and policies during the consultation.
Rob Stephenson from INPS, who has been working with BDHR on this project, said; “Every CCG has the same problem at the moment: how to share patient records safely and securely with clinicians outside of the registered practice to improve access to healthcare services without compromising care. The Vision solution at BDHR ticks every box and proves that a mixed economy of existing IT systems can support extended access projects through interoperability - there is absolutely no need to rip and replace systems and force all practices in an area to use the same central system.”
For more information about using Vision for patient record sharing with EMIS, CCG wide appointment management and interoperating with existing systems please email firstname.lastname@example.org