village branch Approach Improved patient safety. EMIS training support and Use patient survey to evaluate site January 2013 Practice enabled Correct medication is documentation not sufficiently progress and feedback with PPG Approx. 10,400 Access” for repeat ordering automatically selected for comprehensive. members using Medical Records • “Patient patients, mixed and Medical Records Viewer. practice staff to process. Risk of patient accessing 3rd Viewer and repeats ordering. demographic, Appointments will not be enabled as Expected: Records Access party information / sensitive Update web-site to promote new higher than practice is operating Doctors 1st triage Regarded by practice GPs information. online services, put message on national average system as having potential to Online access could affect way repeat forms. retired. IT literate Medical Records Viewer offered to support patients with long clinicians keep records May consider using online population PPG patients and those term conditions. result in extra workload as appointments for nurse recommended by GPs on clinical patient queries increase. appointments when functionality Audit data grounds only. Repeat requesting does not force allows patient to selected reason Data collected Piloting repeats ordering with PPG patients to specify which site for visit and book time accordingly. March 2013 before rolling-out to whole practice. they want to collect script from, Records Access doesn’t allow practice staff to sort All free text viewing disabled online requests by site. Patients must be over 16 to use process for patients is transactional services and over 18 for “clunky”. Medical Records Viewer. No parental or carer access is permitted. Consent forms and leaflets adapted from PARTS examples. Practice B5 - Records Access and Transactional Services New Implementation – System Objectives Actual EMIS training support unaware Progress EMIS PCS Improve practice efficiency Too early to say that Patient Access could be 2 patients signed up for Offer greater patient choice and Expected: Transactional used with EMIS PCS. Transactional Services. Practice convenience Services Online repeats could not be 2 patients enabled for Medical Population Help inform development of Records Reduce practice viewed in workflow when practice Records Viewing. Operates across Access. administrative burden and enabled. EMIS took two weeks Lessons • 2 urban sites. improve patient satisfaction. to resolve this Protected time needs to be made “bug”. Approx. 2,700 Approach Expected: Records Access annual leave and bug with available for staff training and • patients. February 2013 Practice enabled Improved patient trust and repeat requests viewing has implementation (e.g. tailoring Turnover less Access” for appointment confidence. materials etc.). “Patient
village branch site • Approx. 10,400 patients, mixed demographic, higher than national average retired. IT literate population Audit data Data collected March 2013 Approach January 2013 Practice enabled “Patient Access” for repeat ordering and Medical Records Viewer. Appointments will not be enabled as practice is operating Doctors 1st triage system Medical Records Viewer offered to PPG patients and those recommended by GPs on clinical grounds only. Piloting repeats ordering with PPG before rolling-out to whole practice. Records Access All free text viewing disabled Patients must be over 16 to use transactional services and over 18 for Medical Records Viewer. No parental or carer access is permitted. Consent forms and leaflets adapted from PARTS examples. Improved patient safety. Correct medication is automatically selected for practice staff to process. Expected: Records Access Regarded by practice GPs as having potential to support patients with long term conditions. EMIS training support and documentation not sufficiently comprehensive. Risk of patient accessing 3rd party information / sensitive information. Online access could affect way clinicians keep records result in extra workload as patient queries increase. Repeat requesting does not force patients to specify which site they want to collect script from, doesn’t allow practice staff to sort online requests by site. process for patients is “clunky”. Use patient survey to evaluate progress and feedback with PPG members using Medical Records Viewer and repeats ordering. Update web-site to promote new online services, put message on repeat forms. May consider using online appointments for nurse appointments when functionality allows patient to selected reason for visit and book time accordingly. Practice B5 - Records Access and Transactional Services – New Implementation System EMIS PCS Practice Population • Operates across 2 urban sites. • Approx. 2,700 patients. Turnover less Objectives Improve practice efficiency Offer greater patient choice and convenience Help inform development of Records Access. Approach February 2013 Practice enabled “Patient Access” for appointment Actual Too early to say Expected: Transactional Services Reduce practice administrative burden and improve patient satisfaction. Expected: Records Access Improved patient trust and confidence. EMIS training support unaware that Patient Access could be used with EMIS PCS. Online repeats could not be viewed in workflow when practice enabled. EMIS took two weeks to resolve this “bug”. annual leave and bug with repeat requests viewing has Progress 2 patients signed up for Transactional Services. 2 patients enabled for Medical Records Viewing. Lessons Protected time needs to be made available for staff training and implementation (e.g. tailoring materials etc.).
PARTS%20Project%20Report%20Phase%201.docx