Development of Electronic Shared Care Record

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Development of Electronic Shared Care Record
Mike Lundy - IT Project Manager

• The Dumfries Galloway experience

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Dumfries Galloway
Approx - 125 miles
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Background

• Development commenced in Nov 2001
• 6 month consultation with all stakeholders and
  potential users
• System to match development of ICP for mental
  health
• Electronic information was available for all
  admissions/discharges etc, but not community
  activity
• 4 months programming

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Background (Cont)

• Buy off the shelf or build in-house
• 9 Community Mental Health Teams and Team Leaders
  all established
• Not all teams co-located into single offices
• All records currently paper based
• Poor activity recording
• Information only accessible within office hours

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Aims

• Effective information sharing and access to
  clinical information to all community based
  clinical staff
• Active involvement of stakeholders through
  consultation
• Improved quality of information
• 24\7 access to client information
• Enhanced communication.
• Improved quality and ease of reporting.

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Progress to Date

• All Community Mental Health Teams connected to
  system
• 130 users
• 95 of all CMHT clinical staff trained in use of
  system
• Ongoing review and rewriting of system as
  required to meet changes in practice
• Continuing support and training for all
  practitioners

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Progress to Date (Cont)

• Accessible regionwide
• Provision of additional hardware to support the
  rollout.
• Improved and quicker reporting
• Additional networking and infrastructure
• Links to other IT developments (SSA, SSD)
• Improved computer literacy across clinical staff
• Improved sharing of information/Joint working

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Progress to Date (cont)

• Development of Information Sharing Protocol
  across NHS DG and DGC.

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Difficulties Encountered

• Infrastructure
• Training
• Staff Resistance
• Technophobia
• Roles Responsibilities
• Rewriting/reprogramming
• Data Transfer/Information Sharing
• Etc, etc, etc