Herding Cats

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Herding Cats

• Paul Green

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What Is This About?

• Promoting consistent and high quality information
  recording across general practice in Grampian.
• Making it easier for clinicians to do the right
  thing!

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What Have We Done?

• Grampian GPASS practices move to Vision agreed in
  2005/6
• 2006 First wave of 6 practices change to Vision
• 2007-8 Rest of Grampian GPASS practices move to
  Vision
• 95 Grampian Practices on Vision

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Lessons From Pilot

• Pilot very successful
• Transfer of information was very smooth
• Training Basic
• Concentrated on IT and not IM
• Practices not getting most out of system
• No direction

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Rigorous Standardisation!

• Why?
• Vision
• Complex - 10 Priority Levels
• SDAs
• Ease of codingTOO EASY!
• GP to GP transfer of records
• Aggregation of information
• Contract
• Emergency and Palliative Care Summaries
• Research/Audit
• Data Quality DES Section 2
• Develop and implement a protocol for ensuring
  high quality management of electronic data
  recording
• Have in place procedures which encourage the use
  of SCIMP recommended Read Codes across all
  members of the primary care team

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The Solution

• Create a set of screens (guidelines)
• Viewing existing information
• Inputting new information
• Links to guidelines/leaflets etc
• Easy to create, difficult to create well!
• Put into practices as migrated to Vision
• Backed up by educational program

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Advantages

• Single area for
• Viewing existing information
• Inputting new information
• Consistency of data gathering and handling
• Consistent Read Coding
• Consistent priority use
• Data goes to right areas
• SDAs

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Work So Far

• Consultation screens
• GPs
• Nurses
• Receptionists
• SCIMP codes
• Clinical Information / Leaflets
• Disease screens
• Substance Misuse
• DMARDs
• Heart Failure
• Diabetes
• CHD

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The Screens
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Has It Worked?

• Evaluation
• 85 of practices have downloaded screens
• 90 of clinicians within those practices are
  using the screens

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The Future

• Why stop at Grampian?
• Dont reinvent the wheel!
• Turn these into SCIMP screens for Scotland?
• If moving to Vision, do this at the outset.

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Questions?

• paul.green_at_nhs.net