Electronic Referral

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Electronic Referral

• Supporting referral, intake practice and
  communication between providers

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A pilot

• Small steps
• Agencies keen to see how service coordination
  would work in this environment
• Paper based first
• Referral is a two way communication
• Document transfer future develop shared record
• Used existing Outer East system to explore
  document transfer process

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Participants

• 7 original agencies including 2 x Councils 2x
  CHS 1 x GP Care Coord _at_ BHH ACAS
• Started slow but built up quickly
• Initial intensive support at the workplace
  face to face at practitioners meetings
• Initial phase evaluated second phase further
  enhancements
• 2nd phase 11 Participants hopeful of other GP
  clinics

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System Requirements

• Easy to Access Use
• Security certification encryption
• Support protocols, privacy intake models
• Enhances Communication
• Audit trail
• Manage users, system protocols and reports

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A web based system

• Ability to fully process referrals
• Protocol prompts
• Tracking status history
• Ability to attach SCTT file as well as fill out
  on screen
• Ability to make multiple referrals for the same
  client

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Intake models
SENDER
Case Manager
Counsellor
Health Practitioner
Intake Worker Service Coordinator
SENDER
Case Manager
Nurse
Health practitioner
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Links with Directory
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Referral Information
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Processing Referrals
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Status history
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Tracking active referrals
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Email notifications
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First evaluation

• Document sharing suited business processes
• Share stored records when involved in care plan
• A regional vision incorporating OE CE
  approaches
• Enhance and support practitioner communication
  within the system
• Infrequency of use kills it!
• The next level down practitioners sending
  referrals out of service provision and feeding
  back

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Referrals Sent

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Referrals Received

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Care CoordinationEmergency Department Box Hill
Hospital
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Emergency Care Coordination

• Meeting the needs of Patients with Complex needs.

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• In Emergency Care Co-ordination, a number of
  skills are required..

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skills at taking a break when and where you
can..
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talent for transporting ridiculous amounts of
equipment at short notice
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ability to utilize resources imaginatively
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and above all, the ability to balance all
commitments!
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• so introducing computers and electronic referral
  systems, was a breeze!

NOT!
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Cultural Shifts
Remember when the love bug was a car?
when a virus was something you caught off
someone else?
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Advantages

• Extra computer
• Broadband connectivity
• Being in at the ground floor
• Meeting other practitioners
• Improved communication and feedback on referrals
• Good communication knowledge consumer benefits

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Implementation

• Biting the bullet
• Implementing with support
• Revisited / supported and encouraged
• Getting past the scary bitz

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The bad bitz

• The time it took initially
• Bad but good a new team so we could spend time
• No electronic client record of our own
• Client resistance to computer age

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A Cautionary Tale