CCI CHI Programme

1
CCI CHI Programme

• The CHI number and laboratories

2
Topics

• The target
• Overview of the Programme
• What does universal mean?
• Which clinical documents?
• Measuring use of CHI
• Approach to improving use of CHI
• Why bother?
• Questions

3
The target

• Universal use of CHI by June 2006

4
Overview of the Programme

• Help Health Board Areas make progress towards
  achieving the target
• Focus on realistic, achievable changes
• Tangible improvements in the way we identify
  patients and share their information to support
  their care
• More about changing working practice than flashy
  computer systems

5
What does universal mean?

• Applies to all patients who have a CHI number
• Does NOT include patients who do not have a CHI
  number (this will be addressed separately)
• Focussed on key clinical documents
• Focussed on information flows where patient
  identification mistakes are common, or have a
  particularly significant impact

6
Which clinical documents?

• Diagnostic requests and results
• Laboratory
• Radiology
• Clinical letters
• Referral
• Discharge
• Clinic
• Out Of Hours summaries
• Clinic attendance letters

7
Measuring use of CHI

• Metrics must be
• Meaningful
• Practical
• Sustainable
• Electronic requests and reports
• Total number
• Number that include a valid CHI number
• Paper requests (and reports?)
• Monthly sample (100)
• Number that include a valid CHI number

8
Approach to improving use of CHI

• Tell staff why CHI is important
• Focus on real benefits
• For the patient
• For staff
• Make it easy to do the right thing
• Ensure request forms and reports include the CHI
  number
• Ensure staff can produce labels and/or request
  forms including CHI whenever and wherever
  required
• Make it hard to do the wrong thing
• Contact requesters that do not include CHI, and
  get them to provide it
• Plan and implement policy to hold routine
  requests until CHI is provided?

9
Why bother?

• Patients move around their information should
  follow
• Care is shared
• between professions
• between Primary, Secondary and Tertiary services
• between Health Board Areas
• Clinical risk

10
Youve Got Mail
11
Youve Got Mail

• Hospitals send mail to GP practices
• Letters
• Results
• Appointments
• Sometimes they are sent to the wrong practice
• The practice usually sends them back to
  Practitioner Services Division
• who then try to find out where the mail should
  have gone
• Total delay can be a few weeks to a couple of
  months

12
Youve Got Mail

• This happens 500,000 times every year

13
Youve Got Mail

• Including CHI on these reports will make it
  quicker and easier to find the correct
  destination
• The process required to ensure CHI is included
  provides the opportunity to ensure that the
  patients GP details are also correct and up to
  date significantly fewer reports will go astray
  in the first place!

14
Questions

• ?