E-referral gaps and possibilities IEPCP E-REFERRAL WORKSHOP December 2011 Presented by: Christopher Foley-Jones Date: 8 December 2011

E-referral gaps and possibilities Management commitment to use e-referral GP e-referral interface RDNS referral procedures Protocol Notes Direct PKI/Fax facility Cross-border problems Electronic care coordination Create Copy facility The elephant 2

Management commitment to use e-referral This is a major pre-requisite However, there are other factors that impact on e-referral usage 3

GP e-referral interface Uses Argus messaging system to link GP desktop systems and ESCS/s2s Module fully developed but not currently being used in IEPCP/EMR 4

RDNS referral procedures Special module for managing referrals to and from RDNS (Different approach needed because of RDNS Intake system) Many agencies not aware of ability of RDNS to receive e-referrals and how to do this 5

Protocol Notes Many agencies still unaware that Protocol Notes need to be reviewed and updated to reflect changing needs for referral information Lack of awareness that Protocol Notes largely define how a given agency implements service coordination 6

Direct PKI/Fax facility Ability to use the Search function to select Receivers in order to send referrals directly to a fax machine (or by encrypted ) Agencies unaware that they are able to send e- referrals to agencies/practitioners who are not registered ESCS/s2s users 7

Cross-border problems Difficulties using e-referral system (not direct fax referrals) to agencies outside the EMR/not belonging to Eastern Health Examples are Monash Medical Centre, St. Vincent’s, Royal Talbot Rehabilitation Centre, Austin Hospital 8

Electronic care coordination Development of module and protocols to allow online care coordination with a centrally accessible data repository What would be needed to implement this in the IEPCP? 9

Interoperability 10 Interoperability Inability of systems to talk to one another