1. © ACJ Computer Services Ltd. All Rights Reserved

2. Presentation for: North West ASSIST Branch Event “Successful Sharing of NHS Patient and Local Client Data” working with The Countess of Chester NHS Foundation Trust By: Jayne James Appointments and Booking Coordinator Countess of Chester Hospital NHS Foundation Trust Tel01244 365000 Emailjayne.james@coch.nhs.ukjayne.james@coch.nhs.uk Webwww.coch.orgwww.coch.org And Tom Rothwell Managing Director Medisec Software Tel01625 583925 Emailtom.rothwell@medisecsoftware.co.uktom.rothwell@medisecsoftware.co.uk Webwww.medisecsoftware.co.ukwww.medisecsoftware.co.uk © ACJ Computer Services Ltd. All Rights Reserved

3. Contents Patient Journey Presentation Demonstrations EReferrals (GP) EDischarge

4. © ACJ Computer Services Ltd. All Rights Reserved Specialists in the generation and communication of Clinical Correspondence, Demographic and Patient Management information between Hospitals, GP Surgeries and other Health Agencies via NHS NET Specialists in Clinical Correspondence

5. © ACJ Computer Services Ltd. All Rights Reserved Complex Detailed Integrated Hospital Data Systems Surgery Data Systems Complex Detailed Integrated Patient / Problem Unstructured Not consolidated Summary Poor Communication Replication Data Capture Little Information Share Fragmented View Non consolidated Quality Risk Resources Effectiveness of Healthcare Service

6. © ACJ Computer Services Ltd. All Rights Reserved Animation

7. © ACJ Computer Services Ltd. All Rights Reserved TRUST NET EReferrals (GP) EReferrals (Social Services) EDischarge Hospital Data Systems Data Systems Patient / Problem Improved QualityReduced RiskBetter use of resources Effectiveness of Healthcare Service Surgery Other Health Agencies Clinical Correspondence Integrated with Hospital systems Workflow Audit/Control Specialised utilities Secure delivery NHS Net Encryption Integrated with Practice processes Web Access Patient data Electronic Referrals MEDISEC PRODUCTS

8. © ACJ Computer Services Ltd. All Rights Reserved Animation

9. © ACJ Computer Services Ltd. All Rights Reserved Key Objectives Improve quality and timeliness of communication Provide a manageable process

10. © ACJ Computer Services Ltd. All Rights Reserved Medisec Software Products TRUSTLIVE 1999 Clinical correspondence /Medical Secretarial Workflow NETLIVE 2000 Web Access across NHS Net and acknowledged / timely electronic delivery EReferrals (GP)LIVE 2004 (Choose and Book ?) Export referrals from surgery and manage in hospital EReferrals (Social Service)LIVE 2004 Manage Discharge Liaison for referrals between NHS / Social Services EDischargeDNF LIVE 2003 ; DDC PILOT July 2005 Manage discharge data sets in hospital and export as electronic DNF and Discharge Summary

11. © ACJ Computer Services Ltd. All Rights Reserved Key to Progress – what we have done Collaboration at all levels Understanding (all viewpoints) Test solutions Check usability We are facilitators Complexity Focus on outcomes for Patient / GP / Hospital / Social Service Understand key processes (e.g. TTO) Importance Winners Patients / Health Agencies Compounding Generic solutions e.g. Any PAS Any Discharge document Any Referral Integration Single sourcing data Advanced computing techniques Focus / skills / experience / ‘can do’ attitude Solve problem don’t shift it!

12. © ACJ Computer Services Ltd. All Rights Reserved Current R&D Generic document export and import management Control of exported data by sender or recipient Delivery from any to any No compromise of existing systems infrastructure Process management Tools Measurement KPIs Reporting Future R&D Potential for Single Assessment Process Other technologies Voice recognition Hand held devices

13. © ACJ Computer Services Ltd. All Rights Reserved EReferrals (GP) Presentation and Demonstration

14. © ACJ Computer Services Ltd. All Rights Reserved EReferrals (GP) – Hospital / Surgery Links - overview Hospital – manage referral with Hospital File Manager (HFM) Case management tools - workflow within hospital Automated identification of patient for linkage in MPI Task management - predetermined and bespoke tasks; colour coded User administration Referral and XML dataset management Events journalised for hospital and surgery scrutiny Automated import of referral letter to Meditech - screen scraping / key stroke macros MEDITECHMEDITECH MEDISECNETMEDISECNET SURGERY - send referral and monitor action Integrated via WORD command button - Independent of practice system Predefined agreed dataset (template and data capture screen) Add attachments Send to Hospital department - encrypted Confirmed delivery to hospital Management of signed or unsigned referrals Monitor progress via MedisecNET journal Ereferrals (GP)

15. © ACJ Computer Services Ltd. All Rights Reserved INTEGRATED WORD COMMAND BUTTON

16. © ACJ Computer Services Ltd. All Rights Reserved PREDEFINED AGREED DATASET

17. © ACJ Computer Services Ltd. All Rights Reserved ADD ATTACHMENTS

18. © ACJ Computer Services Ltd. All Rights Reserved SEND TO HOSPITAL DEPARTMENT

19. © ACJ Computer Services Ltd. All Rights Reserved CONFIRMED DELIVERY TO HOSPITAL

20. © ACJ Computer Services Ltd. All Rights Reserved MANAGEMENT OF SIGNED / UNSIGNED

21. © ACJ Computer Services Ltd. All Rights Reserved EReferrals Demonstration

22. © ACJ Computer Services Ltd. All Rights Reserved Jayne James

23. © ACJ Computer Services Ltd. All Rights Reserved Medisec Software Jayne James Appointments & Bookings Co-ordinator Countess of Chester NHS Foundation Trust

24. © ACJ Computer Services Ltd. All Rights Reserved Background Live May 2004 31 of 39 GP Surgeries on line to date Approx 2500 E-referrals received each month

25. © ACJ Computer Services Ltd. All Rights Reserved Medisec Software with Meditech Compatibility Search Tools Automated Electronic logging of Referrals

26. © ACJ Computer Services Ltd. All Rights Reserved Comparisons with alternative systems & processes Access to referrals at all times Ability to carry out entire referral process electronically Management of Fast track referrals Capacity & Demand targets Workload & Performance management GP able to view audit trail

27. © ACJ Computer Services Ltd. All Rights Reserved Benefits Speed Clear and precise audit trail Reassign referrals immediately Ability to send attachments Reporting mechanisms Flag system to monitor workload & performance Referral letters ALWAYS available for clinic appointment

28. © ACJ Computer Services Ltd. All Rights Reserved Thankyou Any questions ?

29. © ACJ Computer Services Ltd. All Rights Reserved EDischarge Demonstration

30. © ACJ Computer Services Ltd. All Rights Reserved End