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The Royal Marsden NHS Foundation Trust
Libby Hough June 28th 2013 The Royal Marsden NHS Foundation Trust Coordinate My Care | June 2013
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CMC coordinates patient information across all care providers
NHS UK Department of Health; Domain 2 – ‘Enhancing quality of life for people with long-term conditions’ Professionals coordinate and share a single patient care plan Patient consent is mandatory for a CMC record Coordinate My Care | June 2013
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CMC care record Long Term Conditions – requires flexible care delivery across many care providers CMC care record GP Pathology lab Hospital CMC provides a platform to coordinate care across many providers CMC patient view captures information from many providers Coordinate My Care | June 2013
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Service delivery and the impact on health outcomes
Training covers the full spectrum from using the system to create patient records to mining the data for health outcomes Patient care System training Professional training Clinical Review Community costs Hospital costs Patient wishes Quality of care System training includes; Creating, editing and updating patient records Professional training includes; Initiating difficult End of Life care discussions Preparation of treatment plans for complex conditions eg COPD Clinical review includes; Coordinate My Care | June 2013
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CMC has the potential to assist care providers in the following areas:
>> Reduction in number of unnecessary hospital admissions >> Reduction in the cost of hospital stay >> Reduction in length of stay in hospital >> Increases the number of patients with an advance care plan >> Preferred place of care and dying achieved >> Integrated service provision from all primary care sources Coordinate My Care | June 2013
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Recorded place of death profile
1 2 Where patients had a CMC record 79% died OUTSIDE of hospital, 21% died in hospital 1 National End of Life Care Intelligence Network, NEOLCIN, 2 CMC Data (from August 2010 – April 2013, based upon 1119 patients with a CMC record where place of death was recorded) Coordinate My Care | June 2013
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CMC record Royal Marsden Consultant Haemoptysis OOH GP 999
CMC Patient stories Bob Jane COPD Oxygen 999 LAS ACCESSES CMC Dies in PPD lives with son Cancer lung CMC record Royal Marsden Consultant Haemoptysis OOH GP 999 999 LAS ACCESSES CMC District nurse calls Dies at home in PPD CMC helps to avoid unnecessary hospital admission, and achieve patient wishes Coordinate My Care | June 2013
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