1. Dr John Parry General Practitioner Clinical Director SystmOne
The place of the detailed care record in the developing Telehealth arena, and how community wide electronic clinical systems can enable the delivery of transformed care
GP pioneers driving telehealth - JP
How Government can enable uptake of telehealth
Pathway redesign embracing telehealth
Telehealth
Telecare
telemedicine

2. Detailed Care Record Summary Care Record
Local Caseload Approach
Systematised global or scaled up approach
Issues:
Facilitating the catalogue of services & case selection
Patient first, patient informed, patient enabled
Clinician supported, responsibility defined / embedded
Evidence base
Structured care, handover of care
Information for all providers of care
Outcome performance
Some credentials
GP 26 years
Shared records in GP OOH
GP commissioning chair til March 2009
SystmOne as enabler of organic growth / change in service delivery
Is there an argument for DCR access?
Ie there is no argument, it should be a given
A local caseload approach
A systematised global / scaled approach
Issues are the same for all models
Facilitating catalogue of services, pointers to suitable services for suitable patients
Patient first, patient informed, patient’s life enabled (c/f call buttons).
Clinician to be supported in this provision of care
Clinical responsibility defined / embedded
Interventions evidence based
Structure, audited handovers of care
AND
Information for all others providing care now and in the future
How are outcomes going to be monitored?

3. Detailed Care Record Summary Care Record
Local Caseload Approach
Systematised global or scaled up approach
Issues:
Facilitating the catalogue of services & case selection
Patient first, patient informed, patient enabled
Clinician supported, responsibility defined / embedded
Evidence base
Structured care, handover of care
Information for all providers of care
Outcome performance
Some credentials
GP 26 years
Shared records in GP OOH
GP commissioning chair til March 2009
SystmOne as enabler of organic growth / change in service delivery
Is there an argument for DCR access?
Ie there is no argument, it should be a given
A local caseload approach
A systematised global / scaled approach
Issues are the same for all models
Facilitating catalogue of services, pointers to suitable services for suitable patients
Patient first, patient informed, patient’s life enabled (c/f call buttons).
Clinician to be supported in this provision of care
Clinical responsibility defined / embedded
Interventions evidence based
Structure, audited handovers of care
AND
Information for all others providing care now and in the future
How are outcomes going to be monitored?

4. Example of narrative record sharing

5. What can the system suppliers add to this agenda?
Call centre functionality
Case control
Referral processes
Record sharing
Appropriate date recording
Support patient control / information
What are the requirements for successful outcomes?

7. outcomes