1. Linking EDT to RMS to Allow 2- Way Communication with GPs Martin Paxton IT Programme Manager Dudley Group NHS Foundation Trust

2. Overview Where to start About Dudley Group Why we selected Docman Hub Why we selected Docman RMS Use of Docman Hub Use of Docman RMS Our experience and developments in Dudley Questions

3. Where to Start

4. The Dudley Group NHS Foundation Trust Serve a population of around 450,000 Via an Acute Hospital and 2 Outpatient Centres Carried out over 500,000 outpatient contacts Treated 100,000 patients in Emergency Delivered around 5000 babies

5. Why we selected Docman Hub Current process for sending information to GPs is; Electronic Discharge Letters Printed GP Outpatient Discharge Letters Printed Results Desired route is electronic direct to GPs Docman instances This can be achieved in a number of ways by using; NHS.net email addresses An interface engine Docman Hub

6. Why we selected Docman RMS Current Process for receiving referrals is; Fax Email Printed Letters Choose and Book Desired route is electronic direct from GPs Electronic Form Choose and Book Allows the Trust to use the Workflow Manager within RMS

7. Use of Docman Hub

8. Dudley Group Docman Hub GP Practices Docman Hub

9. Dudley Group Docman Hub GP Practices Docman Hubs GP Practices Docman Hub extended

10. Use of Docman RMS

11. Migrating from Paper to EDM Patients Capture & Digitize Postal Service Fax E-mail Scanner Correspondence LAB Invoice MRI, X-Ray Etc. Admission Forms Assessment Forms Channels E H R Point of Care Physicians Doctors Nurses Administration GP‘s, CCG‘s etcInbox Fax Server Classification & Extraction

12. Dudley Group Docman Hub GP Practices Docman RMS Docman EDT to RMS Referral Flow Scanner Correspondence

13. Dudley Group Docman Hub GP Practices Docman RMS Dudley Community Services Docman RMS Referral Flow

14. Dudley Group Docman Hub GP Practices Docman RMS Dudley Community Services Docman RMS Choose & Book v2 Referral Flow

15. Docman RMS for Clinicians One location to grade all referrals Workflow around escalation or transfer to colleague Ability for multidisciplinary teams to view information Ability to review the quality of referrals received from GPs Allows the Trust to work with the CCG on the referral process

16. Experience and Developments in Dudley

17. The Overall Picture in Dudley At Dudley we are looking at the whole clinical experience of systems and how EDM, EPR, Primary Care, Secondary Care information blurs when treating a patient. How can we get the relevant information about a patient to any clinician treating them? We are looking at; Full integration between GPs and Secondary Care across contracted CCGs for the transmission of electronic documentation – referrals, discharge summaries etc Use of advanced portal technologies to provide information views to both Patients and GPs Integration of systems into a unified view so that clinicians move seamlessly between EDM, EPR, reporting etc. The move to a CRM solution that will allow the Trust to progress

18. Dudley Health Economy AcuteCommunity Primary Care Social care Tele-health Patient Messaging Gateway Secure cloud EDS, OP Letters, A&E Copy letters for patients Alerting, radiology, Appointment letters, Patient satisfaction Referrals, Disease register, Medical record, Appointments, Surveys Health visitor summary, District nurses summary, Wound monitoring, single assessment Referrals, delayed Discharges, Single assessment Self care, advice, Vital signs recording Skype, loyalty points Patient Portal

19. Any Questions?