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PRIMIS in Partnership: Cornwall IT Services

PRIMIS in Partnership: Cornwall IT Services. Dr. Simon Barton Lynn Combes, Martine Ede David Watson Simon Fox. PRIMIS in Cornwall. Lynn Combes Martine Ede Dave Watson. PRIMIS in Cornwall Clinical Systems Action Planning Problems. Feedback Issues Solutions Key Elements.

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PRIMIS in Partnership: Cornwall IT Services

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  1. PRIMIS in Partnership: Cornwall IT Services Dr. Simon Barton Lynn Combes, Martine Ede David Watson Simon Fox

  2. PRIMIS in Cornwall Lynn Combes Martine Ede Dave Watson

  3. PRIMIS in Cornwall Clinical Systems Action Planning Problems Feedback Issues Solutions Key Elements Introduction

  4. PRIMIS in Cornwall • 3 Primary Care Trusts • Central Cornwall – 27 Practices • North and East Cornwall – 21 Practices • West of Cornwall – 25 Practices

  5. Clinical Systems in Cornwall

  6. Action Planning • Article in IT 4 GPs • Contact Practices • Practice Manager Meetings • Practice Nurse Meetings • Develop local PRIMIS Practice Agreement • Progress Reporting Tools

  7. Hardware Issues Non Compliant QUEST interpreters Interference with Practice Workings PCT Server Upgrades Liasing with Clinical System Suppliers OOH/ Remote Extractions Initial Problems

  8. 1st Feedback Findings • Missing/ Incomplete Data • Incorrect/inconsistent Data • Varying levels of IT skills/ knowledge • Practice disillusionment • Reinforcing emphasis on data collection not levels of clinical care

  9. SYSTEM ISSUES • Templates incorrectly coded • Non coded drug database • No pathology links • Incomplete Mapping Tables • Bespoke Set-Up

  10. PRACTICE ISSUES • Use of free text • Abundant ‘History Of’ codes • Template Use and Education • Clinical System Skills • General IT Skills • Coding Correspondence

  11. Blood, Sweat, Tears and Bribery • Established good supplier relationships • Trained Staff on System Issues • Established Read Code Training Programme • Developed locally agreed Templates • Sharing Best Practice • Set Up Drug Databases/ Path Links • Battling use of ‘History Of’ and free text

  12. 2nd Feedback • WOW! • Data Improvements • Validated Registers • Practice Appreciation • More clinical attendance at feedback • Hunger to improve in other areas • Rush 4 Practices

  13. Example of Improvement

  14. Example 2

  15. Key Elements to Data Quality • Clinical System Knowledge • Functional Hardware • Read Code Knowledge • Willing Practice Ownership • Clinical Involvement • Cyclical Process • Culture Change • Sense of humour!!!!

  16. PRIMIS in Cornwall • Lynn Combes • Martine Ede • Dave Watson

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