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GPLO Workshop: March 2008 Discharge Summaries. BRIEF HISTORY St Vincent’s has historically had a good reputation for its GP communication We theoretically have a KPI of all Discharge Summaries completed within 24 hours of discharge
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GPLO Workshop: March 2008Discharge Summaries BRIEF HISTORY • St Vincent’s has historically had a good reputation for its GP communication • We theoretically have a KPI of all Discharge Summaries completed within 24 hours of discharge • Interns tied industrial action to non-completion of summaries in 2006 • We have been working with a “clunky” IT system that interns have come to hate • We have been struggling ever since, with a non-completion rate for most of last year of approx. 24%
GPLO Workshop March 2008Discharge Summaries • In 2007 we worked with the PAS team to develop a new Discharge Summary, including electronic prescribing • Same format, different IT system • Historically, the GPLU has used every opportunity to raise the issue of non-completion of DS’s, but with limited success • All that changed one morning early in July 2007; the Chief Medical Officer happened to be standing in front of Juliet in the coffee queue • She asked him why we allow this trend to continue/worsen, when there was such a major issue for continuity of care • His answer ?? “Organise a meeting of everyone you think should be there & I’ll Chair it”
The first meeting was held in August 2007, & with agreement of all participants, was scheduled to be quarterly from then on • Second meeting, November, saw a new acting Chief Medical Officer, and a bit of “biffo” before we could move on • January 2008 saw the introduction of the new PAS Discharge Summary & intense education of new intake of interns • The GPLU held an informal pizza lunch for interns early in March &, despite some quite serious IT glitches in the roll-out, it was a “thumbs-up” all round
We now have additional people asking to attend, so the next meeting in April will be: • Chief Medical Officer (Acting) CHAIR • Chief Technology Officer • Manager, Decision Support • PAS Senior Technical Support Officer (designer of new IT) • Group Manager, Integrated Care • Education Centre Manager • Medical Education Officer (Interns) • PSCs Coordinator • Ward Pharmacist • Coding Manager, Health Information Services • “New” intern • “Old” intern • GPLU