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Electronic Referral. Supporting referral, intake practice and communication between providers. A pilot. Small steps Agencies keen to see how service coordination would work in this environment Paper based first Referral is a two way communication
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Electronic Referral Supporting referral, intake practice and communication between providers
A pilot • Small steps • Agencies keen to see how service coordination would work in this environment • Paper based first • Referral is a two way communication • Document transfer – future develop shared record • Used existing Outer East system to explore document transfer process
Participants • 7 original agencies – including 2 x Councils | 2x CHS | 1 x GP | Care Coord @ BHH | ACAS • Started slow but built up quickly • Initial intensive support at the workplace & ‘face to face’ at practitioners meetings • Initial phase evaluated – second phase further enhancements • 2nd phase – 11 Participants – hopeful of other GP clinics
System Requirements • Easy to Access & Use • Security – certification + encryption • Support protocols, privacy & intake models • Enhances Communication • Audit trail • Manage users, system protocols and reports
A web based system • Ability to fully process referrals • Protocol ‘prompts’ • Tracking status history • Ability to attach SCTT file as well as fill out on screen • Ability to make multiple referrals for the same client
Intake models SENDER Case Manager Counsellor Health Practitioner Intake Worker | Service Coordinator SENDER Case Manager Nurse Health practitioner
First evaluation • Document sharing suited business processes • Share stored records when involved in care plan • A regional vision – incorporating OE & CE approaches • Enhance and support practitioner communication within the system • Infrequency of use kills it! • The next level down – practitioners sending referrals out of service provision and feeding back
Emergency Care Coordination Meeting the needs of Patients with Complex needs.
In Emergency Care Co-ordination, a number of skills are required…..
…talent for transporting ridiculous amounts of equipment at short notice…
…so introducing computers and electronic referral systems, was a breeze! NOT!
Cultural Shifts Remember when the love bug was a car? …when a virus was something you caught off someone else?
Advantages • Extra computer • Broadband connectivity • Being in at the ground floor • Meeting other practitioners • Improved communication and feedback on referrals • Good communication & knowledge = consumer benefits
Implementation • Biting the bullet • Implementing with support • Revisited / supported and encouraged • Getting past the scary ‘bitz’
The bad ‘bitz’ • The time it took initially • Bad but good – a new team so we could spend time • No electronic client record of our own • Client resistance to computer age
