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Electronic health messaging- The Geelong experience

Electronic health messaging- The Geelong experience. Dr Jeff Urquhart GP Liaison Officer Barwon Health ITIM program manager Geelong Division of General Practice Geelong Hospital clinical assistant GP in spare time. Background. Good breading ground for IT projects 1 central public hospital

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Electronic health messaging- The Geelong experience

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  1. Electronic health messaging-The Geelong experience Dr Jeff Urquhart • GP Liaison Officer Barwon Health • ITIM program manager Geelong Division of General Practice • Geelong Hospital clinical assistant • GP in spare time

  2. Background • Good breading ground for IT projects • 1 central public hospital • 210 GPs • Mostly under 1 division of general practice • 200+ specialists • 98% associated with public hospital • 2 predominant software vendors • 1 main pathology provider • 2 radiology providers • Ability to liaise between hospital, GPs & specialists

  3. Background • Barwon Health • 400 beds • 40,000 EMD attendances per year • CORDis • Filemaker Pro • In house development team • CIS introduced 2001 to all clinical units • Funded till June 2003 EDPS • Surgical professor clinical champion

  4. Current Projects • Emailed encrypted HL7 discharge summaries (Equery) • Emailed encrypted HL7 radiology reports (Equery) • Templates for referral to surgical outpatients and antenatal clinic • Currently faxed • Ability now to email using PKI (pilot testing)

  5. Radiology Reports & Discharge Summaries • High use of CORDis • 80% summaries completed within 2/24 of patientdischarge • Equery v2 • Simple to set up as already used by pathology in Geelong • No cost to GPs • Uses FTP • Interfaces with all windows based GP software • No PKI required however will migrate practices to PKI with ver 3 late 2004

  6. Radiology Reports & Discharge Summaries • Equery v 2 • Pilot phase Feb 2003- July 2003 for discharge summaries • Currently 40 practices (160 GPs) on line – 80% • Radiology messages from Agfa RIS commenced last week • Results • Very stable • Few failures • GP practice feedback • Decreased staff filing time • No scanning required • Consistent interface for checking pathology, discharge summaries and now radiology reports

  7. Outpatients templates - lessons • Initial consultation lacking adequate clinical staff • GP concerns • Inadequate consultation regarding change to business process with possible increased workload • GPs wanted information prompting and intelligent interface

  8. Outpatient templates - lessons • Consultants • Too much demographic information • Too difficult to find important information quickly including • Reason for referral • Which clinic • Age of patient • Urgency of referral • Previous consultant involved in Mx

  9. Future projects 2004 • Emailed encrypted HL7 GP letters from smaller departments using ARGUS • Endocrinology • Neurosciences • Pain clinic • Diabetes referral centre • Roll out other referral templates • Pain clinic • Diabetes referral centre • ACAS

  10. Other requirements • Set up mail server at division • Set up consistent and permanent emailing address standards between hospital GPs and specialists ie • peterg@gpageelong.com.au • peterg@barwonhealth.org.au • perterg@equery.barwonhealth.org.au

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