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PIRS In ACCHS IN the NT. Greg Henschke, AMSANT PIRS Support Officer. PIRS in the NT. 27 ACCHSs in the NT use CCare 9 from Nganampa in SA 13 from Ngaanyatjarra Health in WA 1 uses MD 6 use Ferret (1 with MD) KAMS in the Kimberleys in WA uses Ferret
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PIRS In ACCHS IN the NT Greg Henschke, AMSANT PIRS Support Officer
PIRS in the NT • 27 ACCHSs in the NT use CCare • 9 from Nganampa in SA • 13 from Ngaanyatjarra Health in WA • 1 uses MD • 6 use Ferret (1 with MD) • KAMS in the Kimberleys in WA uses Ferret • PCIS Being installed to 54 DHCS health clinics.
PIRS Models • Central database • Separate databases for each CHC • Stand alone health services with a single clinic and database • ACCHSs that share a central database.
AMSNET Project • Secure Central Server in Sydney • Authenticated Log Ins • Central Help Desk • Internet connections (ADSL, ISDN, Satellite) from CHCs to Server • Each organisation has separate server in Server • Releases organisations of problem of server maintenance
PIRS Products used in the NT • Ferret • Ferret & MD • MD • Communicare • PCIS
PIRS • Client demographic data (including population lists for communities) • Complete Medical records • Electronic Recalls for follow up treatment • Medication prescribing recording • Chronic Disease Register and Care Planning • Document recording (Specialist reports, discharge reports)
PIRS • Electronic Referrals to Specialist services and hospital discharges (in process of happening) • Electronic Pathology results download and storing • Electronic Medicare claiming • Health service reporting, evaluation and planning • Clinical Quality Assurance programs
Linking into the PIRS • Pathology • Pharmacology • SEHR - Shared Electronic Health Record • SEMS - Secure Electronic Messaging Service • Australian Childhood Immunisation Registry • Medicare rebates
Paperless CHCs • all electronic medical records • Good reporting component • Medicare & Pathology • a Secure Electronic Messaging Service • IT network • Access whilst away from CHC • Policies and Procedures • Data security and auditing • IT and PIRS management and support.
PIRS Support • AMSANT provides PIRS support • support ACCHSs with their PIRS usage • assist with implementation • Assist where appropriate with organisations reporting from their PIRS to funders • assist with best practice usage • negotiate with funders and PIRS Developers over future PIRS developments and usage • Hold PIRS meetings and arrange regular teleconferences
PIRS Conference in AS April 2008 • Representation from about 80% of NT ACCHSs plus OATSIH and other NTG representatives • Talks from meeting available on Policies & Procedures, Sustainability, Data Cleansing • Assisted in developing strong link between PIRS, Public Health, Continuous Quality Improvement, Accreditation
Outcomes from meeting • NT PIRS Reference group • Future PIRS developments • Endorsed Policies and Procedures Manual • Annual accreditation • Clinical Quality Assurance
Future Solutions • Standard set of PIRS requirements • PIRS Administrators • Training for Administrators • Shared PIRS Administrator positions • PIRS User Groups • PIRS training calendar