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Rehabilitation Aged and Palliative Care. ACCESS SERVICE. State wide Forum at E-Referral A step or a leap forward March 5, 2004 Presenter: Judi McKee Manager ACAS & ACCESS. Business. Need for Change Fragmented approach Different processes, practices and systems Multiple referral forms
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Rehabilitation Aged and Palliative Care ACCESS SERVICE State wide Forum at E-Referral A step or a leap forward March 5, 2004 Presenter: Judi McKee Manager ACAS & ACCESS
Business • Need for Change • Fragmented approach • Different processes, practices and systems • Multiple referral forms • Lack of standard data forms and formats • Organisational structure fragment
Vision • One stop shop concept behind ACCESS • Adopt a business process re-engineering approach to better serve client • In collaboration with PCP for 3Ps • Standardise referral forms • Prospect of back-end database integration with XML
What is ACCESS ? • - ACCESS is your one point of contact for all aged care enquiries
A dmission into rehabilitation and aged care inpatient services C ommunity information C onsumer and carer support E ntry into all RAPCS services S ingle, streamlined point of contact S pecialist aged care and rehabilitation care
Who makes up ACCESS ? • - An integrated team of nurses, occupational therapists, social workers and administration staff
ACCESS can refer to these Peninsula Health service providers Inpatient Rehabilitation & Palliative Care Falls Service ACCESS Continence Clinic Aged Care Assessment Carer Respite Cognitive Dementia and Memory Service Domiciliary Care Community Rehabilitation Centres
Who can call ACCESS ? Public inquiries Carers ACCESS Self referrals Family members District Nurses Residential living staff General practitioners Local government agencies
Components • Multidisciplinary Team • Co-located • Dedicated skilled senior clinicians and admin • Medical and executive support • Sound Communications • Service Co-ordination Tool • Electronic referral system • Visible information Centre • One stop shop concept behind ACCESS • Adopt a business process re-engineering approach to better serve client • In collaboration with PCP for 3Ps • Standardise referral forms • Prospect of back-end database integration with XML
Two E-Referral Initiatives • Software Development for RAPCS • GP Engagement – Best Practice
Software Development • for • Rehabilitation Aged and • Palliative Care
Essential Key Functions • Effective and efficient • Access to Service Co-ordination • Report Data • Support the consent Process • Available to other staff • Individual program requirements • HL7 links • Training and support • Costs
Evaluation to Date • Design and implementation phase? • Staff Participation and feedback? • Marketing? • Costs?
GP Engagement and Best Practice PROJECT with Frankston/Mornington Peninsula Primary Care Partnership
What is PKI? • PKI – or Public Key Infrastructure – • Is a combination of procedures • and technology • Provides security and • confidentiality for electronic business
Project Goal • To implement an electronic referral system • using electronic SCTT forms in selected • agencies to improve service co-ordination
Secondary Objectives • Model and implement a PKI based e-referral • system • Learning by Doing approach • Evaluate e-forms of Service Co-Ordination • Tool Templates (SCTT) • Explore IM issues involved • Evaluate success against expected outcomes • Evolve best practices for inclusion in PCP • Protocol Agreement
Pilot Participants • Frankston City Council • Brotherhood of St Laurence • Frankston Community Health Services • Mt Eliza Aged Care Assessment Service • Langpark Medical Practice • Frankston Hospital – Integrated Care Team • Aged Psychiatry Assessment Team (Peninsula • Health) • Royal District Nursing Services (potential) • Peninsula Hospice Service (potential)
Progress • Mapping • PKI digital Certificates • Training and Support • Acute Hospital • E-Referral Protocol • Testing
Benefit • Improved client outcomes • Improved customer service • Improved co-ordination • Improved data quality • Cost efficiencies and productivity • Standardised processes and practices
Rehabilitation Aged and Palliative Care ACCESS SERVICE State wide Forum at E-Referral A step or a leap forward March 5, 2004 Presenter: Judi McKee Manager ACAS & ACCESS