Linking EDT to RMS to Allow 2-Way Communication with GPs

Martin Paxton

IT Programme Manager

Dudley Group NHS Foundation Trust

Overview• Where to start

• About Dudley Group

• Why we selected Docman Hub

• Why we selected Docman RMS

• Use of Docman Hub

• Use of Docman RMS

• Our experience and developments in Dudley

• Questions

Where to Start

The Dudley Group NHS Foundation Trust• Serve a population of around 450,000

• Via an Acute Hospital and 2 Outpatient Centres

• Carried out over 500,000 outpatient contacts

• Treated 100,000 patients in Emergency

• Delivered around 5000 babies

Why we selected Docman Hub• Current process for sending information to GPs is;

• Electronic Discharge Letters

• Printed GP Outpatient Discharge Letters

• Printed Results

• Desired route is electronic direct to GPs Docman instances

• This can be achieved in a number of ways by using;• NHS.net email addresses

• An interface engine

• Docman Hub

Why we selected Docman RMS• Current Process for receiving referrals is;

• Fax

• Email

• Printed Letters

• Choose and Book

• Desired route is electronic direct from GPs• Electronic Form

• Choose and Book

• Allows the Trust to use the Workflow Manager within RMS

Use of Docman Hub

Dudley Group

Docman Hub

GP Practices

Docman Hub

Dudley Group

Docman Hub

GP Practices

Docman Hubs

GP Practices

GP Practices

GP Practices

Docman Hub extended

Use of Docman RMS

Migrating from Paper to EDMPatients Capture & Digitize

Postal Service

Fax

E-mail

ScannerCorrespondence

LAB

Invoice

MRI, X-Ray

Etc.

Admission Forms

Assessment Forms

Channels E H R

Point of Care

Physicians

Doctors

Nurses

Administration

GP‘s, CCG‘s etcInbox

Fax Server Classification& Extraction

Dudley Group

Docman Hub

GP Practices

Docman RMS

Docman EDT to RMS

Referral Flow

ScannerCorrespondence

Dudley Group

Docman Hub

GP Practices

Docman RMS

Dudley Community Services

Docman RMS

Referral Flow

Dudley Group

Docman Hub

GP Practices

Docman RMS

Dudley Community Services

Docman RMS

Choose & Book v2

Referral Flow

Docman RMS for Clinicians• One location to grade all referrals

• Workflow around escalation or transfer to colleague

• Ability for multidisciplinary teams to view information

• Ability to review the quality of referrals received from GPs

• Allows the Trust to work with the CCG on the referral process

Experience and Developments in Dudley

The Overall Picture in Dudley• At Dudley we are looking at the whole clinical experience of systems and

how EDM, EPR, Primary Care, Secondary Care information blurs when treating a patient.

• How can we get the relevant information about a patient to any clinician treating them?

• We are looking at;

• Full integration between GPs and Secondary Care across contracted CCGs for the transmission of electronic documentation – referrals, discharge summaries etc

• Use of advanced portal technologies to provide information views to both Patients and GPs

• Integration of systems into a unified view so that clinicians move seamlessly between EDM, EPR, reporting etc.

• The move to a CRM solution that will allow the Trust to progress

Dudley Health EconomyDudley Health Economy

AcuteAcute CommunityCommunity Primary CarePrimary Care Social careSocial care

Tele-healthTele-health

PatientPatient

Messaging Gateway

Secure cloud

EDS, OP Letters, A&ECopy letters for patientsAlerting, radiology,Appointment letters,Patient satisfaction

Referrals, Disease register,Medical record,Appointments, Surveys

Health visitor summary,District nurses summary,Wound monitoring, single assessment

Referrals, delayed Discharges,Single assessment

Self care, advice,Vital signs recordingSkype, loyalty points

Patient PortalPatient Portal

Any Questions?