Sharing Best Practice

Electronic Patient Record Development Following GEMSS 2

Will Lusher MS Specialist Nurse Salford Royal NHS Foundation Trust

GEMSS 2 Highlighted

• Our Electronic Patient Record was unable to:– Identify patients with MS accurately– When they were diagnosed– Identify their MS phenotype– Identify which DMT they were on or DMT history– Provide accurate information for the service to

assess ourselves against relevant KPI’s

Action Points

• A way to identify patients with MS• A new referral system on EPR• A way to store patient information on types of

MS, DMT’s, steroid courses, reviews.• An ability to interrogate the stored

information to continually update KPI’s and caseload activity.

• To see on EPR relevant information at a glace.

New Developments

• A new contact and referral document• A comprehensive clinical review document that

records:– DMT history and reasons for stopping/swapping treatment– Systematic relapse assessment and review– Comprehensive annual review based on Guys model– Steroid treatment– EDSS, 25m timed walk, 9 hole peg test and BICAMS

• A clinical tile screen that provides a summary of the patient to provide an at a glance overview.

Phone calls and referrals

Relapse Triage and Review

Relapse Clinical Assessment

Relapse Outcome and Steroid Courses

Comprehensive Assessment

Reporting

In Summary

• Find out who is your directorates business analysts and befriend them.

• Although Information Governance can cause issues it can also be a useful tool as we have found.

• Ensure that with any developments you undertake that the IT team undertaking the work “get it”.

Thank You For Listening

• If you do wish to discuss further or get any information please do not hesitate to contact myself here today or at Salford Royal Hospital

william.lusher@srft.nhs.uk0161 2061611