The St. James’s Experience Martin Buckley, Manager Information Management Services (IMS). St. James’s hospital.
Early beginnings - Started pilot project with the South Inner City of Dublin Partnership in Primary Care. (SICP).
- (52 GPs in 29 Practices) (20 PHNs ; 5 Physio. ; 15 OTs)
- Main Objectives
- Develop a Secure E-mail framework.
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- Initial Messages.
- Referrals and Discharge letter
Key Milestones - Secure e-mail in place.
- GP to GP ; GP to Hospital ; GP to Community Clinic.
- limited use, but strong motivation to continue.
2002 - Renamed: Primary Care eTeam Project
- Additional partners
Key Milestones - EHSS Support Services
- Digital Certificates (Digi-sign , Class 2).
- Managed services for GPs
- Secure e-mail server ; Practice management server.
- Technical support
- St. James’s Secure Extranet
Key Milestones - Participation in HSE (HeBE) GP Messaging Group.
- Assisted with HL7 message definitions.
- Decision to join Healthlink Online.
- Development of laboratory message.
Current position - GP to GP
- GP to Community Clinics (e.g. Meath, Baggot Street).
- GP referrals to St. James’s OPD Clinics: 547
Secure SJH Extranet. - Active GPs: 25
- OPD Clinic appointment details: 1,086
- Radiology Reports (in HL7 format): 1,007
- PHN Referrals: 1,409
Healthlink (since Aug. 2005). - Active GPs: 50
- Laboratory results: 8,500
eTeam’s Unique Focus Involves all members of the primary care Team. - within teams and
- between teams and hospitals.
Forms basis for Virtual Primary Care Teams.
Planned Next Steps Extend Healthlink messages - Radiology Dec. 2005.
- Discharge Summary Mar. 2006.
- Other messages 2006.
- Physiotherapy referrals
- Occupational Therapy
Support for Virtual primary care teams.
Lessons learned Challenges - Multi-agency collaboration.
- Emerging Technology / standards.
- Process changes.
Main Drivers / Success factors - Buy-in and enthusiasm of GPs and Primary care team.
- Single umbrella partnership structure for South Inner City.
- National initiatives on Data standards and Interoperability (HL7).
- Valuable part of the overall relationship with the Hospital.
- (GP Liaison group, website, other services).
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