GP feedback sought for NSW Health eDischarge summary
NSW Health is inviting GPs to provide feedback on what sort of structured information they would like to receive in discharge summaries from public hospitals.
HealthShare NSW's electronic medical record (eMR) team has worked with the Agency for Clinical Innovation and the Clinical Excellence Commission (CEC) to develop a standard discharge summary for handover to the GP that is generated by NSW's eMR, Cerner's PowerChart.
A prototype discharge summary has been designed based on the Safe Clinical Handover resource (pdf) published by the ACI and developed as a collaborative effort between the NSW Ministry of Health, the ACI, General Practice NSW and the RACGP.
It recommends that NSW Health work on developing the infrastructure to allow GPs to have access to electronic patient results held by hospitals.
The prototype structured discharge summary includes a summary of care, diagnosis, ongoing problems and alerts, advice to GPs, the patient and their carer, a clinical history, a clinical assessment including a results summary and allied health interventions, pathology and medical imaging results, pending diagnostic tests for follow-up, medications – including current medications on discharge and ceased medications – and details of the discharge destination.
According to NSW Health, fields within the discharge summary will be mapped to the PCEHR data fields for transmission to the clinical repositories that can be viewed by clinicians working in Local Health Districts and by GPs.
Discharge summaries will continue to be automatically faxed or sent by secure messaging to GPs as well as uploaded to the PCEHR.
NSW Health is holding a feedback meeting on Wednesday, March 12 from 5.30 to 6.30pm at the ACI offices in Chatswood, Sydney. Non-metro GPs can attend a teleconference using HealthShare's Webex service.
Posted in Australian eHealth