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PCIM 14 November 2012

PCIM 14 November 2012. GP2GP Where are we now?. Andre Bredenkamp Manager, eContinuum of Care. GP2GP Looking Back. 2006 some form of electronic patient notes transfer identified as a need June 2007 Kicked off as a project under the auspices of HISAC, Nov 2009 target to commence rollout

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PCIM 14 November 2012

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  1. PCIM 14 November 2012 GP2GP Where are we now? Andre Bredenkamp Manager, eContinuum of Care

  2. GP2GP Looking Back • 2006 some form of electronic patient notes transfer identified as a need • June 2007 Kicked off as a project under the auspices of HISAC, Nov 2009 target to commence rollout • Jan 2009 transferred to the Ministry, Key Directions • Mar 2010 Patients First (QI4GP) engaged, project transferred from Ministry June 2010. • Nov 2011 deployed by My Practice and Houston, March 2012 deployed by Medtech and available in IntraHealth V7 release. • Business Case Benefits 2007 • Reduce errors by reducing the potential for incorrect data entry of a person’s clinical record or the record (or parts) not being entered at all • Remove a barrier for a person choosing to change their provider • Improve utilisation of administration time away from duplication of effort to value add activity • Financial benefits, opportunity rather than hard cash. Approx 300,000 transfers per annum, average 30 mins per transfer. Equates to an equivalent savings of $1,350,000 per annum.

  3. Where are we now Status at a glance

  4. GP2GP, issues… • Issues still evident • Data Quality/consistency, spaces in user defined codes breaks import • File Size constraints • Request process too complicated. EDI and Medical Council lookup inconvenient • No central directory of participants • Inconsistent use of Medical Council number between vendors • Babelfish error messages not friendly • File transferred to non-participating practice cannot be opened or viewed.

  5. …GP2GPIssues • Issues addressed • Ack (Acknowledgement) message not getting through • Attached file types, some formats failing transfer • Directory of providers, to be addressed by new HPI service • Under some circumstances a partial file transfer might be appropriate and should be identified as such.

  6. GP2GP promotion • What message/action is needed to improve adoption rates • Active support/stories from a few GPs who are not quite so technical • Requirement for Medical Council number to be dropped • Possible single “In box” at each practice • Agree mechanism for electronic request, RSD proposed • Promote new version release up-take on the back of the “B” Code requirement

  7. GP2GP Improvements • Improvements tabled for discussion • Toolkit as a service • Error handling in messages • Administration users rather than GP’s process records • Electronic request should include Toolkit version to ensure compatibility • Additional screening terms should be added • Provision for a “Cover note”

  8. Challenges • Challenges • Change control • Toolkit V1 incompatible with Toolkit V2. Toolkit as a service could resolve this. • GP2GP V2 needs to be backwards compatible with GP2GP V1 • Data Cleansing • Use toolkit to strip spaces from message, and re-insert on import. • Data cleansing strategy • Governance • How does the sector take responsibility for the upkeep of GP2GP • Funding • Cost neutral funding for GP2GP enhancements and maintenance • Who is the beneficiary, should they fund • Price setting by vendors only possible if all vendors agree

  9. Questions and Suggestions • What is needed in GP2GP V2, how do we get there? • Where to next for the Babelfish (Toolkit) • ???

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