Friday, August 23, 2013

Scotland Shows How Incremental Improvement In E-Health Can Make A Positive Difference.

The following very interesting article appeared a little while ago.

Scots deploy Key Information Summary

15 August 2013   Rebecca Todd
More than 60% of Scottish GP practices are live with the new Key Information Summary for patients with complex care needs.
Nearly 20,000 KIS records have already been created and the full roll-out is expected to be complete in three weeks.
KIS programme manager Jonathan Cameron said all the country’s Emis practices are live with the new service and around one third of INPS practices.
The KIS is an extension of Scotland’s Emergency Care Summary.
It contains information from the GP practice including; patient demographics; details of staff involved in the care of the patient; main diagnosis and current issues; carer and support details; and recommended actions for out of hour’s clinicians.
It is designed primarily to support patients with long term conditions, but Cameron said anyone can have one.
Their creation involves the GP sitting with the patient to discuss their ‘anticipatory care plans’ and deciding together whether the information should be shared via a KIS.
This could include someone’s end of life wishes.
Clinicians working in NHS 24 and out-of-hours services can access the information via an embedded button in their systems, which is also being added to clinical portals in acute trusts.
More here:
You can read about the progress being made here:
Here is a short summary of the KIS system:

What is a Key Information Summary (KIS)?

Key Information Summary (KIS) has been designed to support patients who have complex care needs or long-term conditions.
KIS allows important patient information such as those listed below to be shared with health care professionals in unscheduled care in the NHS 24, A&E, Scottish Ambulance Service, Out of Hours, Hospital and Pharmacy environments.
  • future care plans
  • medications
  • allergies
  • diagnoses
  • patient wishes
  • carer and next of kin details
In the future, KIS will also be used in scheduled care for patients with long-term conditions; for example, for those who regularly visit renal clinics.
More here:
This really looks like the sort of approach to gradual e-Health deployment and use we should look at very much harder.

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