Facilitator Handbook 2005 - PRIMIS

Facilitator Handbook 2005 - PRIMIS Facilitator Handbook 2005 - PRIMIS

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PRIMIS Facilitator Handbook Path to Paperless The Training The training takes place over a full day, is run on a group workshop basis and covers the following topics: What is the Electronic Patient Record? This covers a brief history of the growing capabilities and use of IT systems in general practice and the landmark legislation permitting the keeping of electronic-only patient health records. The advantages for the patient and the health professionals of using electronic patient health records are analysed, as well as any perceived barriers. The capabilities of the electronic patient health record are discussed, together with some proven techniques and tools for helping a practice to plan and undertake this fundamental change in the way they operate. Approval process for going paperless In-depth information on the accreditation and approval process is included in the training. The skills required to transfer written legacy notes are outlined with the focus on the need to plan to achieve a quality result. An example exploring the sources of data flowing into a fictitious practice is used to demonstrate the importance of data flow mapping tools in preparing to become paperless. References are made to the sections of the Quality and Outcomes Framework of the New GMS Contract that have a bearing on records management. Practical Tips Advice on the scanning of documents and capturing of images for inclusion in the patient’s electronic health record is given, together with some necessary recommendations on such things as suitable file formats. Further information on the background and subject matter included in this training is available in the form of a workbook. This is provided to facilitators during the training. Learning Objectives The training will provide information facilitators with: • an awareness of the background and history of electronic records in primary care • an awareness of the information governance issues that need to be considered when supporting practices in the transition to using electronic patient records • an understanding of the benefits to PCOs, practices and patients in the use of electronic patient records • an understanding of the processes required to summarise medical records • an understanding of the need for an ongoing data input and maintenance policy • an awareness of the other elements related to “e-commerce” and the NHS 60 PRIMIS

Path to Paperless PRIMIS Facilitator Handbook Further Reading Good Practice Guidelines for General Practice Electronic Records (Version 3), The Joint Computing Group of the General Practitioners Committee and the Royal College of General Practitioners, 2003. www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/Publicati onsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4008657&chk=rr8fQT The Computer Misuse Act 1990, Data Protection Act 1998, Human Rights Act, Freedom of Information Act, Health and Social Care Act www.hmso.gov.uk www.dh.gov.uk www.dataprotection.gov.uk A proposed generic scheme for approving paperless practice – Guidance for GPs, 2001. GPC. www.bma.org.uk The NHS Confidentiality Code of Practice www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/Publicati onsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4069253&chk=jftKB%2B New GMS Contract 2003 – Investing in General Practice www.nhsconfed.org Morris DE. General Practice: Going Paperless (2004) careerfocus.bmjjournals.com/cgi/reprint/328/7439/97.pdf Shaw N. Going Paperless, a guide to computerisation in primary care. Abingdon: Radcliffe Medical Press; 2001. Training Plan - Links to other PRIMIS training Facilitators attending the Path to Paperless training module would also find the following PRIMIS training modules of interest: • Quality Data, Quality Outcomes • Clinical Coding • Facilitation Skills • Action Planning and Supporting Change • Information Governance Please note: many of the above training modules overlap with one another and offer a certain amount of core content and studying. PRIMIS 61

<strong>PRIMIS</strong> <strong>Facilitator</strong> <strong>Handbook</strong><br />

Path to Paperless<br />

The Training<br />

The training takes place over a full day, is run on a group workshop basis and covers the<br />

following topics:<br />

What is the Electronic Patient Record?<br />

This covers a brief history of the growing capabilities and use of IT systems in general practice<br />

and the landmark legislation permitting the keeping of electronic-only patient health records.<br />

The advantages for the patient and the health professionals of using electronic patient health<br />

records are analysed, as well as any perceived barriers. The capabilities of the electronic<br />

patient health record are discussed, together with some proven techniques and tools for<br />

helping a practice to plan and undertake this fundamental change in the way they operate.<br />

Approval process for going paperless<br />

In-depth information on the accreditation and approval process is included in the training. The<br />

skills required to transfer written legacy notes are outlined with the focus on the need to plan to<br />

achieve a quality result. An example exploring the sources of data flowing into a fictitious<br />

practice is used to demonstrate the importance of data flow mapping tools in preparing to<br />

become paperless.<br />

References are made to the sections of the Quality and Outcomes Framework of the New<br />

GMS Contract that have a bearing on records management.<br />

Practical Tips<br />

Advice on the scanning of documents and capturing of images for inclusion in the patient’s<br />

electronic health record is given, together with some necessary recommendations on such<br />

things as suitable file formats.<br />

Further information on the background and subject matter included in this training is available<br />

in the form of a workbook. This is provided to facilitators during the training.<br />

Learning Objectives<br />

The training will provide information facilitators with:<br />

• an awareness of the background and history of electronic records in primary care<br />

• an awareness of the information governance issues that need to be considered when<br />

supporting practices in the transition to using electronic patient records<br />

• an understanding of the benefits to PCOs, practices and patients in the use of<br />

electronic patient records<br />

• an understanding of the processes required to summarise medical records<br />

• an understanding of the need for an ongoing data input and maintenance policy<br />

• an awareness of the other elements related to “e-commerce” and the NHS<br />

60 <strong>PRIMIS</strong>

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