eProsafe

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Presented by Susan Miles
Child & Family Safety Service Coordinator, Canterbury District Health Board

Published in: Health & Medicine
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eProsafe

  1. 1. eProsafe Presenter: • Susan Miles – Child & Family Safety Service Coordinator
  2. 2. James Whakaruru • Mother aged 15 attempted suicide 10 days before James's birth in June 1994 – the midwife not informed, there was no referral to CYF – the information was not passed on to Plunket. • Plunket saw James 3 times but disengaged after nine unsuccessful attempts. • James was seen by two GP’s for facial injuries at 15 months twice and at 18 months. • July 18 1996 James was knocked out – there was bruising to the child's forehead and jaw, to the side of his neck, the back of his head, the tops of his feet, his left upper arm, both shins, the left side of his rib cage and his left thigh. • Feb 11 1997 James in hospital ED with a cut to his chin –earlier files were not reviewed. • May 9 1998 James returned to hospital with a tear to his penis. This required surgery –no report was made to CYF or Police • March 20 1999 James was rushed to after hours with a deep cut to his lip which was stitched –he was not returned for the stitches to be removed. • April 4 1999 James was back in ED not breathing and his heart failed © 2013Canterbury District Health Board: ISG 04-Jul-2013 2
  3. 3. James Whakaruru • James was seen 40 times by health professionals • 4 presentations at the hospital emergency department • 3 face to face Plunket visits • 30 visits to General Practitioners at four practices. • Information was not put together because of poor or incomplete communication. © 2013Canterbury District Health Board: ISG 04-Jul-2013 3
  4. 4. Rationale The fact that different health professionals had individual pieces of information and did not, due to a lack of communication, coordination and consultation ever attempt to integrate this information is clearly regrettable and unacceptable. (Office of the Commissioner for Children -Final Report on the Investigation into the death of James Whakaruru 2000) © 2013Canterbury District Health Board: ISG Oct-2013 4
  5. 5. Recent Statistics • The Police recorded 107,602 family violence incidents and offences in 2010/2011 • There were 96,627 children aged 0-16 present or living with the victim when Police attended. • Child Youth and Family received 150,747 Reports of Concern in the year 2010/2012 • 1 in 4 girls and 1 in 10 boys in New Zealand have experienced sexual abuse. • 1 in 3 women has experienced physical and sexual violence from a partner in their lifetime • 96 percent of people surveyed think everyone should try to help victims of violence and encourage people to change their behaviours. www.areyouok.org.nz © 2013Canterbury District Health Board: ISG 04-Jul-2013 5
  6. 6. What is “eProsafe”  Stand alone Web-based Application for Child Protection and Family Violence  Allows us to create and manage referrals  Outstanding  Search West Coast List DHB mechanism  Doctors Southern DHB letters Referral Case  Allows us to share cases across local DHB users  Allows us to view referrals from other DHBs  Allows us to grant access to users external to the DHB (police)  Provides statistic  Announcement Canterbury DHB South Canterbury DHB Capital & Coast DHB & Audit Log Reports setup to local or other DHB users © 2013Canterbury District Health Board: ISG Oct-2013 6
  7. 7. Referral and Management of Cases © 2013Canterbury District Health Board: ISG Oct-2013 7
  8. 8.  Level of Confidentiality • Non-Secured Case • Secured Case (Email notification to administrator owner immediately)  Referral Sections: 1. 2. 3. 4. 5. 6. 7. 8.  Can Personal Details Family Violence Parties Involved Key Issues Attachment Action Taken Print Out CP/FV Section define what sections a user can access based on the users account/ User Group setup © 2013Canterbury District Health Board: ISG Oct-2013 8
  9. 9. 1. Personal Details a. b. c. d. Patient Demographics with NHI Lookup (which will connect to HCS or web service from MoH HPI) Patient Alias Caregivers List (with/without NHI) with “Create as New” functionality Child/Siblings Lists (with/without NHI) with “Create as New” functionality © 2013Canterbury District Health Board: ISG Oct-2013 9
  10. 10. 2. Family Violence a. Details of Person(s) who disclosed info (with/without NHI) b. c. Assessment/Questio nnaires Pop up boxes © 2013Canterbury District Health Board: ISG Oct-2013 10
  11. 11. 3. Parties Involved  Records the list of agencies involved and the agency contact person. 4. Key Issues Records the list of issues relating to the the referral. © 2013Canterbury District Health Board: ISG Oct-2013 11
  12. 12. 5. Attachment  Allows you to upload attachments like word documents, excel, pdf, image or videos related to the referral. 6. Action Taken  All actions taken to address the concerns in the reason for referral are recorded here. © 2013Canterbury District Health Board: ISG Oct-2013 12
  13. 13. 7. Print Out   © 2013Canterbury District Health Board: ISG Aug-2013 Print preview the referral information and export to PDF format. Can select different section(s) in the referral to print. 13
  14. 14. 8. CP Section  Only accessible to those Users who work within the Child Protection/Family Violence Department/Unit to administer the referral.  7 Sub-sections in CP Section 1. 2. 3. 4. 5. 6. Referral Header DHB Grant Referral Access Abuse & Risk Notes/Plans View Audit Logs Letter (Generate & export to PDF/Word format) 7. Related document/image © 2013Canterbury District Health Board: ISG Oct-2013 14
  15. 15. Statistic & Audit Reports © 2013Canterbury District Health Board: ISG Oct-2013 15
  16. 16. • Number of new cases • Age of mothers • Maori Health Worker offered • Ethnicity by abuse type • Referred to Police • Ethnic makeup • Service of referral • Ethnic origins by service • Referred to Women Refuge • Family violence • Risk factors • Referrals by age • Risk factors for women referred to CP/FV Team • Referrals to CYF • Type of abuse referred to the CP/FV Team • Patient referral All Reports can be exported to pdf format and able to Print Review © 2013Canterbury District Health Board: ISG 04-Jul-2013 16
  17. 17. © 2013Canterbury District Health Board: ISG Aug-2013 17
  18. 18. • Referral Audit Report • Patient Data Audit Log • Secured Case Audit Log • Admin Audit Report • User Login History All Reports can be exported to pdf format and able to Print Review © 2013Canterbury District Health Board: ISG Aug-2013 18
  19. 19. User Roles 1. View (Read-only/view-only access) 2. Add (can create new referrals, can only modify & print their own referral, Search ability ) 3. Maintenance (can create/update any referrals and manage cases, search ability, outstanding issues 4. Admin (manage the local DHB site) 5. ISG (manage the website & National Data Setup) tracking) © 2013Canterbury District Health Board: ISG Oct-2013 19
  20. 20. DHB Relationship © 2013Canterbury District Health Board: ISG Oct-2013 20
  21. 21. • 3 Types of DHB Relationship 1. No Relationship Southern DHB West Coast DHB South Canterbury DHB Capital Coast DHB • Does not share any cases with other DHBs. • Maintains & manages their own cases. © 2013Canterbury District Health Board: ISG Oct-2013 Canterbury DHB XXX 21
  22. 22. • 3 Types of DHB Relationship 2. Open Partial Relationship Canterbury DHB • Only share a specific case(s) and specific screen with other DHB users. • Will manage & maintain their cases. Secured A c c e s S Non-Secured © 2013Canterbury District Health Board: ISG G r a n t Oct-2013 T o South Canterbury DHB West Coast DHB Souther DHB 22
  23. 23. • 3 Types of DHB Relationship 3. Open Relationship Canterbury DHB • Share all non-secured cases but only specific screens with other DHB users. • Can also share secured cases on a case by case basis (specific screens)) Secured A c c e s S • Will manage & maintain their own cases. Non-Secured © 2013Canterbury District Health Board: ISG G r a n t Aug-2013 T o South Canterbury DHB West Coast DHB Southern DHB 23
  24. 24. Improving Health Outcomes Collation of child protection and family violence information in one place Enhanced risk assessment and intervention plans Improved communication between health professionals Improved accuracy re: record keeping with child protection and family violence information Accurate statistical information readily available to identify trends and patterns. Ability to attach documents - meaning child protection information is better collated and referrals take minimal time (just over 2 minutes) Quick and simple way to share child protection and family violence information between DHB’s whilst maintaining security and privacy • © 2013Canterbury District Health Board: ISG 04-Jul-2013 24
  25. 25. Contact Clinical Side (Canterbury District Health Board):1. Pauline Clark (General Manager - Med/Surg and Women's & Children's) 2. Clare Doocey (Clinical Director of Paediatrics) 3. Susan Miles (Child and Family Safety Service Coordinator ) Technical Side (Information Service Group @ Canterbury District Health Board):1. Chris Dever (Chief Information Officer) 2. John Hawkins (Applications Support Manager) 3. Jenny Anthony (Business Analyst) © 2013Canterbury District Health Board: ISG Oct-2013 26
  26. 26. © 2013Canterbury District Health Board: ISG Oct-2013 27

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