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

1. eProsafe
Presenter:
•
Susan Miles – Child & Family Safety Service Coordinator

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
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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
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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
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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
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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
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7. Referral and Management of Cases
© 2013Canterbury District Health Board: ISG
Oct-2013
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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
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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
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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
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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
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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
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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.
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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
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15. Statistic & Audit Reports
© 2013Canterbury District Health Board: ISG
Oct-2013
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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
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17. © 2013Canterbury District Health Board: ISG
Aug-2013
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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
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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
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20. DHB Relationship
© 2013Canterbury District Health Board: ISG
Oct-2013
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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
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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
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r
a
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T
o
South
Canterbury
DHB
West Coast
DHB
Souther
DHB
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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
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South
Canterbury
DHB
West Coast
DHB
Southern
DHB
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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
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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
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26. © 2013Canterbury District Health Board: ISG
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