How can you reduce the stress of running a diabetic clinic?
Upcoming SlideShare
Loading in...5
×
 

Like this? Share it with your network

Share

How can you reduce the stress of running a diabetic clinic?

on

  • 323 views

 

Statistics

Views

Total Views
323
Views on SlideShare
323
Embed Views
0

Actions

Likes
0
Downloads
2
Comments
0

0 Embeds 0

No embeds

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

How can you reduce the stress of running a diabetic clinic? Presentation Transcript

  • 1. Using IT To Reduce The Stress Of A Diabetes Clinic
  • 2. What Happens at a Diabetes Clinic?
    • Screening for complications
    • Identification of problems
    • Intervention
      • Prescribing
      • Referral for advice
  • 3. Why can diabetes clinics be difficult?
    • History
      • Diabetes clinics are busy
    • Increasing numbers of patients
  • 4. New Referrals With Diabetes
  • 5. Review Attendance
  • 6. A lot of information to be gathered
    • SIGN minimum data
  • 7.  
  • 8. Diabetes Team
    • Nurses
      • clinic, nurse specialists, auxiliary
    • Dietician
    • Podiatrist
    • Phlebotomist
    • Laboratory staff
    • Secretarial and receptionist
    • Physicians
  • 9. Screening
    • Biochemical
        • Hba1c
        • Renal function
        • Lipids
        • Microalbuminuria
        • Thyroid?
    • Protocol
  • 10. Screening
    • Retinal examination
    • VA
    • BP
    • Foot pulses and vibration perception
    • Protocol
  • 11. Potential problems
    • Missed screening
    • Duplicated screening
  • 12. Organisation
    • Efficiency
  • 13. IT - Useful or useless?
    • More work
    • Increased time
    • Useless information
    • Unfriendly screens
    • Information in but none out
    • Rubbish in rubbish out
    • Less work
    • Time saved
    • Useful information
    • Easy to use
    • Reports and audit
    • Sense checking
  • 14. DOCTOR (4) SECRETARIES LAB PODIATRIST NURSE FILE SERVER IT DEPT
  • 15. Lab Nurse Doctor Podiatrist Dietician IT Dept Secretaries Clinic summary GP Lab Nurse Doctor Podiatrist Dietician
  • 16.  
  • 17. Useful
    • Quality
      • Transparent
    • Ordering bloods according to protocol
    • Download of biochemistry automatically
    • Reduced duplication if multiple users
    • Letter generation
      • Summaries
      • Addresses
      • Information for all
      • Drug and condition lists
  • 18. Secretary prints blood requests Patient arrives and booked in Phlebotomy Nurse (VA, weight +/- eye drops) Laboratory HbA1c, cholesterol, U + E, Alb/creat ratio Physician (BP, feet, eyes) Nurse Specialist Dietician Podiatrist Letter to GP
  • 19. How do we judge our performance?
    • Audit
      • Process
        • screening
      • Outcome
        • BP
        • Lipids
        • HbA1c
  • 20. Audit of screening
  • 21.  
  • 22. Diagnosis CHD Risk of > 30% 2 Year Follow Up
    • Cardiovascular risk factors in
    • Those at the highest risk are
    • Being treated
    • 35.0%  25.4%
    • Calculated lowest possible risk
    • For this group = 22.0%
    • What is not at target?
  • 23. Diagnosis CHD Risk of > 30% 2 Year Follow Up Smoking status was unaffected despite advice issued at clinics
  • 24. The Future 1
    • Local
      • Link to eye photography
      • Link to primary care
        • Podiatry, GPs
      • Link to Lothian register
  • 25. The Future 2
    • Central funding and support for IT
      • Report by the Working Group on IT to Support Shared Care for Diabetes
    *This is very important*
  • 26. The Future 3
    • Scottish Diabetes Survey
      • HDL (2000) 12