Healthpoint - Continuously Updated Referral Information for GPs and Patients: 3 years on   John Anthony Williams Director ...
At the time of referral what information is needed? Doctor Which specialist has an interest in this disease? Who can I con...
Choices
Healthpoint ? <ul><li>Healthpoint uses a web based platform to communicate and manage a vast amount of medical service inf...
Healthpoint Background <ul><li>Start-up company 2004 </li></ul><ul><ul><li>Started with a few private medical specialist s...
What does Healthpoint mean for a DHB or Private Specialist Service. <ul><ul><li>Information is accessible to all stakehold...
The information available <ul><li>For Primary Care/Health Professionals </li></ul><ul><li>(secure, requires registration, ...
Healthpoint Evaluation <ul><ul><li>“ Great for someone in the early initial stages of health worries” </li></ul></ul><ul><...
Increasing access to appropriate DHB information may improve:   <ul><li>Inappropriate Referrals </li></ul><ul><ul><li>Our ...
Healthpoint quality & operational systems Quality Accuracy Integrity Accessibility <ul><li>Proof reading </li></ul><ul><li...
The benefits for a DHB   <ul><li>Contributes to increasing the communication between primary and secondary care. </li></ul...
Healthpoint Statistics <ul><li>2006: 77,494 visitors 781,976 pages viewed 5.3 million hits </li></ul><ul><li>2007: 73,283 ...
DHB Page Impressions/month
DHB Page Impressions/month
Usage in Primary Care <ul><li>GP Usage of Healthpoint. Feedback from ar DHB-Sample 25 GP practices </li></ul><ul><ul><li>2...
In partnership to increase utilisation <ul><li>Internal DHB Staff </li></ul><ul><li>Intranet link – in place, ensure promi...
Why do DHBs, Private Services work with  Healthpoint? <ul><li>Successful implementation/outstanding customer feedback </li...
Current Status/Future Opportunities <ul><li>Current Status </li></ul><ul><ul><li>CMDHB 103 Services Live (Launched Nov05) ...
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Healthpoint - Continuously Updated Referral Information for GPs and Patients: 3 years on

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Healthpoint - Continuously Updated Referral Information for GPs and Patients: 3 years on

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  • Healthpoint - Continuously Updated Referral Information for GPs and Patients: 3 years on

    1. 1. Healthpoint - Continuously Updated Referral Information for GPs and Patients: 3 years on John Anthony Williams Director Healthpoint Limited
    2. 2. At the time of referral what information is needed? Doctor Which specialist has an interest in this disease? Who can I contact to talk about options? Is the procedure funded by the public health system? What is the current treatment guideline? How long will it take to get an appointment? Patient/caregiver What will happen at the first appointment? What should I take with me? Where will I park? How long will it take to get an appointment? How much will it cost? Where can I find some information on the condition? Are there any support groups I can contact?
    3. 3. Choices
    4. 4. Healthpoint ? <ul><li>Healthpoint uses a web based platform to communicate and manage a vast amount of medical service information from multiple sources for different stakeholders. </li></ul><ul><li>Vision: </li></ul><ul><li>To provide key information which means medical professionals and patients/caregivers are able to make better decisions around referral and therefore lead to better clinical outcomes. </li></ul>
    5. 5. Healthpoint Background <ul><li>Start-up company 2004 </li></ul><ul><ul><li>Started with a few private medical specialist services </li></ul></ul><ul><ul><li>Advisory group set-up to advise go/no-go, way forward </li></ul></ul><ul><ul><li>Initial pilot with CMDHB in three services </li></ul></ul><ul><ul><ul><li>Respiratory, Orthopaedics, Radiology - 8 month pilot </li></ul></ul></ul><ul><ul><ul><li>Assessed by independent group and research undertaken. </li></ul></ul></ul><ul><ul><li>Advice to implement DHB wide. </li></ul></ul><ul><ul><li>CMDHB information launched Nov 2005 </li></ul></ul>
    6. 6. What does Healthpoint mean for a DHB or Private Specialist Service. <ul><ul><li>Information is accessible to all stakeholders: </li></ul></ul><ul><ul><li>In one place </li></ul></ul><ul><ul><li>In a standardised format </li></ul></ul><ul><ul><li>Specific to local services </li></ul></ul><ul><ul><li>Owned by the services </li></ul></ul><ul><ul><li>Comprehensive, Quality, Sustainable </li></ul></ul><ul><ul><li>Clinician involvement primarily from the specialist services but involving the GP liaisons and including feedback from primary care </li></ul></ul><ul><ul><li>Iterative </li></ul></ul>
    7. 7. The information available <ul><li>For Primary Care/Health Professionals </li></ul><ul><li>(secure, requires registration, password) </li></ul><ul><ul><li>Service specific contact details, emergency contacts </li></ul></ul><ul><ul><li>Referral guidelines </li></ul></ul><ul><ul><li>Scope of services offered/not offered </li></ul></ul><ul><ul><li>Local/Regional/National services offered </li></ul></ul><ul><ul><li>Specific clinics </li></ul></ul><ul><ul><li>Referral process/Triaging </li></ul></ul><ul><ul><li>Hospital management of referrals </li></ul></ul><ul><ul><li>Primary care management </li></ul></ul><ul><ul><li>Prioritisation/Waiting times </li></ul></ul><ul><ul><li>Document downloads </li></ul></ul><ul><ul><li>Links to national guidelines, recommended sites </li></ul></ul><ul><li>For Community/Consumers </li></ul><ul><li>(Open to all) </li></ul><ul><ul><li>Contact details in depth </li></ul></ul><ul><ul><li>Location maps, location details including access and facilities </li></ul></ul><ul><ul><li>Description of the service </li></ul></ul><ul><ul><li>Referral expectations </li></ul></ul><ul><ul><li>Procedures/Treatments/Common conditions </li></ul></ul><ul><ul><li>Patient information downloads </li></ul></ul><ul><ul><li>A list of affiliated consultants </li></ul></ul><ul><ul><li>Associated patient support groups </li></ul></ul><ul><ul><li>Charges </li></ul></ul>
    8. 8. Healthpoint Evaluation <ul><ul><li>“ Great for someone in the early initial stages of health worries” </li></ul></ul><ul><ul><li>“ The information was easy to read, easy to follow “ </li></ul></ul><ul><ul><li>“ Told me where to go, what to do, what to expect” </li></ul></ul><ul><ul><li>“ Easy to get around, very good actually, liked the headlines” </li></ul></ul><ul><ul><li>“ Post-care information would have been useful e.g. exercise tips” </li></ul></ul>
    9. 9. Increasing access to appropriate DHB information may improve: <ul><li>Inappropriate Referrals </li></ul><ul><ul><li>Our experience with DHBs shows that between 15 – 32% of referrals may be inappropriate. Our analysis shows that the majority of inappropriate referrals are due to a lack of referrer understanding/transparency of referral guidelines. </li></ul></ul><ul><li>Did Not Attend (DNA) </li></ul><ul><ul><li>In addition to inappropriate referrals, we know that DNAs ranging from 4 – 30% are common in most services. DNAs can be attributed to a broad range of situations including lack of patient information, cultural perception, lack of involvement and even non-familiarity with public transport systems. </li></ul></ul><ul><li>Inappropriate Presentation </li></ul><ul><ul><li>We know that some patients are uncertain about how they should prepare for their appointment. e.g. hydrating before ultrasounds, presenting with list of current medications, fasting etc. </li></ul></ul>
    10. 10. Healthpoint quality & operational systems Quality Accuracy Integrity Accessibility <ul><li>Proof reading </li></ul><ul><li>Editorial set up </li></ul><ul><li>Editorial review </li></ul><ul><li>Local edit/review </li></ul><ul><li>4 Monthly </li></ul><ul><li>updates </li></ul><ul><li>Electronic </li></ul><ul><li>approval </li></ul><ul><li>Editorial Checks </li></ul><ul><li>Security Systems </li></ul><ul><li>Records Retained </li></ul><ul><li>Ease of editing/ </li></ul><ul><li>review </li></ul><ul><li>Tested & validated </li></ul><ul><li>CRM </li></ul><ul><li>System reliability </li></ul><ul><li>and availability </li></ul><ul><li>Links to other </li></ul><ul><li>information </li></ul><ul><li>sources </li></ul><ul><li>Password </li></ul><ul><li>management </li></ul><ul><li>for medical </li></ul><ul><li>professionals </li></ul>
    11. 11. The benefits for a DHB <ul><li>Contributes to increasing the communication between primary and secondary care. </li></ul><ul><li>Contributes to greater community transparency and understanding. </li></ul><ul><li>Can Lead to increased efficiencies for primary care and secondary service utilisation by: </li></ul><ul><ul><li>reducing re-work; and </li></ul></ul><ul><ul><li>increasing productivity amongst health professionals in primary and secondary care. </li></ul></ul><ul><li>Contributes to greater patient/consumer awareness and involvement. </li></ul>
    12. 12. Healthpoint Statistics <ul><li>2006: 77,494 visitors 781,976 pages viewed 5.3 million hits </li></ul><ul><li>2007: 73,283 visitors 883,399 pages viewed 6.7 million hits ( Sept YTD) </li></ul><ul><li>Record!!! >18,000 visitors in Sept 2007 </li></ul><ul><li>www.healthpoint.co.nz is being accessed the following ways (September 2007): </li></ul><ul><ul><li>26.3 % direct access or bookmarks. </li></ul></ul><ul><ul><li>42.8 % via Google. </li></ul></ul><ul><ul><li>30.7 % via other website links e.g. MOH, DHBs, ACC, Procare. </li></ul></ul>
    13. 13. DHB Page Impressions/month
    14. 14. DHB Page Impressions/month
    15. 15. Usage in Primary Care <ul><li>GP Usage of Healthpoint. Feedback from ar DHB-Sample 25 GP practices </li></ul><ul><ul><li>24% registered and using regularly </li></ul></ul><ul><ul><li>52% registered (at least one in practice) but have not been using the site regularly </li></ul></ul><ul><ul><li>13% have never used it </li></ul></ul><ul><ul><li>8% had technical problem e.g. no computer access, no broadband </li></ul></ul><ul><ul><li>3% unknown </li></ul></ul>
    16. 16. In partnership to increase utilisation <ul><li>Internal DHB Staff </li></ul><ul><li>Intranet link – in place, ensure prominence/ongoing - </li></ul><ul><li>Posters placed internally Template developed for CMO to present at CDs meetings where appropriate </li></ul><ul><li>Presentations to services </li></ul><ul><li>Presentations on hospital campus where appropriate </li></ul><ul><li>Ongoing communication within DHB publication </li></ul><ul><li>HP message on base of DHB referral/appointment letters </li></ul><ul><li>GP usage of Healthpoint: </li></ul><ul><li>Info pack sent out </li></ul><ul><li>CME presentations </li></ul><ul><li>PHO presentations </li></ul><ul><li>`Info-Matters’ Newsletter sent to all Auckland GPs/Primary care </li></ul><ul><li>Discuss with large PHOs ongoing communication program </li></ul><ul><li>Patient and Caregiver awareness: </li></ul><ul><li>Flyers in GP Surgeries </li></ul><ul><li>Notification statement on bottom of appointment letters </li></ul><ul><li>Google focus </li></ul><ul><li>Ongoing promotion and agreement </li></ul><ul><li>Kiosks in community </li></ul>
    17. 17. Why do DHBs, Private Services work with Healthpoint? <ul><li>Successful implementation/outstanding customer feedback </li></ul><ul><li>Proven technology </li></ul><ul><ul><ul><li>New Zealand Awards </li></ul></ul></ul><ul><ul><ul><li>2005 Computerworld winner, “Best use of IT in health” </li></ul></ul></ul><ul><ul><ul><li>2006 TUANZ innovation award finalist “Healthcare” </li></ul></ul></ul><ul><ul><li>Proven processes </li></ul></ul><ul><ul><li>Proven relationships </li></ul></ul><ul><ul><li>Include change management principles </li></ul></ul><ul><ul><ul><li>Make sure that the examples of &quot;Change Champions&quot; are visible to others </li></ul></ul></ul><ul><ul><ul><li>Make sure that senior management provides overwhelming support </li></ul></ul></ul><ul><ul><ul><li>Make sure that the desired behavior is tracked/recognised – what gets measured gets done </li></ul></ul></ul><ul><ul><ul><li>Over communicate </li></ul></ul></ul><ul><ul><ul><li>Platform established to develop other collaborative solutions </li></ul></ul></ul>
    18. 18. Current Status/Future Opportunities <ul><li>Current Status </li></ul><ul><ul><li>CMDHB 103 Services Live (Launched Nov05) </li></ul></ul><ul><ul><li>ADHB 80 Services Live (Jun06) </li></ul></ul><ul><ul><li>WDHB 47 Services Live (Jun 07) </li></ul></ul><ul><ul><ul><li>Equates to approx 50% of NZ’s referral traffic to public </li></ul></ul></ul><ul><ul><ul><li>75% of Auckland GPs registered with HP </li></ul></ul></ul><ul><ul><li>Kiosks CMDHB, soon ADHB </li></ul></ul><ul><ul><li>Record site utilisation </li></ul></ul><ul><ul><li>CCDHB, Implementation started Sept (Launch Dec07) </li></ul></ul><ul><ul><li>>260 Private Specialist Services </li></ul></ul><ul><ul><li>Network of Patient Support Groups </li></ul></ul><ul><ul><li>93% of service information is within 4months of review </li></ul></ul><ul><li>Future Plans? </li></ul><ul><ul><li>The Healthpoint Platform will enable specific projects with the DHBs e.g: </li></ul></ul><ul><ul><li>Disease Management, compliance programs in MH, Diabetes involving Primary Care and the Patient </li></ul></ul><ul><ul><li>E-Referral intelligence </li></ul></ul><ul><ul><li>Networking/Centres of Excellence </li></ul></ul><ul><ul><li>Other </li></ul></ul>

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