Tag: Detailed Care Record

MIG supports roll out of the Yorkshire & Humber Care Record

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Yorkshire and Humber Care Record

MIG supports roll out of the Yorkshire & Humber Care Record

Medical Interoperability Gateway (MIG) connectivity is set to increase across Yorkshire and the Humber as the Yorkshire & Humber Care Record  signs a three year contract for the Detailed Care Record Service.

The Yorkshire & Humber  Care Record aims to provide health and care staff across the region, with better and faster access to vital information about the person receiving support.

This contract covers six CCGs including the Vale of York, Hull, Scarborough and Ryedale, North Lincolnshire, North East Lincolnshire and East Riding of Yorkshire, meaning there are now 16 CCGs with MIG connectivity across the region.

"This is an important step forward, which will support us in the safe, efficient and secure sharing of vital information between our care professionals and the delivery of joined-up care to our citizens. We’re excited to work with the MIG as a trusted partner in order to make this a reality."

Debbie Westmoreland, Head of Digital, NHS Scarborough and Ryedale CCG
Yorkshire and Humber Care Record
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"It has been a busy period for Healthcare Gateway, we are extremely proud to have secured this long term partnership with the Yorkshire & Humber Care Record.  The MIG is already used widely in the North of England and it is evident interoperability it is key to providing faster, safer care. This new programme of work builds on the successful deployment of the MIG across ten Yorkshire CCGs to join up the region further. We are excited to get this project started."

Liam King, Director of Customer and Commercial Experience, Healthcare Gateway

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Implementation of the service has already started and data feeds will be live in six to eight weeks. For more information and book a product demonstration, please get in touch here. 

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Real time help for Barnsley Hospice

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Real time help for Barnsley Hospice

Barnsley Hospice are using Medical Interoperability Gateway (MIG) to access GP information about patients admitted to their service. 

Background

Barnsley Hospice is a charity, which provides specialist, compassionate care to hundreds of local people every year from all over Barnsley.

They have a multidisciplinary team of doctors, nurses, pharmacists, social services, physiotherapists and occupational therapists who provide tailored care for individuals who are approaching end of life.

The team deliver care plans, which meet the individual needs for pain management and symptom control. This means they need to be aware of the shifting needs and preferences of the individual.

The hospice wanted to make sure staff had access to the most up to date information about patients admitted to their service and have been using the MIG to provide real time views of the GP record.

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What did they do?

The hospice went live with the MIG in 2016 as part of a regional roll out funded by Barnsley Clinical Commissioning Group.

They can access the Detailed Care Record service through the South West Yorkshire Partnership Foundation Trust electronic patient record system and enabled Shared Record Viewer (SRV) earlier this year.

SRV provides the hospice with ten categories of patient information, which includes medication (current, past and issues), risks and warnings, procedures, investigations, encounters, admissions and referrals.

How have they benefited?

“It’s important that the team have the information they need to provide effective care, which meets the needs and preferences of the individual. Implementation of the MIG was straightforward and it provides us with instant access to crucial GP data at the point of care.”

Julie Stead, Technology Manager, Barnsley Hospice

Quicker access to information

Having instant access to the GP record, particularly the medication history, has helped the hospice to reduce the volume of phone calls and faxes to the GP practice when admitting patients.

Effective transition of care

Barnsley Hospice Inpatient Unit is open 24 hours a day, 52 weeks a year. This means they need access to crucial patient information outside of GP practice opening hours. The MIG provides staff with 24/7 access to GP records, which ensures they can effectively manage patient admissions at any time of the day.

What’s next?

The MIG offers a wide range of specialist data, which could support Barnsley Hospice in the future. This includes our Electronic Palliative Care Coordination systems (EPaCCs) Dataset, which enables effective coordination of an individual’s end of life care plan.

We have now developed a social care dataset, enabling bi-directional social care interoperability. This dataset provides hospices with the ability to view real time patient information recorded by social care providers, creating joined up care between health and social care organisations.

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Blackpool Teaching Hospitals – Enhancing data for effective care

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Blackpool Teaching Hospitals – Enhancing data for effective care

Watch our latest video, to find out why Blackpool Teaching Hospitals are using the MIG to provide pharmacists, doctors and nurses with real time GP data.

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Connecting Care – Delivering digital documents across the BNSSG STP

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Connecting Care – Delivering digital documents across the BNSSG STP

Connecting Care are using the Medical Interoperability Gateway (MIG) to share electronic health record documentation with 85 GP practices across Bristol, North Somerset and South Gloucestershire (BNSSG).

Background

Connecting Care is a digital care record system, which contains information held at GP practices, hospital departments, community services, mental health trusts, out of hours services and local authorities across BNSSG. It combines information into a single, shared record, which reduces the time spent by professionals checking details from different health and social care organisations.

The Connecting Care system uses our Detailed Care Record service to consume patient information from the GP practices, which also includes end of life care data.

To fulfill their commitment to the NHS ‘paperless by 2020’ strategy, Connecting Care are using Document Services to share electronic health record documentation across the region.

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What did they do?

The aim of the Connecting Care Document Sharing project was to enable Connecting Care partner organisations to share any type of document with each other. The work was based on the use of generic document sharing functions that utilise both national and international technical standards.

The nine month project was completed in two phases:

Phase one focused on implementing cross-enterprise document sharing (XDS) standards to enable documents from acute trusts to be shared within the integrated digital care record in the Connecting Care portal.

Phase two focused on the implementation of Interoperability Toolkit (ITK) standards and the deployment of Document Services as the vehicle for sharing clinical documentation electronically from the local acute trusts with GPs.

Send any type of document electronically

The roll out of the Document Services across BNSSG has benefited GP practices, who now receive hundreds of documents each week. Secondary care teams can instantly send any type of electronic document, which has helped to improve transfers of care when a patient transitions from one care organisation to another.

“The MIG Document Services has been technically easy to deploy, which has created a more timely delivery of clinical correspondence into a clinical setting. It has supported our local Trusts contributing to their paperless vision and the timely delivery of discharge summaries.”

Jocelyn Palmer, Connecting Care Programme Manager, NHS South Central West CSU

Faster admin for GPs

Electronic documents are seamlessly delivered into the EMIS Web GP workflow and the Trust receives an immediate acknowledgement when the document is delivered, actioned or rejected by the practice. This has streamlined the admin process for GPs and ensures electronic documentation can be retrieved and tracked at the point of care.

“Having documents from University Hospitals Bristol (UHB) coming straight into the system has made the whole process so much easier/quicker.” GP administrative assistant.

GP administrative assistant

“Receiving documents electronically from UHB has saved my team so much time, it couldn’t have come sooner. We hope that soon we will receive all documents from every trust this way as standard.”

GP operations manager

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Care home and hospice system becomes MIG accredited

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Care home and hospice system becomes MIG accredited

The Care Database is the latest system provider to become a Medical Interoperability Gateway (MIG) accredited partner.

The Care Database is an efficient and secure web based system, which helps healthcare professionals to revolutionise their care management. It’s used across a variety of health settings including care homes and hospices.

The application has been accredited for the Detailed Care Record and Service Discovery Locator, which will provide care home and hospice staff with:

  • real time access to a patient’s GP record
  • the full medical history for the patient to optimise care planning
  • an integrated view of patient data held on a number of different systems.
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“We’re delighted to be working in partnership with The Care Database to provide their customers with access to GP data. It’s important that care homes and hospices are sensitive to the shifting needs and preferences of their patients and the MIG will make it easier for multi-disciplinary teams to share this information and deliver more effective and coordinated care.”

Peter Anderson, Managing Director, Healthcare Gateway

“The Care Database is designed to help healthcare professionals deliver better care in a variety of settings – including care homes, hospices, respite centres, hospital wards and surgeries. Whilst we have a broad prospective client base, they all have one thing in common – they will be caring for patients who have data held on a number of different healthcare systems and it’s crucial they can easily access this data. Having the Medical Interoperability Gateway integrated into The Care Database enables our clients to do just that. And, with the data they need at their fingertips, our clients are able to deliver safer and more effective care.”

Tom Bradley, Director of Operations, The Care Database

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To speak to one of our team about becoming a MIG partner please get in touch here. You can also watch our partner animation which demonstrates the process.

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Redwood Technologies completes MIG accreditation

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Redwood Technologies completes MIG accreditation

Redwood Technologies Ltd is the latest technology provider to partner with the Medical Interoperability Gateway (MIG).  

storm®, the communications integration platform™ created by Redwood Technologies, routes all NHS 111 voice traffic across London and is used by advisors to record and retrieve information about patients who have called the service.

The platform has been accredited for the Detailed Care Record (DCR) service, which will allow call handlers to quickly identify a patient and view detailed information about their medical history. Having this information immediately available will make it easier for them to provide an accurate and timely response to a medical emergency.

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“It’s fantastic to have Redwood Technologies as our newest partner and we look forward to working with them on the Healthy London project. 999 and 111 teams in North East and East Midland have already benefited from the MIG, which has helped to prioritise ambulances, avoid unnecessary hospital admissions and save time in emergency care situations. We hope that this success can be replicated by the NHS 111 services across London.”

Peter Anderson, Managing Director, Healthcare Gateway

“We are delighted to have entered into partnership with the Medical Interoperability Gateway. We are already seeing fantastic results with the communications services and integrations we’ve deployed across NHS 111 London, including significant improvements in call closing and ambulance call-out reduction. The integration of our storm Special Patient Note Lookup service with the MIG API will provide important frailty index data, enabling advisors to better assess a patient’s condition and making it easier to help citizens across the capital when they need it most. We look forward to working together to make London healthier.”

James Collett, Senior Applications Engineer, Redwood Technologies

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To speak to one of our team about becoming a MIG partner please get in touch here. You can also watch our partner animation which demonstrates the process.

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MIG powers many of the leading HIE solutions

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MIG powers many of the leading HIE solutions

We partner with the top five HIE solutions listed in the 2018 NHS interoperability report.

The NHS Interoperability 2018 report from US-based healthcare market research firm KLAS has revealed the leading HIE suppliers, which are supporting healthcare interoperability. Six of the eight suppliers referenced in the report have already partnered with Healthcare Gateway and its data sharing technology, the Medical Interoperability Gateway (MIG).

“Effective interoperability is crucial to supporting sustainability within the NHS and the MIG is a solution of choice for leading healthcare software providers. More than 60 vendors are using the MIG as a real time engine for data sharing and we have a great track record in helping them overcome the associated challenges, existing across health and care. We look forward to studying the full report and will use the findings to inform future conversations with our sector partners.”

Peter Anderson, Managing Director Healthcare Gateway
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KLAS interviewed 141 people from 124 NHS organisations in England, including CIOs, CCIOs, CIOS, executives, consultants, IT directors and GP practice managers. Intersystems were named as the leading HIE with Cerner, Tiani, Orion, Graphnet, Docman, Microtest and Sunquest also named in the list.

The report also identified three major shortcomings in the England:

  1. Exchanged data is unstructured (25%)
  2. Cumbersome formatting (20%)
  3. Key data is missing (17%).

Structured or unstructured

The MIG has the ability to integrate systems using structured or unstructured patient data. Structured data is provided in an xml format, providing flexibility for the host application. To find more, please get in touch here.

The findings from the report were shared at a techUK event in London on Monday 25 June.

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Connecting care in the community

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Connecting care in the community

Oxford Health NHS Foundation Trust are using the Medical Interoperability Gateway (MIG) to view a subset of GP data within Carenotes (mental health and community health) and Adastra (out of hours).

Background

Before implementation of the MIG, there was absence of seamless access to primary care information across both Oxfordshire and Buckinghamshire. The Oxfordshire Care Summary was frustrating for clinicians, as they had to log into a separate system each time they wanted to access patient information. The MIG Detailed Care Record (DCR) service was implemented to address these challenges.

What did they do?

Oxford Health NHS Foundation Trust went live with DCR in December 2017. Clinicians can now access ten categories of GP data through their Adastra and Carenotes  applications. This means all the required patient information can be viewed in the same system.

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By having the correct sharing agreements, Oxford Health NHS Foundation Trust have also enabled cross border data sharing with the Child and Adolescent Mental Health Services (CAMHS) and Adult and Older Adult Mental Health Services across Buckinghamshire.

How they have benefited from the MIG?

Uptake of the MIG has been very positive with over 600 clinicians using the MIG via Carenotes (over 2000 views) and 25 clinicians using Adastra (over 100 views), since the service went live.

Clinicians are now operating more efficiently. Previously it could take up to 30 minutes for an administrator to gather the required patient information from the GP. The MIG allows clinicians to instantly call GP data at the point of care, which has reduced the waiting time to a matter of seconds. This has helped to create more time for patient contact.

“The MIG has had a positive impact on how clinicians work. They now have an easy method of accessing patient records and the MIG has enabled this slick sharing of data, it’s seamless. The physical wellbeing of patients is important and accessing information is now straight forward via Carenotes.”

Vivek Khosla, Consultant Forensic Psychiatrist and Associate Medical Director (Adult)

Improved continuation of care

Dr Ian Neale is using the MIG in the primary care out of hours (OOH) service and explains how it has been invaluable to his role.

“A patient who had previously visited the GP came to the OOH service as a patient. Symptoms included slight backache and a high fever. I was able to view the GP patient record and see in the Detailed Care Record a diagnoses of an asymptomatic urine infection based on a urinary dipstick, which was then treated with an antibiotic.

On return to the OOH service, the patient didn’t know the medication name they were taking and upon consultation it appeared the patient had clinical pyelonephritis. Again, by pulling the live data from the MIG I could see the urinary dipstick had not been sent for culture, what medication had been prescribed previously, what their renal function was and the patient’s allergies.

These pieces of information permitted the start of treatment in the community, safely, straight away and without any admission. Time was saved by not chasing a non-existent urine culture.”

Dr Ian Neale

What’s next?

Rachel Valentine, Project Manager from Oxford Health NHS Foundation Trust explained that they are looking to enhance their MIG connectivity in the future. This includes new acute and social care end points and additional Specialist Datasets.

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To arrange an online demonstration or to find out how the MIG is being used in your area, please get in touch here.

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LPRES viewer completes fastest MIG accreditation

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LPRES viewer completes fastest MIG accreditation

The Lancashire Person Record Exchange Service (LPRES) viewer is an in house developed system, which has been accredited for the enhanced Detailed Care Record (DCR) service in just two weeks.

This means the application can now consume GP patient data as HTML views.

“The accreditation process begins with simply registering on the Healthcare Gateway website. Once registered you will have full access to the development pack. You will have full support of the technical integration team on hand throughout the process.”

Beverly Roberts, Programme Manager at LPRES

“The accreditation process was straight forward. The documentation contained within the SDK pack was clear and easy to understand. The support team responded to technical questions promptly, which helped to quickly turn around the accreditation process. Having access to the enhanced DCR views is going to provide huge benefits to all our health care professional providing direct care to patients .”

Paul Bradley, Software Developer, LPRES project
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Benefits of the LPRES and MIG partnership

By collaborating and sharing information about patients and service users across care boundaries, we aim to provide care givers with access to the right information, at the point of care. This will lead to:

  • improved continuity of care
  • safer services for patients
  • a reduction in unnecessary diagnostic tests
  • less paperwork and more efficient services
  • greater access to data for providers of care, patients and their carers.

Find out more                  

To speak to one of our team about becoming a MIG partner, please get in touch here.  You can also watch our partner animation which demonstrates the process.

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South West London CCGs sign MIG contract

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South West London CCGs sign MIG contract

The South West London Collaborative Commissioning (SWLCC) has signed a two year contract for the Medical Interoperability Gateway (MIG).

The SWLCC includes the six South West London CCGs, Wandsworth, Richmond, Croydon, Sutton, Kingston and Merton, who are working together to deliver the five-year strategy for the local NHS.

The contract includes the Detailed Care Record (DCR) service, which provides clinicians with ten categories of information from a patients GP record. The contract also includes Shared Record Viewer (SRV), an independent web portal, which provides instant access to the DCR.

The MIG will stream data into four instances of the Cerner Health Information Exchange (HIE), which is used in acute settings across South West London. The SRV will be used by clinicians in the out of hours services.

Healthcare Gateway are the preferred provider of interoperability solution across South West London and implementation of MIG services will begin soon.

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For more information about the MIG services, please get in touch here.  

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