Tag: Detailed Care Record

NHS Calderdale and NHS Greater Huddersfield CCG have procured the Medical Interoperability Gateway (MIG)

Posted on

NHS Calderdale and NHS Greater Huddersfield CCG have procured the Medical Interoperability Gateway (MIG)

NHS Calderdale CCG and NHS Greater Huddersfield CCG have signed a one year contract for MIG services.

The contract includes the Detailed Care Record service, which will be used by Calderdale and Huddersfield NHS Foundation Trust. They also use the MIG to provide real time feeds from GP clinical systems into Cerner Health Information Exchange (HIE), which is their acute system.

This increases the MIG’s footprint in the Yorkshire region with ten CCGs now signed up to the MIG. This includes, Sheffield CCG, Doncaster CCG, Rotherham CCG, Barnsley CCG, Leeds North CCG, Leeds West CCG, Leeds South and East CCG, Hambleton, Richmond and Whitby CCG along with Calderdale CCG and Greater Huddersfield CCG.

Making the most of the MIG

The trust has contracted the MIG awareness sessions, which will provide users with the knowledge they need to get the most out of the MIG.

Subscribe to receive all the latest news

Implementation is due to begin shortly and will go live in six to eight weeks.

Find out more

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

Recent news articles

Contact us

To find out more about our solutions, get in touch.

Contact us

IKR

ReStart Viper360 – Integrating care across Nottinghamshire

Posted on

ReStart Viper360 – Integrating care across Nottinghamshire

ReStart has been a MIG partner since 2014 and its Viper360® platform is accredited for the Detailed Care Record service. This has enabled users to access GP patient data from EMIS Web and TPP SystmOne practices.

How Viper360 is used across Nottinghamshire

Nottinghamshire Healthcare NHS Foundation Trust provides a range of integrated healthcare services including mental health, substance misuse, intellectual and developmental disability, community healthcare and healthcare in prisons. Many of the Trust’s patients and service users have physical and mental health issues, which require the support of several services.

The Trust is using Viper360 to draw patient data from a variety of Trust sources including the EPR and IAPT systems. The MIG provides the GP data to Viper360, allowing users to view all of the available information about a patient within a single application. This enables clinicians at the point of care to save time and make informed decisions.

Subscribe to receive all the latest news

“Clinicians did not have to waste critical time double entering data. Time was saved not searching for information and decisions about patients were made with all the relevant facts available."

Andrew Haw, Head of Health Informatics, Nottinghamshire Health

How have ReStart benefited from MIG accreditation?

Viper360 is one of 50 applications which have integrated with the MIG. Having completed the MIG accreditation process, ReStart can provide users with an enhanced application which:

  • automatically locates all the available information about a patient
  • consumes multiple feeds of GP data
  • provides additional information such as care plans and ongoing treatments to support decision making.

What’s next?

ReStart are looking to enhance its Detailed Care Record service by enabling the journal Dataset. This will provide users with a timeline view of all coded and texted entries made by the GP in the past year.

Find out more

Take a look at our animation, for more information about becoming a MIG partner.

Recent case studies

Contact us

To find out more about our solutions, get in touch.

Contact us

IKR

Barnsley CCG wins national award for paperless records

Posted on

Barnsley CCG wins national award for paperless records

The Medical Interoperability Gateway (MIG) has helped Barnsley Clinical Commissioning Group and Barnsley Healthcare Federation CIC to win a national award for improved data sharing.

Background

In July 2017, NHS Barnsley CCG and Barnsley Healthcare Federation won the ‘Management and Culture Project of the Year’ category of the Public Sector Paperless Awards.

They have been using the MIG since early 2016 to share GP records electronically. This has helped to provide clinicians with instant access to patient information and has reduced the need for letters and other paper-based correspondence.

The MIG was initially used by iHeart Barnsley and they coordinated the award submission on behalf of the CCG and CIC. Both organisations played a key role in persuading GPs and end user organisations to invest in the MIG and felt that the awards would provide a good opportunity to showcase this project.

Subscribe to receive all the latest news

What did they do?

Barnsley CCG have used the MIG to connect different IT systems across the region including EMIS Web, SystmOne and Adastra.

This means that the 33 GPs across the borough can now share patient information with iHeart Barnsley, South West Yorkshire Partnership NHS Foundation Trust, Barnsley Hospital NHS Foundation Trust, Yorkshire Ambulance Service and Barnsley Hospice.

They have deployed the Detailed Care Record and the Shared Record Viewer to provide primary, secondary and community care staff with access to live patient data 24 hours a day. This has led to more efficient care and a better experience for patients.

How have they benefited from the MIG?

Efficient working

Clinicians can work more efficiently, as they no longer need to contact GP surgeries for patient information.

Secure data sharing

GPs have complete control of how much patient information is shared. The MIG consent model gives explicit consent at the point care and patients can opt-out if they don’t want to share their record.

Improved patient care

The MIG provides clinicians with additional information about a patient. This helps them to make informed decisions faster and benefits the patient, as they don’t need to repeat their medical information to different healthcare staff.

Real-time data

The MIG doesn’t use a data repository, which means clinicians will always have access to most up-to-date information about a patient.

What next?

The CCG is planning to work with Barnsley Metropolitan Borough Council later this year to share patient data with social care organisations.

Find out more

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

Recent case studies

Contact us

To find out more about our solutions, get in touch.

Contact us

IKR

Medway Community Healthcare – Connecting health and social care providers

Posted on

Medway Community Healthcare – Connecting health and social care providers

Healthcare professionals from Medway Community Healthcare are using the Medical Interoperability Gateway (MIG) to securely view GP patient records.

Background

South East Commissioning Support Group (CSU) were commissioned by Medway CGG to manage the implementation of the MIG across Medway Community Healthcare.

By implementing the MIG it has created a secure way of sharing real-time GP patient records between different organisations across Medway.

What did they do?

The MIG was directly integrated into the Adastra system used by GP out of hours services. This was followed by integration with the Adastra Cross Care community system, which is used by community nurses.

How have they benefited?

Subscribe to receive all the latest news

“The MIG fits the bill as it’s a well-rounded product which adds value to the way clinicians work. There is a drive for interoperability and sharing patient records, the MIG delivers this notion.

Real time access to the GP records cuts out past issues, such as security breaches and saves time.”

Anthony Couperthwaite, Project Lead for the South East CSU

Increased requests for patient data

The MIG has been well received by clinicians at Medway Community Healthcare. In the period since the MIG went live in their community systems (01/07/2016 – 31/10/2016), there’s been more than 700 requests for patient data each month. This represents average monthly increase of more than 15% compared to the previous period (01/01/16 31/06/16).

One system of information

By integrating the MIG with their existing clinical system its meant GP patient information can be securely viewed through a single portal. This has made it much quicker and easier for clinicians to access the patient information they need.

Enhanced patient contact

The MIG has helped Medway Community Healthcare to reduce clinical and admin time spent contacting GP surgeries for patient information. Having access to this information in one place has led to enhanced patient care.

Support for district nurses

Patient data provided by the MIG has also been used by district nurses. Using the MIG Detailed Care Record they now access information such as conditions, medications and procedures, which was previously unavailable.

Implementation of the MIG

“Implementation was a straight forward process. With a proactive and reactive implementation team on hand at Healthcare Gateway, we kept the project moving and issues were resolved promptly.”

Anthony Couperthwaite, Project Lead for the South East CSU

Connect health and social care teams in your area

For more information about how we provide you with access to real time patient data, get in touch here.

Recent case studies

Contact us

To find out more about our solutions, get in touch.

Contact us

IKR

Cumbria CCG – Using DCR in pharmacies to improve safety and efficiency

Posted on

Cumbria CCG – Using DCR in pharmacies to improve safety and efficiency

Cumbria CCG are using the Medical Interoperability Gateway (MIG) to share patient information with community pharmacists.

Background

With emergency care services and general practices (GPs) under growing pressure, Cumbria CCG have utilised community pharmacies as a way of supporting the local health economy.

Pharmacists across Cumbria have signed up to the Community Minor Ailment Scheme, which encourages patients with minor ailments to visit their local pharmacy for advice and treatment, instead of their GP.

Patients don’t need an appointment, which means they can receive an immediate consultation. They can visit their pharmacist multiple times about the same ailment and the GP is advised of the outcome of each consultation.

Subscribe to receive all the latest news

As part of the scheme, pharmacies in Barrow in Furness are using GP patient data to prescribe appropriate medication following assessment by a non-medical prescribing pharmacist instead of requiring a GP appointment.

The scheme has been running since May 2015 and is the first project in England to allow pharmacists to legally prescribe with full access to GP information.

How does it work?

The prescribing pharmacies in Barrow in Furness are using the Detailed Care Record and the Shared Record Viewer to access live GP records.

Being able to view patient data such as current and past medication, allergies and test results helps the pharmacist to make an informed decision at the point of care.

Pharmacists are experts in prevention and management of minor ailments and being able to prescribe appropriate medication helps to avoid referral appointments back to the GP.

How have they benefited from the MIG?

Feedback from patients has been extremely positive and the project has demonstrated the benefits of sharing GP information with community healthcare professionals.

Utilising community pharmacies for minor ailments has created additional resources for GP practices and emergency care services to treat patients with more complex care needs.

“Enabling the pharmacist to link together with GP practices is a great step forward; improves the information available about the patient for everyone involved in their care and allows the pharmacist to prescribe medication safely and legally. Working together and sharing information has huge benefits for the patient and GP practices and is the way forward in the future.”

Hazel Smith, NHS Cumbria CCG’s Primary Care Development Lead

"The Community Minor Ailment Scheme has been a huge success here in Ormsgill and has proved very popular with patients. With the support of Murrays I have now been able to complete all the requirements and training of the Non-Medical Prescribing course and can access a patient’s record at their GP practice with their consent. I record the advice given and the products prescribed and this is sent direct to the GP practice so the patients record is updated. I can now supply a wider range of medication than the standard minor ailments service including those only available with a prescription once I have carried out a clinical assessment.”

Gareth Jones, a Pharmacist at Murrays Pharmacy

The service has helped to prevent four A&E admissions, eight visits to out of hours services and 157 GP appointments.

Find out more

For more information and to receive a demonstration on how the MIG could support your organisation, please get in touch here.

Recent case studies

Contact us

To find out more about our solutions, get in touch.

Contact us

IKR

Connected Nottinghamshire – Making the most of shared data

Posted on

Connected Nottinghamshire – Making the most of shared data

Connected Nottinghamshire have used the Medical Interoperability Gateway (MIG) to save time and money across Nottinghamshire.

Background

In 2015 Connected Nottinghamshire wanted to find a way of sharing key information (General Practice records) to manage the treatment of patients with urgent/emergency care needs. 

Nottinghamshire have 146 GPs using a mix of EMIS web and TPP system one. The interim solutions that were in place didn’t meet all of their requirements and having met with us they felt that the Detailed Care Record (DCR) could provide a fully integrated system with clinically-rich patient data.

What did they do?

Rushcliffe Clinical Commissioning Group (CCG), part of Connected Nottinghamshire, were the trailblazers for this project and launched an out of hours service in 12 GPs in the local area. 

Subscribe to receive all the latest news

These services are underpinned by the MIG, to ensure appropriate data sharing and consent were in place and this allowed the duty clinicians to access parts of the patients’ records from each GP.

“Members from Rushcliffe CCG went to Healthcare Gateway and asked them for flexibility around this project, the team were more than accommodating and we were then able to go back to the CCG and satisfy them that this was a safe and robust system to use.”

Andy Evans

Rushcliffe CCG ran local roadshows to engage with GPs and worked with the Local Medical Committee (LMC) at the start of the project.

We used our experience to answer all the questions raised by the LMC and Information Governance about sharing data between organisations. The LMC played an important role in convincing the 12 GPs to use the MIG.

How have they benefited from the MIG?

“The MIG consent model gives explicit consent at the point access meaning the patient can always say no if they are not comfortable sharing their patient record - the MIG is perfect in this scenario.

Clinicians that we first started working with have now become champions of data sharing and use of the MIG for the other areas.”

Andy Evans

By adopting the MIG, Connected Nottinghamshire has received consent to share over 99% of their patient records and has run further road shows in other CCGs around data sharing.

Clinicians who used the MIG said that it had improved patient safety and helped to avoid potential clinical incidents.

It’s estimated that the MIG has helped the Rushcliffe GPs to:

  • prevent at least one hospital admission per month

  • save around two minutes per appointment in across their out of hours service, which equals 32 minutes of daily appointment time, or two extra appointments per day for weekend services. 

 

Admission avoidance

A nurse using the MIG in an out of ours service, said the DCR had prevented an accident and emergency (A&E) incident.

The patient was referred with back pain and had requested a strong pain killer, noting he had run out of his current prescription.

By using the DCR, the nurse practitioner was able to access the patient’s medical record and establish that they’d been prescribed Tramadol from an outpatient appointment until their operation.

Without this information the nurse would have been unwilling to prescribe Tramadol, which could have resulted in the patient attending A&E where the outpatient’s record was held.

Start saving locally

To find out how the MIG could help you make savings in your local healthcare, get in touch here.

Recent case studies

Contact us

To find out more about our solutions, get in touch.

Contact us

IKR

Wigan GP Access Alliance – Using the MIG to improve access to GP services

Posted on

Wigan GP Access Alliance – Using the MIG to improve access to GP services

Wigan Borough GP Access Alliance have used the Detailed Care Record to improve access to GPs in Wigan. This project was live in just three months and is an excellent example of how the Prime Minister’s Challenge Fund was used to improve and extend patient access to services.

Background

On 29 October 2014, GP practices were invited to apply to take part in the second wave of the Prime Minister’s Challenge Fund. In 2015/16 there was £100million of funding available for GPs who could demonstrate how they would use the money to improve and extend patient access to services.  Priority was given to bids that helped GP practices open for longer such as 08.00-20.00, seven days a week.

On the 27 March 2015, NHS England announced that 37 applications, covering 1,417 practices had been selected to lead the way in the second phase, testing innovative ways of increasing access and delivering wider transformational change in general practice.

Wigan GP Access Alliance were successful in their bid for this fund and in just three months they provided extra GP appointments, seven days a week, for the people of Wigan Borough.

Subscribe to receive all the latest news

How does it work?

The 3 GP Federations across Wigan are working to provide the right care at the right time. In each of the extended hour settings, using TPP System One as the patient’s record system, patients can access care on evenings and weekends.

Providing the patient gives explicit consent at the consultation, GPs can have access to any Wigan Patients GP record in real time. This allows them to utilise the successful Wigan SharetoCare programme, which is powered by the Medical Interoperability Gateway (MIG).

“The GP record is seen as the most up to date and clinically rich data available, it is important to have access to this relevant information to assist with consultations and medication prescribing, which MIG provides in real time and in a seamless way.”

Jonathan Kerry, Assistant Director of Technology and Integration, NHS Wigan Borough CCG

What are the benefits?

In July 2015, Wigan went live at two locations, with opening hours of 18.30 – 20.00 Monday to Friday and 10:00 – 16:00 Saturday and Sunday. By providing a central call handling service it means that patients who are unable to get an appointment with their regular GP can easily book an appointment with the extended hours service at a time to suit them.

One patient explained the benefits of the service.

“This service is really helpful; I have been able to make an appointment at 19.00, after work meaning, I didn't have to leave work early. I travel to work with a colleague using a car share scheme, this has not been disrupted as I can book in before work or at the weekend.”

Patient

What’s next?

“Over the coming months we plan to increase the roll out from two to nine locations and there is the is a plan to include more innovative methods of patient access as well as clinics for long term condition reviews, etc.  The existing information available from the MIG will mean that both previous test results and history will be available which is imperative in dealing with long term conditions. The MIG’s ability to share a more discreet or specific data set around long term conditions will come into its own during these reviews.”

Jonathan Kerry, Assistant Director of Technology and Integration, NHS Wigan Borough CCG

Recent case studies

Contact us

To find out more about our solutions, get in touch.

Contact us

IKR

Connected Nottinghamshire – Using the MIG to serve more than 1 million patients.

Posted on

Connected Nottinghamshire – Using the MIG to serve more than 1 million patients.

Connected Nottinghamshire are using the Medical Interoperability Gateway (MIG) to share patient data from all 148 GP practices across Nottinghamshire, regardless of the clinical system used.

Background

With a patient’s explicit permission, clinical healthcare professionals in NEMS CBS Ltd are now provided with real time information about each of their patients.

NEMS CBS Ltd holds contracts to deliver NHS services on behalf of NHS Nottingham City and NHS Nottinghamshire South Clinical Commissioning Groups. They provides a wide range of services for GPs, including out of hours and a local hospital emergency department.  They also work closely with all other local services that deliver urgent care, such as East Midlands Ambulance Service, Social Services Emergency Duty Teams and Mental Health Crisis Teams.

 

How have they benefited?

Subscribe to receive all the latest news

“The MIG provides a real time calling of a detailed care GP record regardless of the practice a patient is from, this enables you to gain a full and accurate history for patients who for whatever reason cannot give this to you themselves, whether it be dementia, learning difficulties or just general poor historians.

The MIG allows for safe prescribing and more informed diagnosis as a patients full history is known. This allows the clinician to make a more informed diagnosis, by seeing what’s a long term on-going problem and what is new today. This also limits unnecessary tests and admissions happening.

The MIG allows clinicians to provide more effective self-care advice if they can see the advice a GP has already given”.

A clinician from NEMS CBS Ltd

Recent case studies

Contact us

To find out more about our solutions, get in touch.

Contact us

IKR

University Hospitals of Morecambe Bay and NHS Lancashire North CCG – Using palliative care data

Posted on

University Hospitals of Morecambe Bay and NHS Lancashire North CCG – Using palliative care data

University Hospitals of Morecambe Bay and NHS Lancashire North CCG are using our End of Life Care Dataset to share patient information between hospitals in the North West.

Background

There’s been a strong history of good palliative care in the North West. The ambition is to provide gold standard end of life care to patients wherever they present but there was a fundamental problem. Necessary information was stuck in the GP record which meant the hospitals weren’t getting the information they needed.

What did we do?

We worked in partnership with the hospital and the CCG to implement the Detailed Care Record (DCR) and Specialist Datasets. They needed to implement the DCR before they could share the Electronic Palliative Care Co-ordination Systems (EPaCCS) record with the hospital.

Subscribe to receive all the latest news

The MIG shows relevant end of life information from the GP practices as a view inside Lorenzo, the hospital’s clinical system. The interoperability the MIG offers means the hospital didn’t have to replace their current software to have access to this information as it was integrated with their current system from the GP records.

How have they benefited?

Tim Reynard, GP clinical lead for Health Informatics at Lancashire North CCG, believes there are three main benefits;

1.    Automatic alerts

The patient’s supportive care record is automatically shown as an alert; if there is one present. As only about 1% of patients coming into hospital have a palliative care record, doctors might not have checked whether one is present as a matter of course.

2.    Delicate handling of sensitive information

Having access to a patient’s preferences enhances the patient experience by making healthcare professionals aware of what end of life care has been decided upon. It can be distressing for patients to repeat what their preferences are.

Also if the patient has deteriorated and is not able to state their preference, there is break glass functionally in the MIG, which means that consent couldn’t be given but a reason for accessing the record can be provided for an audit.

3.    Spend more time with patients

Healthcare professionals having access to the same information for palliative care means that there is less duplication in data entry and will free up staff time to spend more time with patients.

“The nurses and team absolutely love it, it's extremely useful. Having this information available to colleagues undoubtedly empowers the patient.”

Tim Reynard, GP clinical lead for Health Informatics at Lancashire North CCG

What’s next?

The roll out of the project is being led by the palliative care team who will train the other teams in the hospital.

A&E and acute care are using the information at the moment and they want to share the data with other healthcare teams, such as out of hours (OOH).

Recent case studies

Contact us

To find out more about our solutions, get in touch.

Contact us

IKR