Tag: Emergency care

Join us at Digital Health Rewired 2021, 15-19 March

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Join us at Digital Health Rewired 2021, 15-19 March

Healthcare Gateway is exhibiting at Digital Health Rewired 2021, 15-19 March, where some of the biggest names in health IT will offer inspiration and insights into tackling current and future challenges of digital and data as the response to the worldwide pandemic continues to play out. 

Our team will be on hand at our virtual booth with a warm welcome and to guide you on your journey to interoperability and improved patient care pathways!

Rewired 2021 will be a five-day virtual festival celebrating the best of digital health. All sessions will be CPD-accredited. The exciting programme features over 300+ speakers across the five days and 11 festival events, including: 

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  • Matthew Gould, CEO, NHSX
  • Sarah Wilkinson, CEO, NHS Digital
  • Dr Navina Evans, CEO, Health Education England
  • Simon Eccles, Deputy CEO, NHSX
  • Sonia Patel, CIO, NHSX
  • Russell Branzell, CEO, CHIME
  • Chris Hopson, CEO of NHS Providers
  • Daniel West, CDIO at Northern Ireland Department of Health
  • Richard Corbridge, CIO at Boots
  • Sam Allen, CEO of Sussex Partnership NHS FT who is also Chair, Health & Care Women’s Leaders Network
  • Prof Joe Harrison, CEO of Milton Keynes Hospital NHS FT
  • Joe Rafferty, CEO of Mersey Care NHS FT
  • Dr Owen Williams, CEO of Calderdale and Huddersfield NHS FT
  • Dr Shera Chok, National Clinical Advisor, NHS England and NHS Improvement; and founder of The Shuri Network
  • Ryan Smith, CIO & VP, Intermountain Healthcare
  • Sarah Newcombe, CNIO, Great Ormond Street Hospital
  • Shankar Sridharan, CCIO, Great Ormond Street Hospital
  • Caroline Cake, CEO, Health Data Research UK
  • Ming Tang, National Director, Data and Analytics for NHS England and NHS Improvement

If you are looking for a flavour of why Rewired 2021 is the must-attend UK digital health event of the year, then why not watch the event trailer here.

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Grow your network

In-between the Rewired programme’s exciting keynotes, video case studies, Pitchfest competition heats, lightning talks and interactive workshops, you can connect with colleagues across the digital health community. Access 3,000+ attendees via the event-app, video chat with fellow delegates and take part in a lively social programme. 

Attendance is free for the NHS. You can register here. Follow updates via #DHRewired21

Our booth

Join us at our booth where we will offer insights into:

  • How to implement a successful Shared Care Record by the September deadline.
  • How we can help you achieve your interoperability aims through our end to end fully managed service, from data governance guidance to technical support and service-led engagement.
  • Using the MIG to access real time patient data, saving resources and optimising patient care.
  • How our solutions can be tailored to the needs of your clinicians and patients.

Get in touch

In the meantime, get in touch with us and take a look at our latest case studies.

Rewired prize draw information:

As part of the Rewired event, we are doing a prize draw where you could win a FitBit. Please see the T&Cs here:
Read the T&Cs here

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West Midlands Ambulance Service share patient data to improve emergency care

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West Midlands Ambulance Service share patient data to improve emergency care

West Midlands Ambulance Service (WMAS) are using the Medical Interoperability Gateway (MIG) to access valuable patient information to provide effective, efficient care to patients, to improve the delivery of emergency care across the region.

Background

As the region’s emergency ambulance service, West Midlands Ambulance Service (WMAS) responds to 4,000 999 calls every day, dealing with a wide range of emergencies from patients who require critical care to non-emergency patient transport services, transporting patients who require non-emergency transfers to and from hospital and are unable to travel unaided due to their medical condition.

In the past, emergency room staff and ambulance crews did not have access to detailed patient information, and the control room only had access to basic information through the Summary Care Record (SCR). Integration of the MIG into ambulance service systems, 111 urgent care using Adastra and 999 emergency service using Cleric has given their control room professionals and paramedics access to real-time patient data 24/7.

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Healthcare Gateway have worked with WMAS to join up large geographies of patient data across from Sandwell and West Birmingham CCG and Birmingham and Solihull CCG via You Care Connected programme and further connecting Coventry, Rugby and North Warwickshire CCG. Joining up the localities ensures healthcare professionals have vital information at the point of care for a wider demographic of patients.

What did they do?

WMAS adopted the MIG’s Detailed Care Record (DCR) and Supportive Care Dataset   providing a wide range of primary care information integrating the information direct into Your Care Connected (Birmingham). This has allowed their emergency service call handlers to immediately access patient information for any member of the public calling 999 and 111 in their native systems.

Phil Collins, Head of IM&T for West Midlands Ambulance Service, was delighted at how Healthcare Gateway handled the implementation process.

“Project managers clearly knew the steps that were required to achieve implementation. While that sounds obvious, sadly it has not been the same with all suppliers.”

Phil Collins, Head of IM&T for West Midlands Ambulance Service

With MIG service implemented healthcare professionals at WMAS are now provided with a richer view of a patient’s medical record to support them assessing an individual on the phone, which is helping to save time and improve the delivery of service.

What are the benefits?

During the last six months usage of the MIG in their native system Cleric has more than doubled. WMAS has seen a better triage of patients’ needs through both 999 emergency care and 111 urgent care services which has helped:

  • reduce the need for ambulatory call outs
  • reduce the referral to hospital back to GP
  • access to out of area patient records
  • enable supportive care, in line patient wishes.

Get in touch

Get in touch for more information or to receive a demonstration on how the MIG could support your trust. 

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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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East Midlands Ambulance Service – Sharing patient data to enhance emergency care

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East Midlands Ambulance Service

East Midlands Ambulance Service – Sharing patient data to enhance emergency care

East Midlands Ambulance Service (EMAS) are using the Medical Interoperability Gateway (MIG) to access valuable patient information.

Background

We’ve worked with Connected Nottinghamshire since 2015, to improve patient care across Nottinghamshire.

Using the MIG they’ve connected a wide range of different health and social care organisations across the county to share real time patient information.

Most recently we worked with them to provide EMAS with access to the MIG.

EMAS deal with a wide range of emergencies each day from patients who require critical care. Their clinical assessment team (CAT) consists of paramedics and nurses who work in the emergency operations centres.

The CAT carry out enhanced clinical assessments for patients who’ve dialled 999 but didn’t meet the requirements for an emergency ambulance.

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What did they do?

We used the Shared Record Viewer to provide EMAS with a wide range of primary care information.
In doing so, this allowed clinicians in their emergency operation centres to immediately access information about those who had called the service.

This meant they had more information to clinically assess the individual, which helped to save time and improve the delivery of service.

How have they benefited from the MIG?

“Being able to access real-time information from the MIG is crucial for emergency care services. With the volume of emergency calls received each day, the CAT need all the information they can gather about a patient to advise them on the most appropriate care pathway. Having this information at their fingertips makes it easier for them to provide an accurate and timely response to a medical emergency.”

Neil Spencer, Service Improvement Manager for EMAS

What next?

EMAS paramedics will pilot the MIG as a way of accessing patient’s records on their Toughbook devices.

The patient’s NHS number will be the common identifier and used to transfer information between departments in EMAS. This will help staff to access to access important patient information from SystmOne GP practices.

Enabling paramedic crews to access patient information through the MIG will make it easier and quicker for them to make informed emergency decisions. It will also help them to choose the best care pathway for the patient.

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Connected Nottinghamshire – Making the most of shared data

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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. 

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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.

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

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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?

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“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

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Oxfordshire CCG – Safer, more efficient care with the MIG

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Oxfordshire CCG – Safer, more efficient care with the MIG

Acute and urgent care clinicians across Oxfordshire are using the Medical Interoperability Gateway (MIG) to provide safer, more efficient care to over 1,000 patients a month.

Nearly 250 staff, from A&E doctors to out of hours GPs and hospital pharmacists are now able to view real-time GP patient record through the MIG.

Twelve months after going live with the Oxfordshire Care Summary project, an overwhelming 96% of users* said it is helping them to give safer, speedier care. 80% have also reported better clinical outcomes for patients.

How have they benefited?

The MIG has provided them with important information which includes recent medical history, test results, current drugs and allergies. This has allowed them to make faster, better treatment decisions and cut down on phone calls and paper administration.

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“The MIG has revolutionised the way pharmacists work on the wards. We are saving a huge amount of time when patients are admitted, because we have access to the information we need within seconds. Before, it took up to 15 minutes per patient to get information by phone and fax. Now, for example, we can check an unconscious patient’s allergy status in seconds, and ensure they are not prescribed inappropriate drugs at a critical part of the treatment. It means safer, better care leading to speedier discharge, and less chance of readmission due to adverse drug reactions.”

Paul Devenish, Pharmacy Clinical Services Manager at Oxford University Hospitals NHS Trust

The MIG has also helped junior hospital doctors  who take the majority of patient drug histories on admission. They can make more accurate records and draw up safer, more tailored treatment protocols. Pharmacists were able to make savings on drugs because they were better able to assess what medication is needed on discharge to the GP’s care.

Maggie Lay, Clinical Transformation lead at NHS Central Southern Commissioning Support Unit said the MIG was ‘extraordinarily useful’ for clinicians caring for long term conditions.

“Our diabetic consultant in particular is finding that he has far more relevant information on patients referred by their GP. On some occasions he has been able to stop the prescribing of an inappropriate drug. The big advantage of the MIG is that it is real time data, when it’s needed, and where it’s needed.”

Maggie Lay, Clinical Transformation lead at NHS Central Southern Commissioning Support Unit

What next?

“As a commissioner, I am excited about the possibility of setting up integrated care teams of community, social care, acute and emergency staff who will be able to consult shared patient records and care plans via the MIG. We hope that eventually patients will be able to access their records too and become involved in self-care.  Besides being better coordinated, this will bring significant economic benefits for healthcare in Oxfordshire.”

Dr Paul Park, GP and Chief Clinical Information Officer for Oxfordshire Clinical Commissioning Group

*Survey of 77 MIG users carried out by NHS Central Southern Commissioning Support Unit in February and March 2014

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