Tag: Specialist Datasets

Devon Partnership Trust to deploy Healthcare Gateway’s new Mayden iaptus (IAPT) Dataset

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Devon Partnership Trust to deploy Healthcare Gateway’s new Mayden iaptus (IAPT) Dataset

Healthcare Gateway are excited to announce that our new psychological therapy dataset has successfully completed testing with our first of type customer, Devon Partnership Trust.

Developed in collaboration with Mayden, the leading digital care record system for Improving Access to Psychological Therapies (IAPT) services, the Mayden iaptus (IAPT) Dataset will, for the first time via the Medical Interoperability Gateway (MIG), provide real-time access to vital information held within psychological therapy services in any system, in any setting.

Improving Access to Psychological Therapy (IAPT) services are accessed by patients for common mental health problems including anxiety, phobias, OCD, and depression. Real-time access to the data from these services aids coordination of care, improves patient experience, increases transparency, and increases clinical efficiency. The new dataset provides Integrated Care Systems (ICSs) the opportunity to level up their digital maturity through data sharing and take the next step towards their interoperability goals.

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Rafael Sorribas, Chief Information Officer, Devon Partnership NHS Trust said:

“There are clear benefits to the citizens of Devon from making this data available for direct care purposes beyond the service. 25,000 patients are seen within our Talkworks service each year, that’s a significant proportion of the population who might need support elsewhere in the system and whose contact with services being known can ensure they receive the personalised support they need as quickly as possible. This is an incredibly positive thing to do, with few others having achieved it for this group of service users, and I am delighted to be part of making this happen here in Devon.”

The Mayden iaptus (IAPT) Dataset enables healthcare professionals to make improved decisions based on current information and reduces crisis impact as it provides information about a patient’s treatment status and their emergency contacts.

Access to this dataset also gives vital time back to clinicians which was previously spent calling up IAPT services and trying to piece together patient information; healthcare professionals are able to avoid unnecessary additional appointments and re-referrals.

Furthermore, patients no longer repeat their stories and healthcare professionals have a holistic understanding of their needs. Mobilising the iaptus data ensures that everyone involved in a patient’s care are better informed to provide the right treatment, support recovery and understand their current and past interactions within IAPT services.

“IAPT services have always been forward thinking in their utilisation of digital and data for the benefit of patients. Through this collaboration with our trusted partners, Healthcare Gateway, we are delighted to be able to support the IAPT dataset to be available to any healthcare setting. This will give real-time access to patient information when it is needed, improving the patient experience and supporting clinicians to provide better care.”

Fiona Dawson, Director at Mayden

The Mayden iaptus (IAPT) Dataset is available in real-time HTML view or JSON structured data and includes seven tabs of data:

  1.  Patient Demographics
  2.  Episodes of Care
  3.  Assessments
  4.  Outcome Questionnaires
  5.  Historic Appointments
  6.  Future Appointments
  7.  Documents and Letters.

“We’re delighted that Devon Partnership Trust have successfully completed testing of the new Mayden iaptus (IAPT) Dataset, and that through this collaboration with Mayden we are now able to provide access to essential data from psychological therapy services as part of our offering. The dataset will not only improve clinical efficiency but will also enhance the patient journey and enable better coordination of care.”

Sarah Dunwell, Head of Projects and Product at Healthcare Gateway

Offering sophisticated and flexible integration technology, the MIG currently connects 5,200 health and social care providers in the UK, sharing a total of 30 million patient records. More are being added all the time including new datasets to improve the health and quality of life of all.

If you would like to find out more about the Mayden iaptus (IAPT) Dataset, or learn how we can help you achieve your interoperability goals, please get in touch with a member of our team.

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Healthcare Gateway and Mayden join forces on new psychological therapy dataset

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Healthcare Gateway and Mayden join forces on new psychological therapy dataset

Healthcare Gateway in collaboration with Mayden, the leading digital care record system for Improving Access to Psychological Therapies (IAPT) are excited to be working together, developing a real-time psychological therapy dataset, to be available via the Medical Interoperability Gateway (MIG) in any system, in any setting.

Vital data held by IAPT service providers is currently missing from many Shared Care Records. Our brand new Mayden iaptus (IAPT) Dataset will, for the first time, provide access to information held within psychological therapy services. These services are accessed by patients for common mental health problems including anxiety, phobias, OCD and depression. This dataset will provide other health and care services and healthcare professionals with a holistic view of patients who access these services whilst under their care.

We’re working with the team at Mayden to develop the Mayden iaptus (IAPT) Dataset alongside Devon and Cornwall Partnership Trust to pilot the dataset which will be available in real-time HTML view or JSON structured data and will include seven tabs of information:

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  1. Patient demographics
  2. Episodes of care
  3. Assessments
  4. Outcome questionnaires
  5. Historic appointments
  6. Future appointments
  7. Documents and letters.

Providing a real-time feed of this data, will create a better co-ordination of care, improve patient experience, increase transparency and increase clinical efficiency, therefore expanding the benefits IAPT already brings to the healthcare system.

Enabling views of this data means that healthcare professionals can improve outcomes for patients by:

  • Helping patient recovery
  • Managing conditions so escalation of care is not needed
  • Informed decisions making
  • Better coordination of care
  • Seamlessly integrating within the consuming system
  • Reducing administration overheads
  • Reducing delays in treatment.

“We’re delighted to be working with Mayden to enable access to essential data from psychological therapy services. The Mayden iaptus (IAPT) Dataset is an exciting extension to our product range and will provide health and social care professionals a comprehensive view of a patient’s medical history, and in turn enable safer, effective high-quality care.”

Liam Hunn, Director of Product Development at Healthcare Gateway

“IAPT services have always been forward thinking in their utilisation of digital and data for the benefit of patients. Through this collaboration with our trusted partners, Healthcare Gateway, we are delighted to be able to support the IAPT dataset to be available to any healthcare setting. This will give real-time access to patient information when it is needed, improving the patient experience and supporting clinicians to provide better care.”

Fiona Dawson, Director at Mayden

Are you ready to discuss your interoperability project?

If you would like to find out more about Mayden iaptus (IAPT) Dataset and how we can help you achieve your interoperability goals, please get in touch with a member of our team.

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Health and care bi-directional data flows across Kent and Medway

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Health and care bi-directional data flows across Kent and Medway

Healthcare Gateway has provided health and care organisations access to real-time patient data for the past 10 years to enable better, more efficient patient care. Bi-directional feeds of real-time patient data supports healthcare professionals to make informed decisions, reducing admin time, resulting in quicker discharge times.

Mental health is a key focus in the NHS long term plan. Interoperability via the MIG narrows the divide between health and care services, helping them to become more joined up and coordinated in the way they provide care.

By working with over 80 partners, Healthcare Gateway are able to mobilise multiple datasets including mental health patient data to provide health professionals, in any health and care setting  access to crucial information. The mental health dataset from Healthcare Gateway provides a real-time view of from Access Rio system and is designed to provide clinicians with a more comprehensive view of a patient’s medical history.

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For a number of years the MIG has provided access to the GP record for clinicians at the Kent and Medway NHS and Social Care Partnership Trust (KMPT), a move that has enabled mental health teams to view the GP record alongside acute data. Today, the bi-directional flow of data via the MIG allows mental health data from KMPT visible direct in primary care systems. Over 70,000 successful MIG service patient record extracts are completed every month in the region. This joined up approach enables 135 GP practices across the Kent and Medway footprint to make informed treatment decisions faster, improve patient safety and support better management of patients in crisis situations.

"Access to this level of patient data is saving GPs across Kent an extraordinary amount of time, freeing up more hours to care for our patients, it’s invaluable.  Accessing the MIG has become an integral part of our day to day work, from knowing if a patient has been discharged from mental health services to when their next appointment is, and the gaps are filled without the patient needing to remember the finer detail. I can now see what mental health teams are planning and clarify that plan with a patient."

Dr Tim Chan, Whitstable Medical Practice, Kent

Dr Chan explained how in the past the lines of communication were paper based.

“I used to spend time dictating letters, now I have the information at my fingertips. Patients’ under mental health care have complex medications that can change frequently I can now verify medications instantly and get the dose right. We can make informed decisions, faster and most importantly it’s clinically safer.”

Dr Tim Chan, Whitstable Medical Practice, Kent

Reciprocally sharing data is joining up health and care across the region, enabling clinicians to deliver seamless patient care. Communication across each setting is improved, overall providing a more positive patient experience as they move through different care pathways.

“MIG technology is scalable, flexible and secure.  This means by collaborating with our trusted partners we can deliver more health and social care datasets which bring real value to a clinician, improving patient outcomes. Sharing data out of GP and returning data back to GP dissolves the silos across health and care, connecting health and care where and when it is needed.”

Liam King, Director of commercial and customer experience, Healthcare Gateway

Offering sophisticated and flexible “integration technology”, the MIG currently connects 4500 health and social care providers within the UK, sharing a total of 30 million patient records. More are being added all the time.

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Connecting live health and social care data across Cumbria

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Connecting live health and social care data across Cumbria

Healthcare professionals across Cumbria are benefiting from bi-directional data flows using technology from Healthcare Gateway.

Since launching in the region in 2011, The Medical Interoperability Gateway (MIG) has provided live information and datasets for health and social care, when they need it. Part of a regional record sharing project, live data is now being viewed by health and social care professionals over 90,000 times per month.

“To provide the best care possible for citizens we (health & social care) need to be able to share the right information in real time to our front line staff. Working with our Adult Social Care colleagues in Cumbria and utilising the MIG functionality has realised the vision of bi-directional real time record sharing and will clearly benefit service users and staff, helping to make us a great place to be cared for and a great place to work.

We now have bi-directional social care data, going from health to social care we provide a view of the core record such as demographics, allergies, medical problems, care plans and end of life datasets. We also have some special patient notes, such as notes for a vulnerable patient, child etc. and we share all that in real time. Social care datasets also come back towards health and we are currently in pilot for this.

The integration with Liquidlogic, the system used for social care services in our area means system data can be joined-up. The MIG provides HTML views from the Liquidlogic Adult content store system as a specified dataset. Real time feeds of social care data include patient demographics, allocated case worker, associated carer, disability, risk type and case details.”

Dr William Lumb, GP Sedbergh and Clinical Lead East integrated Care Community, Clinical Director Integrated Services Care Group, Bay Health & Care Partners
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Enabling feeds of social care data will help frontline staff to understand the full context of a patient’s care and will aid co-ordination between different teams, preventing escalating social care needs.

“The programme of work in Cumbria demonstrates the value of social care data and how it is essential to join up care to provide better patient experience. We are proud to be the first offering this dataset in real time to provide integrated care between the NHS and Local Authorities. At Healthcare Gateway we strive to extend our offering of health and care datasets to support healthcare professionals working more closely and effectively together.”

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

The Liquidlogic Social Care dataset is designed to provide clinicians with a more comprehensive view of a patient’s medical history; offering the following benefits:

  • Better co-ordination of a patient’s care
  • Enables informed treatment decisions
  • Improves patient safety
  • Better management of challenging situations
  • Provides more satisfying clinical encounters
  • Improved data sharing between health and social care

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Palliative patient data that improves care across the Fylde coast

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Palliative patient data that improves care across the Fylde coast

Blackpool Teaching Hospitals NHS Foundation Trust are using the Medical Interoperability Gateway (MIG) to share patient Electronic Palliative Care Coordination System Records (EPaCCs) across a variety of different health and care organisations.

Background

Blackpool Teaching Hospitals NHS Foundation Trust provides a range of acute services to the 330,000 population on the Fylde coast as well as a range of community health services to the 445,000 residents of Blackpool, Fylde, Wyre and North Lancashire.

Previously, healthcare staff had no consistent way of recording and sharing an individuals end of life preferences electronically and relied on a paper-based system. With limited information about care planning, there was an increased risk of unnecessary admission and delays in discharge.

To provide continuity of care to patients, the Trust looked to make it easier for health care professionals to access a patient EPaCCs record electronically. With access to an EPaCCs record, a patient’s preferences and key details about their end of life care could be shared across organisations to improve coordination of care, planning care and anticipation of crisis.

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What did they do?

In 2016 the Trust implemented the MIG’s Detailed Care Record (DCR) and EPaCCs Dataset.  They began by accrediting their in-house system ‘Nexus’ to allow integration with the MIG. This was followed by integrating Adastra used by the Out of Hours services (OOH). With the MIG successfully integrated, the EPaCCs dataset was then available to healthcare professionals as an embedded view in the system they used day to day, by clinicians in accident and emergency (A&E), acute medical unit (AMU), frailty wards and community nurses.

Today, using the MIG the OOH service views vital EPaCCs information as an embedded view in Adastra. On accessing patient records, clinicians are notified by an alert if an EPaCCs record exists and are prompted to view at the point of care.

Reducing unnecessary admissions

This information is also being used to inform The North West Ambulance Service (NWAS) in particular, paramedics.

When a patient or relative calls the 111 service, call handlers can respond efficiently by accessing EPaCCs information. An alert notifies the call handler the patient is under the care of the care coordination service and that an EPaCCs is in place. The patient is then directed to the care coordination team in OOH to receive direct access to a GP.

The benefits of accessing an EPaCCs record

The Trust has found the MIG invaluable. Instant access to real-time patient information supports medical decisions in line with patient wishes.

“EPaCCs has provided a platform for end of life decisions and conversations to be documented and shared in such a way that clinicians in both the community and acute settings can access it. This has meant that patients who might otherwise have faced either a lengthy hospital stay or death in a hospital bed are now much more likely to be cared for and die in their preferred place.”

Victoria Dixon, End of Life Clinical Lead, Community Health Division, Blackpool Teaching Hospitals NHS Foundation Trus

A holistic view of a patient’s medical record and end of life desires is presented in one view, including background information about medications, end of life care status and any prior discussions about the preferences and treatment decisions of the patient, which is crucial to the coordination and delivery of palliative care. This ensures everyone involved in a patients care plan can see their wishes and any care they receive is in line with what they have decided.

In Blackpool the MIG has allowed a patient’s care plan to be followed:

“A patient presented at the Emergency Department (ED) who was in the last days of his life, all the appropriate arrangements were in place to care for him at home and he had an EPaCCS record. Upon arrival in ED the patient was not able to communicate and his wife was too upset to communicate effectively. We were able to access his EPaCCS record and establish that his GP had spoken to him about his preferred place of death and that he wanted to be at home. As a result of this the patient was taken home where he died peacefully in-line with his wishes. Without having access to the MIG, the patient would undoubtedly have been admitted.”

Lorraine Tymon, End of Life Care Facilitator, Blackpool Teaching Hospitals

The creation and accessing the EPaCCs record allowed the patient’s wishes to be fulfilled and enabled the best outcome for both the patient and family.

From a clinician’s point of view, being able to access the EPaCCs record enables clinical staff to make more informed decisions around care and treatment, whilst recognising the patient’s wishes and preferences.

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To find out how your organisation can access the MIG EPaCCs dataset or to arrange an online demonstration, get in touch here.

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MIG data in Connecting Care supports better, safer care across the Bristol Area

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Connecting care in Bristol.

MIG data in Connecting Care supports better, safer care across the Bristol Area

Access to vital GP and community care patient data via the Medical Interoperability Gateway (MIG) is increasing healthcare efficiency and improving care quality for over a million people in Bristol and its surrounding area.

Starting in 2013, the Connecting Care Partnership has brought together a shared care record from across Bristol, North Somerset and South Gloucestershire. Today, it supports 85 GP practices, three community providers, three acute hospitals, a mental health trust and three councils. Connecting Care brings together 20 clinical and social care systems allowing 24 health and care organisations to view the data.

The MIG, from Healthcare Gateway, is a core element of Connecting Care, giving over 6,000 health and care professionals role-based access to primary care and community health records, End of Life Care Plans, clinical letters and correspondence from the three acute hospitals in the region. Presenting information such as patient demographics, medications, diagnoses, prescriptions, warnings and alerts, the MIG’s easily-accessible summary views support faster, more informed care decisions that reduce duplication and mistakes, prevent unnecessary hospital admissions and increase delivery efficiency.

Connecting care in Bristol.
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“Our colleagues in health and the councils now release time to care because they don’t have to search around for information anymore.

Pre-operative assessment used to take around 2.5 hours per person. Now it takes under a minute. Bristol City Council safeguarding team now spend 15% less time dealing with telephone calls from health colleagues with safeguarding concerns about their patients. It also helps reduce hospital admissions if clinical staff can see that there is alternative care in place and unnecessary home visits if staff can see that someone has already been admitted.

The GP and community care data that the MIG supplies is the bedrock of Connecting Care. Over the last six years, we have gradually expanded the number of MIG views and the amount of data we present.

The MIG allows us to display information across health and care settings. GPs and Social Workers can see clinical letters and correspondence including hospital discharge summaries while hospital doctors and consultants can check GP medical histories when caring for new patients. Many GPs like the MIG’s summary view because it is so clear and information is easy to find.”

Fran Draper, Senior Project Manager for the Connecting Care Programme

Out-of-hours GPs were one of the first groups to benefit when Connecting Care went live in 2013. Before that, endless phone calls and letters were the only way to find missing information.

“We had no idea about past prescribing, recent GP visits, safeguarding, no documents, no results, nothing. Without that patient history, extra risk is unavoidable. When Connecting Care became available, it was like the lights going on – it was a massive step forward. You could see that patients had consulted their doctor or that a care plan was in place.”

Dr Mike Taylor, Lead GP at the Homeless Health Service

There is now no need to retake patient histories. Any new information is merged with the existing record. Instant access to GP information, End of Life Care plans and clinical documents reduces out-of-hours workload and enables better quality care.

“During out of hours care in the past, if we couldn’t get through to a patient on the phone, we had to ask the police or fire brigade to knock the door down and make sure patients hadn’t collapsed. Now we can see if they were admitted to hospital and can contact the consultant or GP. Connecting Care has saved me a tremendous amount of time and spared a lot of Bristol’s front doors!”

Dr Mike Taylor, Lead GP at the Homeless Health Service

Since 2016, Connecting Care has been using a Restful FHIR API to transform structured data into messages that display controlled drug and Opioid Substitution Therapy information to substance misuse workers, GPs and other clinical users.

This plugs a gap and helps prevent duplicate prescribing of opiate substitutes like methadone and subutex – avoiding substance misuse, reducing costs and supporting clinical efficiency. Adopting FHIR messaging represents significant progress in Connecting Care’s journey towards open standards.

“Along with allergies, mental health issues and other health conditions, we can see which medication their GP has prescribed which is really effective in avoiding duplicate prescribing. Before, we would be calling the GPs right, left and centre so it’s definitely saved us a lot of time. We help people who haven’t got a GP so MIG data is very useful to find out if they are already registered or not.”

Zehra Tahtakilic, Recovery Support Worker at Bristol Specialist Drug & Alcohol Service

Role-based access to Connecting Care data reveals upcoming outpatient and community appointments. Instant record checking out of hours and at weekends now enables the NHS Blood and Transplant team to safely carry out their important work. At North Bristol Trust, two pharmacy staff who used to spend every day telephoning GPs for medication information have more time to spend on core work.

Connecting Care has more partners contributing and viewing MIG data than any other UK interoperability programme, hitting a new peak of 37,500 user views in May 2019. MIG is supporting Connecting Care’s use of national interoperability standards, structured data and bidirectional data flows. The latter will help support initiatives like personal health records and future care plans where individuals and healthcare users alike can check and update vital data contemporaneously from any setting.

“One of our most valuable additions via MIG has been the GP journal view, which displays consultation notes. The End of Life summary view was the first time that we used structured data from MIG. It’s a great first step to achieving the holy grail of a real-time read / write shared care plan. We and our partners have come a long way together, but there’s still a lot more work to do.”

Fran Draper, Senior Project Manager for the Connecting Care Programme

Offering sophisticated and flexible “integration technology”, the MIG currently connects over 4000 health and social care providers within the UK, sharing a total of 30 million patient records. More are being added all the time.

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

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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.

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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).

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