medical informatics
DESCRIPTION
Medical Informatics. The Carryduff Health Practice: Computing System Jenny Cosgrove Conor Boyle Azlin Rahman. The Carryduff Health Centre: An Introduction. EMIS GP Computing System used Devise by doctors in Leeds 18 years ago Installed in the Carryduff Health Centre since 1991. - PowerPoint PPT PresentationTRANSCRIPT
The Carryduff Health Practice: Computing System
Jenny CosgroveConor Boyle
Azlin Rahman
Medical Informatics
The Carryduff Health Centre: An Introduction
EMIS GP Computing System used
Devise by doctors in Leeds 18 years ago
Installed in the Carryduff Health Centre since 1991
The Carryduff Health Centre: An Introduction
Ten minutes drive from Belfast (approx. 8miles away).
Provides healthcare to approximately 8000 people.
Made up of 4 GPs, 1 registrar and 4 supporting staffs.
Fundholding practice
EMIS system: Cost
Installation cost : £13 00075% spent was paid by the NHS to
encourage the use of computers among GP practices
System updates itself constantly and automatically- no cost for updating
Benefits outweigh costs.
Security
System is password protectedEach staff member at surgery has
own username and passwordBlank screen after 2 minutesComputer closes down to password
screenBuilt in virus checker
Security
Daily back-upA copy is kept at the surgery in a
fire-proof safeA further copy is kept off-site
The EMIS system hosts a huge amount of features accommodating a major amount of the practice’s needs.
Features used during consultations include;
appointment detailspatients recordsprescriptions
EMIS system: Features
EMIS Features: Appointments
All appointments entered on to system (no longer a need for an appointment book)
System details; Arrival time of patientLength of wait of
patientLength of consultation
EMIS Features: Patients Records
Surgery is now completely converted from paper to paperless
Notes typed during or after consultation on computer. (Can be slow)
Practice is ‘dabbling’ in voice consultations
EMIS Features: Prescriptions
All prescriptions, entered, stored and printed from computers
System details;DoseUsagePrescription details of drug prescribed.
EMIS Features: Prescriptions
In new prescriptions, system;Checks patients recordsWarns doctorOffers dosage listDisplays costUpdates records
EMIS Features: Programs
Mentor plus programBasically a medical
text book on computer which holds;
Consultation videosOnline advice
leafletsGeneral information
Prodigy program is a further program detailing;
Treatment procedures
AdviceContactsAids to diagnosis
EMIS Features: Additional
Lab results sent through secure line from Belfast City Hospital
Display screen attached to computer in waiting room
System also holds referrals, budget and accounts information
Advantages and Disadvantages
Computerisation within health care has many advantages, although it also introduces new problems and risks
Advantages
Possibility to improve security of data Passwords
LogonScreen saverAutomatic logout
Encryption Hard disk locks Only doctor need see records Audit trail
Advantages
Possibility to improve integrity of data All records related to patient are updated
when just one record is changed e.G. Name Certain fields may be obligatory before a
record can be saved e.G. NHS numberRepeat prescriptions can be easily issuedPatients in specific disease groups can be
isolated - helps in audit and drug trials
Advantages
Decision support systems - may improve care and accuracy of diagnosis - prodigy
Online reference media Enables doctors to quickly check information
about certain conditions - up to date May be used to help educate the patient about
their diseaseMay actually speed up some consultations
Advantages
Waiting times in GP surgery can be assessed to determine efficiency of appointment times
Generally saves time and effort although there is not much difference in cost due to the high price of equipment and need for constant updates
Disadvantages
If correct security measures are not taken then risk may increase
Contingency measures may not have been fully developed so problems may arise in event of system failure
Disadvantages
Entry of notes may be slow if the user has not enough experience
Hospital letters are received in hardcopy and so must be typed or scanned (unreliable and time consuming) back into the computer
TrainingAttention may be drawn away from
patient
EMIS system:Training
Self taughtOne to two days training sessions
Training in Windows