CareCentric End of Life
Transcription
CareCentric End of Life
CareCentric End of Life The CareCentric End of Life module is used by health and social care providers working across the NHS, social services and specialist care organisations to co-ordinate care in the last year of a patient’s life. Clinicians, care staff, patients and their carers can jointly plan end of life care, with the security of knowing that up-to-date information, assessments and records are available to authorised users where and whenever they need them. The CareCentric system ensures that multi-disciplinary users are not just presented with the key information they need about the patient, but are also prompted to record on-going information, such as prognosis discussions. CareCentric End of Life: How does it work? CareCentric End of Life is a specialist product built specifically to provide a co-ordinated approach to the delivery of palliative and end of life care services. It works in conjunction with the CareCentric shared care record which is used to provide a detailed electronic health record across a care community. The CareCentric system allows health communities to create an end of life register, it builds a care record for patients in their last year of life and makes it available in real time to authorised users across care settings. The electronic record is available to all approved staff when and where it is needed. Known data such as allergies, current medications and adverse drug reactions are pulled through from local systems automatically and end of life-specific details can be entered once and shared amongst all those involved in the care of that patient. A key feature of CareCentric is that it can be embedded in existing systems. This means that many health and social care users will be able to access the CareCentric end of life record directly from their own computer records. The system works using single sign-on (so there is no need to log in twice) and using patient context (so the corresponding end of life record is called for the patient currently on screen in their own system). This means that a GP using EMIS Web, a hospital doctor using iPM or an out of hours clinician using Adastra, could all call the record directly from their own systems without having to sign on to a new system or re-select the patient. CareCentric connects to most of the major health and social care IT systems being used in the UK. As the end of life approaches, individuals and families must be able to rely on safe, appropriate care that is consistent with their wishes, at any time of day or night and no matter who is providing this care. National End of Life Care Programme Key Features CareCentric End of Life fully interacts with primary care systems and will automatically pull through key clinical data such as demographics, current medications, allergies and adverse drug reactions from GP systems. The system collects end of life data such as: ✔ Diagnosis and prognosis information, including the capture of all discussions with the patient and their relatives ✔ Detail of Gold Service Framework (GSF) meetings ✔ Advanced care planning, persons to be involved in decisions, preferred place of death and other key wishes and extended care planning ✔ DNACPR planning and recorded history of all discussions with patient and/or relatives ✔ Any changes and new information feed immediately through to the record. This gives all authorised users immediate access to up to date and complete records ✔ Ambulance staff and other unscheduled care teams are able to identify people with end of life plans prior to dispatch or intervention through EPAC flags highlighted automatically in the main patient record screen ✔ CareCentric can send automated alerts to specified people and teams for key events ✔ Enables reporting and analysis on the people with end of life plans and on the effectiveness of their management The CareCentric record called from the Adastra out of hours system End of life care helps all those with advanced, progressive, incurable illness to live as well as possible until they die. It enables the supportive and palliative care needs of both patient and family to be identified and met throughout the last phase of life and into bereavement. It includes management of pain and other symptoms and provision of psychological, social, spiritual and practical support. Department of Health (2008) End of Life Care Strategy The Benefits ✔ Promotes a whole-system coordinated approach to the delivery of palliative/end of life care – Reduces unnecessary or inappropriate hospital admissions and unscheduled care ✔ Improves communications between the patient and service providers, including in and out of hours services. This in turn: – Decreases number of interventions by the ambulance services – Makes the patient wishes clear and accessible to all – more patients die in their preferred place of care, less distress for patient and family, reduced complaints ✔ Encourages early identification of patients approaching end of life and empowers patients to have choices regarding their care ✔ Encourages partnership working ✔ Creates an end of life data store which enables accurate audit of costs and effectiveness of service provision ✔ Embedding CareCentric within other operational systems makes it fast and easy to use – Reduces the need for patients to repeat sensitive information – Improves service efficiency – by reducing duplication of data entry, unnecessary data gathering or investigation 2 CareCentric End of Life Call: +44 (0)1908 500 700 | Email: [email protected] | Online: www.graphnethealth.com 3 Data held in the CareCentric End of Life system CareCentric provides a real time register with the ability for the user to view previous updates/versions. All users with the appropriate access controls can enter and share core data. The system supports the national data sets including the following details: ✔ Dates of record creation, reviews and patient consent to add and share data. ✔ Patient demographic details including name, usual address, current address, gender, NHS number and date of birth. ✔ ✔ Contact and access details such as phone number, main spoken language, carer details, nominated family members and how access is gained to the property. Information on the people and teams looking after the patient including GP, key worker, palliative care workers, respite services and other health and social care professionals. ✔ Summary of primary and secondary diagnoses, treatments, complications, progression of treatment, co-morbidity and prognosis. ✔ Completed documentation such as Lasting Power of Attorney, DS1500 disability allowance and Preferred Priorities for Care. ✔ Wishes concerning death including preferred place of death and resuscitation status including details of when discussed and by whom. ✔ Record prior to death where GP has agreed to sign Medical Certificate of Cause of Death/ Statement of Intent documentation. ✔ DS1500 disability living allowance form completed and by whom and when. ✔ Allergies/adverse drug reactions, current medications and doses, use of syringe driver. ✔ Patient and carer awareness of diagnosis/ disease progression/ prognosis. ✔ Contents and location of anticipatory medications. ✔ The CareCentric messaging and portal products are ITK accredited. ✔ CareCentric holds data on more than 17m patients and is used by over 30,000 care professionals. The CareCentric solution and interoperability ✔ CareCentric End of Life is built using the CareCentric product suite from Graphnet. ✔ CareCentric is designed to support the delivery of integrated NHS and local authority care services. It is fully interoperable and builds on existing IT investments by connecting to most of the major health and social care IT systems being used in the UK, including the majority of GP systems. We connect to systems from most care IT suppliers, including: Graphnet Health Ltd Station House Station Road Newport Pagnell MK16 0AG Call: +44 (0)1908 500 700 Email:[email protected] Online:www.graphnethealth.com Graphnet is a Shearwater partner company www.shearwaterhealthcare.com