SCI-DC Implementation NHS Grampian

transcript

Lorraine UrquhartProject Manager

SCI-DC ImplementationNHS Grampian

AGENDA

Overview of SCISCI-NetworkSCI-ClinicalSCI Integration with Retinal

ScreeningQuestions

SCI-DCSCI-DC - Scottish Care Information –

Diabetes CollaborationWith Diabetes prevalence figures expected

to double by 2015 but resources not doubling, SCI-DC is underpinning regional managed clinical networking for diabetes.

This IT initiative is aiming to support collaboration right across the clinical community – including retinal screening to reduce duplication of effort and minimise costs

What is SCI-DC? SCI-DC Network is a central website bringing

support information and clinical data together from the MCN’s, hospital clinics, general practice, the national patient identifier (CHI) and National Retinal Screening.

The SCI-DC Network website is available to ALL general practices in Scotland regardless of what GP system they use and holds a diabetes register for all practices in Scotland

Principal Concept of SCI-DC

Deliver a shared electronic record for use by all involved in the provision of diabetes care

SCI-DC OverviewOver 700 practices and most diabetes clinics

feed data into SCI-DC Network each nightRemaining GPASS practices will feed-in by

the end of 2005 (permissions dependent)Interfaces for non-GPASS practices will be

available from early next year (nearing completion now as part of Scottish National GP System Accreditation).

SCI-DC Products

Clinical Network Validation database GENIE

The SCI-DC system is a suite of core products

Local Local Clinical Clinical ServerServer

Hospital Clinic

GP Surgery

SCI-DC Clinical

NHS-NETNHS-NET

CHI Lookup

SCI-DC Network Server

Local GPASS Server

Genie Exporter

Genie Importer

Gateway Server

Health Board Area

HEPHEP

Viewable DataViewable Data

SCI-DC Data FlowSCI-DC Data FlowSCI-DC Network

Lets Look at SCI-DC Network

All Boards have a diabetes homepage…

From the homepage, you can login to SCI-DC Network. You can access different

screens & capabilities depending on who you are

http://training.diabetes.scot.nhs.uk/

Lets Look at SCI-DC Clinical

What does SCI-DC contribute to retinal screening?

SCI-DC Network supplies the Siemens call/recall software with the names and details of patients who are eligible for screening for all practices in Scotland.

This list is updated daily dealing automatically with new registrations, patient migration and death.

SCI-DC Network maintains the list of active practices and deals with practice and GP migration

What does SCI-DC contribute to retinal screening?

All practices can maintain the list of eligible patients from the SCI-DC Website.

Regional screening administrators can review statistics regarding which practices have reviewed their patient lists and when

Grading results and retinal images from the National Programme are visible from the SCI-DC Network website

Sample Screens…

A GP sees this screen when logged-in. Notice the Diabetic Retinal Screening link

above…

The website has facilities for managing the eligible screening population and

generating various statistics

This page shows the list of eligible patients, allows you to edit the list and

mark the list as officially checked

This page shows patients who are permanent exclusions from screening –

and why

You can set exclusion criteria and otherwise check and update any patient

including checking (and potentially temporarily overriding) National CHI

details

You can see the full patient record – including screening results and images

Any image ever taken as part of the National Screening Programme will be

available – within practices and hospital / community clinics

An audit page shows you when your list of eligible patients was last checked, by

whom and which patients are overdue for retinal screening

A retinal screening administrator sees this page when they login

The administrator can look at details for any practice in their area

The practice page shows when the list of eligible patients was last checked, by

whom, how many patients are eligible and how many are overdue for screening

There are a variety of regional statistics web pages available to the administrator

A list of all practices and their status

Practices who have never checked their list on-line

Practices that are overdue checking their list (you can set the number of months

since last check)

Practices that have any patients overdue screening – and how many

Thank you

SCI-DC Implementation NHS Grampian

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