3. E-Referral 2003

4. the good old days …

5. WMR e-Business Project Purpose To support the implementation of Service Coordination through the development and uptake of relevant online business tools for the member agencies of Western Metropolitan Region Primary Care Partnerships

6. WMR e-Referral & Service Directory AIM: To improve access to information about services available, and to roll-out a secure referral system for community based agencies KEY OBJECTIVE: the development of a regional electronic service directory that: improves information access supports best referral practices supports an electronic referral system

7. How it works – Sharikatkoo & Connectingcare.com

12. What has it meant to my agency Regional eReferral & Service Directory A common language across agencies Common expectations for practitioners A tool for changing practice An incentive for partnering Early signs of benefits

13. How did we get here ? WMR Key Stakeholders involved WMR culture & history of collaboration Leadership & early commitment = a regional approach Attracted funding to undertake significant PPPS work (WMR Best Practice Manual)

14. Receiving eReferralRegistering /Proposed

15. Receiving Agencies at January 2004 Doutta Galla CHS – HACC and Primary Health, HARP Djerriwarrh CHS ISIS PC CHS – Linkages & ABI (HACC and PH 2004) Wyndham City Council Brimbank City Council Melton Shire Council Hobsons Bay Council Maribyrnong City Council Moonee Valley City Council Melbourne City Council (implementing 2004) Western Region Community Health Service – HACC & Primary Health Western ACAS (Sunshine Hospital – Western Health) North West ACAS (MECRS – Melbourne Health) Essendon RDNS (receive only) Altona RDNS (receive only) Sunshine RDNS (receive only) Westcare GP clinic Melton (10 General Practitioners)

16. the Vision

17. The big picture benefits ICT can increase productivity, improve processes & support strategic positioning –Not a simple task –ROI in a tight fiscal environment –Shorter business & technology cycles Productivity –(~ 2 – 5% increase at agency level) –1.66% GDP ($B10.6) 1.26% labour productivity Transformation (capacity & culture) From NOIE Ovum Report – Productivity in ICT in Australia 2003

18. the Reality

19. Service Directory – Search & Refer or Securely Send Services available in selected region (by service type) Keyword search for Provider or Service Select a Provider and jump directly to referral Direct access to Providers home pages Send files securely attached to an email Referral Protocol (aka Cheat Sheet)

20. Service Directory – Provider Details

21. Service Directory – Provider Details (cont)

22. Service Directory – Service Details

23. Service Directory – Service Details (cont)

24. Electronic Referral Login

25. Electronic Referral

26. Electronic Referral (cont)

27. Electronic Referral – Consumer Consent

28. Electronic Referral – Profiles

29. Electronic Referral – Final Screen

30. e-Referral Model (secure email) Agency A Has Internet connection Can send referrals Not PKI registered Cannot receive referrals Agency B PKI registered Can send referrals Can receive referrals Connectingcare.com Web Server Holds PKI Public Keys for registered agencies Agency A sends referrals through Connectingcare Agency B sends and receives referrals through Connectingcare

31. Work ongoing …

37. Anecdotal responses indicate… Dietetics CHS about twice the time is available to the specialist assessment and therapeutic intervention in the initial assessment Aged LGA saving more than one hour a week when sending referrals (with CMS generating SCTT), and saving up to 10-15 minutes per re- assessment visit Podiatry CHS having time for an additional client appointment each day (changed intake and registration process, with a dedicated intake worker)

38. WMR eBusiness Project A proven system, working today Relatively cheap & low risk Best fit Statewide & Commonwealth directions Early benefits starting to be seen Innovative use of PKI Usability Ongoing Agency commitment System offers Acute and PAC referral ‘targets’

39. E-Referral 2004 …