Central Referral Service “Right Care, Right Place, Right Time” General Information Session - 30 th October 2013 Frances Downey Project Coordinator Emma Davies Project Coordinator

Information Session - Overview  Background  Overview of Service  Next Steps  Questions

Project Team Janice ShieldsSenior Project Coordinator Frances DowneyProject Coordinator Emma DaviesProject Coordinator Caitlin HynesSenior Project Officer Bill DarbySenior Project Officer Trish BaldwinCRS Nursing Coordinator

Background  February 2013: MfH, DG and SHEF ORC endorsed the metropolitan CRS for outpatient referral management.  There is a need for a coordinated and sustainable model for outpatient referral management across the system to support patients receiving their care within a clinically appropriate timeframe, in the most appropriate location.

Scope In ScopeOut of Scope All steps of the outpatient referral process from referral generation to site specialty acceptance Hospital site operational processes for management of outpatient waitlists External referrals from General Practitioners and Private Specialists Follow-up outpatient appointments WA Health referrals from rural Specialists Unplanned presentations Referrals for first (initial) doctor-led outpatient appointments WA Health rural outpatient clinics Public metropolitan hospitalsMental Health Services

Key Project Deliverables  Standardised and streamlined referral process, with a single point of entry for external referrals  A metropolitan central referral unit – staffed with a Co-ordinator, CPANs & clerical staff  A policy and supporting business rules  Referral education and support for external referrers and WA Health staff on CRS requirements  Service capability database  ICT solutions that align with existing and planned WA Health applications

Expected Outcomes  Improve information at the point of referral and access for GPs and private referrers  Improve tracking, auditing and reporting of referrals  Improve referral allocation to the most appropriate site, based on postcode and specialty required  Improve completeness of mandatory referral information  Trend away from paper-based systems and expand electronic systems

Central Referral Service: What is it?  Single point of referral entry for all public Doctor-led outpatient services  Receive and allocate external referrals from GPs and Private Specialists  Only referrals to Doctor-led outpatient services  Referrals will be allocated based on postcode, level of service required, specialty required and indicative wait times across the system.

Central Referral Service: What it is NOT…  Not responsible for appointment booking  Will not clinically triage referrals  Will not accept referrals for Allied Health services  Will not manage metropolitan inter-hospital and internal referrals  Is not responsible for referrals for registration onto the ESWL

Referral Pathway

 WA Health templates  Urgent referral process  Acknowledgment to GP at receipt and allocation  Mode of referral delivery  Named referrals  Doctor-led Procedural clinics  Referral not appropriate for site  Clinical triage

Central Referral Service  Will be staffed with:  Nurse Coordinator (recruited)  Clinical Priority Access Nurses (recruitment underway)  Clerical Supervisors  Clerical Staff  Data Analyst  Located in Midland

Service Capability Database  Will detail the referral acceptance and exclusion criteria for each specialty across hospitals  Sites are currently populating templates  Will inform the CPANs in the CRS as to the most appropriate site and specialty to allocate to  Will be able to be updated as required to align with planned area reconfigurations

ICT Requirements  Trend away from paper-based referral methods and increase electronic functionality over time  Interim solution using SharePoint distribution  Utilise eReferrals when available  Enhancements will be made to the GP Website

GP Engagement  Hospital Liaison GP Group  Medicare Locals  GP workshops  Representation on the Project Control Group

Timeline  The Central Referral Service is to be operational in a test environment towards the end of 2013.

Next Steps…  Ongoing consultation with hospital staff, health services and GPs  Endorsement of business rules and policy  Operate service in a test environment  Communication and education to referrers and hospital staff regarding implementation and operational processes  Roll-out to all hospitals early 2014.

More Information   ervice.cfm ervice.cfm  Site workshops November  Hospital site information sessions November/December  Project team happy to meet with any groups/individuals at their request

Questions?