1. Making the Health System more efficient by improving communication between care levels
Dr. Marta Sanchez Menan
Medical Director, Hospital Universitario Infanta Elena
Valdemoro, Madrid
Good morning....

2. E-consultations: improving communication between care levels
Area of direct influence: Municipalities of Valdemoro, Ciempozuelos, Titulcia, San Martín de la Vega
MAIN INFORMATION
Staff >700
Beds
Operating Rooms
Outpatient examination rooms
Day-stay stations
114,000 inhabitants
Greater knowledge-sharing and learning

3. We do not manage Primary Health Care
E-consultations: improving communication between care levels
HUIE is a privately managed hospital belonging to the network of public hospitals of the Madrid region
We do not manage Primary Health Care
Greater knowledge-sharing and learning
4 Primary Care Centers

4. A new communication tool Based on new technologies
E-consultations: improving communication between care levels
e-consultation
A new communication tool
Based on new technologies
Full integration with the electronic medical record (EMR) system

5. GPs and hospital physicians who: work in different care settings
E-consultations: improving communication between care levels
e-consultation
GPs and hospital physicians who:
work in different care settings
with different medical records between primary care and hospitals,
must coordinate for the sake of CONTINUITY OF CARE and to better the care provided for patients
primary care

6. Objectives: e-consultation Improve communication: agile and fast
E-consultations: improving communication between care levels
e-consultation
Objectives:
Improve communication: agile and fast
Response < 2 working days
Avoids unnecesary hospital referrals
Improves continuity of care;

7. Integration between EMR
E-consultations: improving communication between care levels
e- consultation
Hospital EMR
AP-MADRID Boton for
Integration between EMR
Specialist and Nurse
GP and Nurse
Greater knowledge-sharing and learning
Communication between physicians
Patient-centered
Rapid response

8. Previous E-consultation
E-consultations: improving communication between care levels
Previous
E-consultation
Medical Information integrated in EMR
issues of confidentiality and information security
Telephone and the most used means of communication.
NO Confidenciality
NOT in Electronic Medical Records (EMR)
Greater knowledge-sharing and learning

9. Implemented in 22 specialties and in nursing care
E-consultations: improving communication between care levels
Implemented in 22 specialties and in nursing care
Greater knowledge-sharing and learning

10. E-consultations: improving communication between care levels
e-gastroenterology
Patient has lost 40 kg in a year with diet and excercise. All blood indicators are ok today. Ferritin has reduced from 660 to 305. I will not send him to your clinic but repeat a blood test in 6 months if you agree.
Answer
I completely agree with you; If he remains loosing weight, ferritin will decrease even more.
Greater knowledge-sharing and learning

11. Utilization over the first 7 months since roll-out: 610
E-consultations: improving communication between care levels
Greater knowledge-sharing and learning
Utilization over the first 7 months since roll-out: 610

12. E-consultations: improving communication between care levels
Highest numbers in
Radiodiagnostics: Requests for simple X-ray reports
Geriatrics: Used as a means of communicating with patients living in elderly residences

13. E-consultations: improving communication between care levels
Greater knowledge-sharing and learning

14. E-consultations: improving communication between care levels
CONCLUSIONS
A new tool allowing for rapid communication between physicians
Improves the efficiency of the health system:
No requirement for added resources
Prevents unnecessary trips to the hospital by patients
100% of information recorded in medical records system, thereby ensuring confidentiality and security
Facilitates continuity of care for patients
Greater knowledge-sharing and learning
Number of e-consultations by specialty

15. Thank you for your attention.
Good morning....
Thank you for your attention.