1. Herding Cats Paul Green

2. What Is This About? Promoting consistent and high quality information recording across general practice in Grampian. Making it easier for clinicians to do the right thing!

3. What Have We Done? Grampian GPASS practices move to Vision agreed in 2005/6 2006 First wave of 6 practices change to Vision 2007-8 Rest of Grampian GPASS practices move to Vision 95% Grampian Practices on Vision

4. Lessons From Pilot Pilot very successful Transfer of information was very smooth Training “Basic” Concentrated on IT and not IM Practices not getting most out of system No direction

5. Rigorous Standardisation! Why?  Vision Complex :- 10 Priority Levels SDAs Ease of coding………TOO EASY!  GP to GP transfer of records  Aggregation of information Contract Emergency and Palliative Care Summaries Research/Audit  Data Quality DES Section 2 Develop and implement a protocol for ensuring high quality management of electronic data recording Have in place procedures which encourage the use of SCIMP recommended Read Codes across all members of the primary care team

6. The Solution Create a set of screens (guidelines)  Viewing existing information  Inputting new information  Links to guidelines/leaflets etc  Easy to create, difficult to create well! Put into practices as migrated to Vision Backed up by educational program

7. Advantages Single area for  Viewing existing information  Inputting new information Consistency of data gathering and handling  Consistent Read Coding  Consistent priority use  Data goes to right areas SDAs

8. Work So Far “Consultation” screens  GPs  Nurses  Receptionists SCIMP codes Clinical Information / Leaflets Disease screens  Substance Misuse  DMARDs  Heart Failure  Diabetes  CHD

9. The Screens

10. Has It Worked? Evaluation  85% of practices have downloaded screens  90% of clinicians within those practices are using the screens

11. The Future Why stop at Grampian?  Don’t reinvent the wheel!  Turn these into SCIMP screens for Scotland? If moving to Vision, do this at the outset.

12. Questions? paul.green@nhs.net