Rehabilitation Aged and Palliative Care

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Rehabilitation Aged and Palliative Care
ACCESS SERVICE
State wide Forum at E-Referral A step or a leap
forward March 5, 2004 Presenter Judi
McKee Manager ACAS ACCESS
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Business

• Need for Change
• Fragmented approach
• Different processes, practices and systems
• Multiple referral forms
• Lack of standard data forms and formats
• Organisational structure fragment

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• Vision
• One stop shop concept behind ACCESS
• Adopt a business process re-engineering approach
  to better serve client
• In collaboration with PCP for 3Ps
• Standardise referral forms
• Prospect of back-end database integration with
  XML

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What is ACCESS ?
- ACCESS is your one point of contact for all
aged care enquiries
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A
dmission into rehabilitation and aged care
inpatient services
C
ommunity information
C
onsumer and carer support
E
ntry into all RAPCS services
S
ingle, streamlined point of contact
S
pecialist aged care and rehabilitation care
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Who makes up ACCESS ?
- An integrated team of nurses, occupational
therapists, social workers and administration
staff
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ACCESS can refer to these Peninsula Health
service providers
Inpatient Rehabilitation Palliative Care
Falls Service
ACCESS
Continence Clinic
Aged Care Assessment
Carer Respite
Cognitive Dementia and Memory Service
Domiciliary Care
Community Rehabilitation Centres
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Who can call ACCESS ?
Public inquiries
Carers
ACCESS
Self referrals
Family members
District Nurses
Residential living staff
General practitioners
Local government agencies
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• Components
• Multidisciplinary Team
• Co-located
• Dedicated skilled senior clinicians and admin
• Medical and executive support
• Sound Communications
• Service Co-ordination Tool
• Electronic referral system
• Visible information Centre
• One stop shop concept behind ACCESS
• Adopt a business process re-engineering approach
  to better serve client
• In collaboration with PCP for 3Ps
• Standardise referral forms
• Prospect of back-end database integration with
  XML

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• Two E-Referral Initiatives
• Software Development for RAPCS
• GP Engagement Best Practice

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Software Development
for Rehabilitation Aged and
Palliative Care
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• Essential Key Functions
• Effective and efficient
• Access to Service Co-ordination
• Report Data
• Support the consent Process
• Available to other staff
• Individual program requirements
• HL7 links
• Training and support
• Costs

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• Evaluation to Date
• Design and implementation phase?
• Staff Participation and feedback?
• Marketing?
• Costs?

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• GP Engagement and Best Practice PROJECT
• with
• Frankston/Mornington Peninsula
• Primary Care Partnership

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• What is PKI?
• PKI or Public Key Infrastructure
• Is a combination of procedures
• and technology
• Provides security and
• confidentiality for electronic business

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• Project Goal
• To implement an electronic referral system
• using electronic SCTT forms in selected
• agencies to improve service co-ordination

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• Secondary Objectives
• Model and implement a PKI based e-referral
• system
• Learning by Doing approach
• Evaluate e-forms of Service Co-Ordination
• Tool Templates (SCTT)
• Explore IM issues involved
• Evaluate success against expected outcomes
• Evolve best practices for inclusion in PCP
• Protocol Agreement

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• Pilot Participants
• Frankston City Council
• Brotherhood of St Laurence
• Frankston Community Health Services
• Mt Eliza Aged Care Assessment Service
• Langpark Medical Practice
• Frankston Hospital Integrated Care Team
• Aged Psychiatry Assessment Team (Peninsula
• Health)
• Royal District Nursing Services (potential)
• Peninsula Hospice Service (potential)

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• Progress
• Mapping
• PKI digital Certificates
• Training and Support
• Acute Hospital
• E-Referral Protocol
• Testing

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• Benefit
• Improved client outcomes
• Improved customer service
• Improved co-ordination
• Improved data quality
• Cost efficiencies and productivity
• Standardised processes and practices

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What Next?
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Rehabilitation Aged and Palliative Care
ACCESS SERVICE
State wide Forum at E-Referral A step or a leap
forward March 5, 2004 Presenter Judi
McKee Manager ACAS ACCESS