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Department of Health Library Services ePublications - Historical Collection

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Please note: this document is part of the Historical Collection and the information contained within may be out of date.

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Northern Territory Department of Health Library Services Historical Collection

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SPECIAL INFORMATION BULLETIN forreportingprogressonTHS CASEMIXCLINICALAND RESOURCE MANAGEMENT PROJECT AND INFORMATION TECHNOLOGY STRATEGY.

HOSPITAL INFORMATION SYSTEM PROJECT

INTRODUCING CARESYS -

A NEW ERA IN THS HOSPITAL INFORMATION SYSTEMS

JUNE'S EDITION

of this

Special Bulletin includes progress

on ....

.... HOSPITAL CLINICAL &

PATIENT INFORMATION SYSTEMS

.... CLINICAL INITIATIVES .... DISCHARGE

SUMMARIES .... COMMUNITY CARE INFO SYSTEM PROJECT

.... MARKETING &

EDUCATION

The new look CareSys incorporates a Windows environment and personal computer capabilities.

Each operational area has their own set of

"Quick Pads" and can perform their business functions by simply clicking on the desired button on the "Quick Pad". You can now throw away those code books! CareSys provides "browse" capability which allows you to select codes by simple point and click. Additional to this is the functionality of the personal computer giving you access to word processing, spreadsheets, cc:Mail and other health systems (ANSOS, Pathology, PIPS, GAS) . .... Cont page 2

~-~ .'1:

.. Pg3 .,.Pg4

UPDATES •.•• UPDATES •••• U P ·D ATES

.... cont fro• pag• 1

WHAT'S NEW IN CARESYS I WHAT'S CHANGED

• New maternity module incorporating antceata1 and birthing information.

• New medical imaging module.

• Enhanced infection control functions.

• Results reporting capabilities.

• Increased search capabilities for locating patients (Medicare number, aboriginal name phonetic search).

• Detailed information for Patient Costing.

CARESYS HOSPITAL AND CLINICAL INFORMATION SYSTEMS MODEL Central Hospital System Modules

External Interfacing Systems

Integrated Systems

CareSys is a comprehensive clinical and patient administration information system that records and makes

available all NT public hospital patient information from hospitals Territory wide. This is achieved by a unique patient identifier that provides a clinical history of patient information for all hospital visits (in-patient and outpatient episodes). The unique Patient Identifier allows information from other systems to be accessed and included as part of a patients clinical history.

WHAT'S COMING IN CARESYS AITER JULY 1996

ORDER ENT.RY AND REsULT8

REPoRTING (Dec 1996) -this is a new module which takes orders from the ward or unit and relays them to the appropriate area providing the service.

2

Results are transmitted back, where applicable. Typically orders arc generated for laboratory tests, drugs from pharmacy, medical imaging, meals and material items. Items ordered for the patient may be ordered online directly by the clinician or may be entered into the system by ward staff.

OUTPATIENTS APPOINTMENT Sclm>ULING (June 1997) • this is an upgraded module with the latest in improved Windows interfaces, it enables coordination of patient appointments acr<>ss all hospital service areas e.g. clinics,

physiotherapy and other allied health areas. Details of patient visits arc also maintained.

EMERGENCY DEPARTMENT SYSTEM (Dec 1996) ·this is an upgraded

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module with the latest in improved Windows interfaces that helps busy patient flows through the Emergency Department, recording patient location and status (e.g not yet seen by a doctor), and linking to other modules to enable orders to be carried out, or the patient to be admitted as an inpatient.

Dl8CHARGE SUMMARIES (June 1997) • this is currently a pilot project to trial computer generated discharge summaries and improved timeliness and quality of data available during ti.c discharge process. If this trail is

successful. phase 2 (next year), it will focus on improving the presentation and content of discharge summaries.

Phase 3 will focus on automating diltribution within confidentiality gWdelines. .. .. Cont page 3

voa44 JS

UPDATES •••• UPDATES •••• UPDATES

.... cont/rotll pag• 1

THE CLINICAL BENEFITS OF USING CARESYS Medical Centres Hospitals Outpatient Clinics

( ~ Beds

Operating Theatre Wards

• User friendly oobanad ease of use. • Faster conununication of requests.

+

Accurate and timely capture of patient data at the point of care.

• Consistency in practice.

+

Faster turnaround of results.

• Patient and care provider focussed systems. • Easier access to patient information.

• A system which supports changing work practices.

• Reductions in clerical activity.

• Dramatically improved patient and management information for decision making.

• Information available for case notes, research data, quality assurance.

( HOSPITAL INFORMATION SYSTEM USER GROUPS.

This project is now in the final stages of implementation. The new

system CARESYS has been through very rigorous acceptance testing by the project team and key users. The system has now been accepted by Territory Health Services for implementation on July I 1996.

Training for users commences as follows:

Details of training sessions are available through the IT Training Unit.

Installation of Universal

Workstatioos for

ms

users will be complete by the 21June1996. Old

ms

^{tenninals that} are still in place will be removed before the end of July in consultation with worlc area Managers.

reloading it into the new system. To ensure that the data is kept colisistent in the change over period, the system will only be available for query access for a period of time (any updates to data or entry of new data will not be possible. Best estimates to date indicate that this period will be around 23 hours over a weekend.

RDH- ASH - KH - TCH - GDH-

The project team will be sending out advice to all users regarding 3 June 1996 The move from Medilinc to CareSys manual procedures to be used during 3 June 1996 involves the conversion of all current this period and the exact dates and 17 June 1996 information stored in Medilinc into times for the outage. It will be 17 June 1996 CareSys. This process involves scheduled to cause as little disruption 16 June 1996 . unloading all data and as possible.

The project team would like to thank all users for their interest and input to this project. If you have any queries, please do not hesitate to phone CORALIE CmusTIE • PROJECT MANAGER on 89997482 or JAN ROBBINS - HOSPITAL

SYSTEM MANAGER on 89992973.

3

UPDATES •••• UPDATES .••• UPDATES COMMUNITY CARE,INFOdiATION'''SYSTEM PROJECT UPDATE

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ANNE HARRIES- SYSIBMMANAGERCOMMUNITY CARE on 89992718 , ''

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HOSPITAL CASEMIX C·O-ORDINATORS

ROYAL DARWIN HOSPITAL

1. The installation and upgrading of PCs by the contractor Digital for the Caresys information system is proceeding · without any reported difficulties. It is anticipated that a total of 130 new units and 40 upgrades will be in place by close of business Friday 31 May 1996 leaving only five to be completed for Accident & Emergency. It is planned to finalise this department by COB 7 June 1996.

2. The consulting firm Deloitte Touche Tohmatsu have shown considerable interest in the impact of the funding model on Territory hospitals. The Casemix Analyst has been providing them with information from the model which is being compared to other States with the results to be be returned to ROH.

3. The Implementation Committee is to consider a number of important issues at its next meeting including Dr Pet.er Georgius' report "Clinical Information Technology" and also the First National Report on Health Sector

Performance Indicators. ·

.f. With the implementation of output based funding through the Hospital Funding Model discussions are continuing with Gove District Hospital and Katherine Hospital concerning Performance Agreements and the need to ensure that costs are appropriately matched with reported activity levels.

ROH continues to identify further need for input from the Marketing and Education Co-Ordinators on Casemix

related issues. The Allied Health Professionals have recently expressed interest in the funding and budget mechanism as it relates to the Hospital Funding Model.

Should any staff or work groups require information or a presentation would they please contact the Casemix Co- ordinator (telephone 28 758) in the first instance.

5. The issue of ROH providing services and suppon to affiliated facilities outside of its core activities is a concern to management. Accordingly, it is intended to establish a cap on these costs by holding organisations to

·an agreed expenditure level based on historic activity and expenditure levels. ~ example of this type of service is the provision of pathology testing for the Menzies School of Health Research and the Australian Red Cross Blood Transfusion Service.

6. The implementation of the Patient Costing System is moving steadily forward with the installation of hardware and software by NCOM A series of meetings have commenced to discuss the provision of significant clinical information and the feeder systems within ROH . Stewart McDermid, Casemix Business Analyst and Mark Hooper, McDonnell Information Systems, have so far sought input from Pathology, Radiology, and Pharmacy and expect to liaise with many other areas in the coming weeks.

L:EN

Scorr -

C~EMJX Co-OIIDINATOR on 89228758

HOSPITAL CASEMIX CO-ORDINATORS

AUCE SPRINGS HOSPITAL

-The Business Team are busier than ever as they work to the tight timelines in the development of the Hospital Perfonnance Agreement.

The PC basic training program has been well utilised by most staff groups, and a further needs analysis has been conducted for Medical Officers with a strategy for training to be developed on the basis of results.

The Discharge Summary sub-group has commenced a trial of a new process with the aim of improving the dissemination of discharge sununary information.

We are exploring various ways to facilitate the ( dentification and recording of change in patient

dependency from acute to non acute. ASH does not have a Rehabilitation or Step Down ward as such, and has a number of inpatients whose Length of Stay (LOS) is beyond the high trim point.

(

KuriaNemba

The Surgical/Orthopaedic medical officers are

enthusiastic about participating in a pilot for Computer Generated Discharge Sununaries possibly to commence in July 1996. Karen Weston, Project Officer IIlS PMI Review Cull & Archive Project, is oversighting the pilots in RDH and ASH and Dr Charles Butcher and Dr Alan Jones are to be the local 'drivers'.

In early May, Kay Cook and Jan Marlborough presented many educational programs to a variety of staff throughout the hospital. A program was

organised for the Focus Group representatives who will assist me through the implementation phase. These staff will become resource people in their areas and assist staff in the understanding of the Casemix projects.

BRONWYN TAYLOR-CASEMIX Co-ORDINATOR on 89517727 or 8951777 and PAGE

L to R: Col Penley, Rose Moody, Emily Takotohiwi, David Cooper Melissa Brown and Marg Griffiths

L to R: Carol Barnes, Kay Atfield, Angie Wilson, Alison Pyper, Julianne Clift; Fran Vaughan,

(front) Jenny MacLean and Irene McKenzie

5

HOSPITAL CASEMIX CO-ORDINATORS

KATHERINE HOSPITAL

The month of May has proven to be a month of high C.asemix activity at Katherine ~tal with the following events taking place:-

• The installation and acceptance testing of CARESYS commenced on 6 May 1996.

• The installation of PCs and printers to all wards and departments in readiness for the introduction of CARESYS.

• Key users have been identified and have had sessions viewing the new screens on CARESYS.

• Training for Key Users and staff in general will commence on 17 June 1996 for a two week period.

• During 15-17 May 1996 staff in all departments throughout the Hospital enjoyed Casemix Workshops

presented by Jan Marlborough and Kay Cook. These ICSlions were stroctured to meet the requirements of each specific ama, feedback from staff was positive with staff having the opportunity to express their queries and concerns.

• Stewart McDermid, Casemix Business Analyst visited Katherine Hospital and presented a two day Workshop

on COSMOS on 16 cl 17 May with Karen Pemer, Business Manager, Warren Collins, Administration Manager and Heather Grave, Casemix Co-Ordinator.

• Work is currently ^taking place on structuring the contents of the Performance Agreement

HEATHER GRAVE on 89739233

GOVE DISTRICT HOSPITAL

GDH bas bad a very successful visit from Jan Marlborough and Kay Cook. Training sessions were held over three days and the attendance was fantastic with over 94 staff from all

u.. ... ;plines and programs attending. A more indepth follow

up for the focus group to be held in approximately four weeks.

Dr Will Allport and I attended the Performance Agreement workshop in Darwin and we are now in the process of completing this document. This entails budget allocations.

predicting the patient activity and output levels, quality of care targets, access to care targets, reporting. monitoring and auditing requirements for GOH for the 1996/97 :financial year.

A teleconference is to be held between RDH & GOH regarding services RDH can make available to small hospitals.

GOH does not currently have an infection control person although rumor has it, Denby Kitchener has accepted this wonderful task. Denby will receive two days training at RDH on Infection Control in June/July.

The GOH Senior Management Nursing Team bas formed a Quality Assurance Committee with a member from each work uoit. QA measures currcotly being addressed are:

Documentation, Name Tags on Beds, Midwives Data Collection, Patient ID, Name cl HRN on all Charts, Medication Charts, Knowledge of Fire Procedures, Report Writing. Patient Satisfaction Survey. Also much effort is being put into morale boosting with plans for more BBQ's,

Sausage Sizzles and a Beach Volleyball competition.

JUDITH HUTCHINGS on 89870263

TENNANT CREEK HOSPITAL

As July l looms closer staff at Tennant Creek Hospital are showing increased interest in Casemix and they seem keen to ensure that they are abreast of the changes that are specific to their area of worlc. Staff across the board are receiving PC training in readiness for CareSys. Lorraine Kerrin, Medical Records Clede has DOticed the

improvement that the ailling of the PMI has made to the system.

We are now working on the Performance Agreement At the moment we are identifying all the servia:s the hospital requires from agencies within the department and all the services the hospital provides for any other agency. When

this is finishe4 we will move on to schedule 2 of the agreement.

It is certainly a very bUiy time for all staff and a baibecue lunch was held recently to acknowledge the effort put in by staJf in delivering health services to the people of the Barkly.

ne

food was donated by the Hospital Auxiliary aDd cooked by members cfBarldy Executiw. Roa Brandon, Regional Director, Operations South also donned an apron and assisted with the cooking.

VERA MCMAHON on 89624306

UPDATES •••• UPDATES •••• UPDATES THS CASEMIX CLINICAL AND RESOURCE MANAGEMENT PROJECT

· CLINICAL INITIATIVES

The Clinical Initiatives project consists of tine Sllb-projects which are Clinical Data ColkctiOlt6, National Qflollty Indicators and Outcomes Measures, and Clinical Care Practices. Significant progress has been made In a very llltort period of tlwte and

the Clll1'ent status is deacribed below.

CLINICAL DATA COLLECTIONS

REVIEW OF DISCHAR.GE SUMMARIES, ^w PRACTICES AND DOCUMENTATION\:

\t

Janine Cassidy of the Alice Springs HO$pilal

:·~W4::

to WOik on the Statistical Analysis System (SAS) program to carry out these coding cbecks.

INTilODUCTION OF EPISODES OF CARE CLAssIFICATION SYSTEM

3) Tramfer of selected information iteml through to an improved discharge pun1ruuy format

DepeDdiDg on the success of the above &tcpl, transmillion of discharge summaries by fax or by E-mail will be explored.

DR JAMES JARVIS- PROJECT MANAOF.R. -CLINICAL INITIATIVES PROJECT on 89228258

---0

UPDATES . . . . UPDATES . . . . UPDATES

DISCHARGE SUMMARIES

THS POLICY REGARDING WRITIEN COMMUNICATIONS FOR INPATIENf AND 0UIPATIENf SEPARATIONS FROMNOR1HERN TERRITORY HOSPITALS

At its meeting on 7 May 1996, the THS Casemix Clinical and Technical Reference Group finalisCd its draft of a proposed policy for

rns

on written communications regarding inpatient and outpatient separations. This policy has since been endorsed by both the THS CaselJliX Clinical and Resource

Management Project Steering Committee and the 1HS Executive.

The policy document was divided into three sections as follows:

1. A general policy statement incorporating the broad goals with respect to written communications for inpatient and outpatient separations from hospital.

2. Specific principles stemming from the policy statement.

3. A set of reCommendations regarding the implementation of the policy and principles.

The policy and principles are to be implemented and adhered to by all NT Hospitals. Hospital Management will have overall responsibility for implementation.

Specific recommendations have also been developed to assist hospital staff in the implementation of the policy and principles. It is the responsibility of hospitals to devise alternative methods for achieving the goals and principles of the policy.

Considerable research and discussion has gone into the policy, principles and recommendations. Two large surveys were conducted in 1995 in Central Australia and the Darwin urban and rural areas. A great deal of input was received from medical personnel working in both hospitals and the community. This input was greatly appreciated by all the members of the THS Casemix Clinical and Technical Reference Group.

It is hoped that the adoption of a formal policy by

rns

on written communications for inpatient and outpatient separations will be useful for hospital staff by clarifying what is expected of them and enabling them to identify and obtain the resources necessary to carry out their particular responsibilities in assisting in the provision of better patient care.

The general policy statement and specific principles are presented as follows:

POUCY STATEMENT

Hospital clinicians in the Northern Territory have a professional responsibility to provide a written communication or discharge summary for every inpatient separation from hospital to facilitate safe, ethical and efficient management of patients following discharge.

In the case of attendances to the Emergency and Outpatient Departments, a written communication should be provided in those instances where it is necessary to do so in the interests of safe, ethical and efficient ongoing management of patients.

PRINCIPLES

1. All inpatients and, where clinically indicated, patients attending Outpatient and Emergency Departments, should leave hospital with some form of accurate and legible written communication in hand.

2. To facilitate safe, ethical and efficient on-going management of patients, the information in this communication must include at least the following items:

• Patient's name, DOB, HRN and address.

• Date of presentation/admission/discharge.

• Diagnosis or diagnoses.

• Operations or procedures performed.

• Discharge medication.

• Immediate follow-up required.

• Consultant in charge of patient's management.

For all inpatients, a definitive discharge summary must be produced which includes all the above-listed items plus the following items:

+

Details of presentation and admission where clinically relevant.

+

Relevant test results (pending results should also be acknowledged).

+ Unit specific information where clinically relevant ( eg. birth weight and discharge weight for Paediatric patients).

• Details of long-term follow-up and management.

• Signature and name of the author printed legibly.

.... cont page 12

MARKETING AND EDUCATION

TERRITORY-WIDE EDUCATIONAL PROGRAMS FOR ALL HOSPITALS

<71f'he Marketing & Education Co-ordinators have visited all hospitals to present educ&tional programs to a

\!J,wide cross-section of staff.

ALICE SPRINGS HOSPITAL

~fan Marlborough and I had a successful trip to Alice Springs as we presented the Casemix education program to 75

~staff members from areas of Corporate Services, Nursing, Physical grade employees and administrative officers.

We also presented the Focus Group representatives with a program covering change managemcot strategies and

Hospital Funding Model information. Joyce Bowden, General Manager opened the Focus Group program and provided an excellent overview of conunitment and emphasis placed on Casemix by. the Hospital Executive.

( Corporate Services have requested further Casemix education sessions whidi will take place in mid June in conjunction with Hospital Funding Model education programs on technical issues through practical applications and case studies.

Organisation of these sessions was excellent. Great job Bronwyn.

w•···r···+··· .. ··

TENNANT CREEK HOSPITAL

<')f

n the two days we had at Tennant Creek Hospital we presented the Casemix education program to staff from the

<::l1

^areas of Physical Grades, Allied Health Professionals, Administrative Officers, Nursing staff and Doctors.

Vera McMahon organised the sessioos and staff into a tight timeframe whidi was very well done. Thanks Vera.

The Focus Group program will be presented to the 'Focus Group representatives' on 14 June 1996. Also oo. that trip to ( f ennant Creek we will be presenting Hospital Funding Model educatiooal progiams on technical issues through

practical applications and case studies.

---+---

KATHERINE HOSPITAL

rom 15-17 May we presented to over 80 staff memben at Katherine Hospital. These staff were from a wide cross-section and included Physical Grade employees. Nursing

staff:

Ph8nnacy, Pathology, Administrative staff 300 Medical Superintendwt, Hospital Medical Officers and District Medical Officers.

We will be back in Katherine on 19 & 20 June to present the Focus Group program to selected representatives. We will also present the Hospital Funding Model educational programs on technical issues through practical applications and case studies.

Great organising by the Casemix Co-Ordinator, Heather Graves. Many thanks Heather.

···+···

~~~~~~~~----"~~~~~0

MARKETING· AND EDUCATION

TERRITORY-WIDE EDUCATIONAL PROGRAMS FOR ALL HOSPITALS GOVE DISTRICT HOSPITAL

Qtaffnumbers from Gove

^District

Hospital was excellent with over

90

people attending the Casemix

cjO' education

programs and the

Focus Group program.

Staff were from the physical

grades,

Mental Health, Nursing statI: Radiology, Administrative staff, Pharmacy,

the

Medical Superintendent and Medical

Officers and staff from Community Health.

We will be back in Gove to present

the

same Hospital Funding Model program as described for the other hospitals. Community Health have requested an Introductory to Casemix session.

Many thanks to Judith Hutchings - all your organising came to fruition, a job well done.

oonmrmrnrmrm+ mmrnmw·

ROYAL DARWIN HOSPITAL

7.rrom

early May, Jan and I have been busy

educating staff

at

Royal Darwin Hospital from clinical areas

c±'

^J

R&clt u

^Maternal

and Child Health and also supervisors of physical grade employees.

·

We are presenting to the THS Casemix Clinical

and

Technical Reference Group on 4 June and on 6 June to the Allied Health Professionals. The Casemix Co-ordinator, Len Scott has organised further sessions to staff on

the

Hospital Funding Model program which will include technical issues through practical applications and case studies.

Focus Group programs are being organised and will be presented shortly.

A huge educational task for Jan and I at RDH but with

the

support and organisation of participants through

Len Scott,

we are gradually working our way through.

--+

^...

ExTRA SERVICES BEING PROVIDED BY MARKETING

&

EDUCATION CO-ORDINATORS

~

s well u undertaking the marketing and education in Casemix, we are both in the midst of organising

~further

related projects. These projects are listed below and on page 12.

.

• It

wu

agreed

at the last Casemix Steering Committee Meeting, that action needed to

be taken

immediately to facilitate implementation of appropriate quality measures in Northern Territory Hospitals to coincide with the introduction ofCasemix Funding from 1July1996. Jan has been asked. to coordinate and assist Dr James Jarvis with the project. A Working Party has been convened, with representatives from

all

hospitals, to establish

the

Territory wide infrastructure ftecessary to meet

the

above requirements.

The first meeting will be conducted on 4 June 1996, which will be followed by a workshop on afternoon

17 June 1996 and

the

morning of 18 June 1996 to

meet the 1 July timeframe. The Casemix Clinical and

Technical Reference Group is considered to be the overall sponsor for this project.

. ... cont page 12

STOP PRESS !!! STOP PRESS ' • ' • ' •

THE QUALITY INDICATORS WORKING PARTY met

on June 4 to discuss the Terms of Reference, issues and concerns of hospitals and the outline for the workshop to be held on afternoon ^of June 17 and morning 18 June 1996. This meeting was a great success and generated some very healthy debate on Quality Indicators, definitions and policy issues as they apply either to the Territory or Nationally. It was c • to the Working Party that a lot of worlc: needs to be undertaken within a

short period of time to enswe an infrastructure exists for all hospitals to msure they are working from the same base.

Hospitals are ^well represented, with a ^Medical Officer, Infection Cootrol Officer and Quality Officer from ~

Alice Springs Hospital and Royal Darwin Hospital, with Quality and

lnfectioD

C<Jlltrol rcpnimdativea fnm other three hospitals. We are all 1nnking forward to a bani days work at the workshop. We will k.eep you posted.

JAN MARLBOROUGH - PROJECT CO-ORDINATOR QU.AI.ITY INDICATORS WORKING PARTY on 89992895

Bqpnning ^{in February,} significant activity has been undertaken within

( ie Department to provide a ^much improved computer network. The basis for this network is the cables by which the computers within the Department conununicate.

A few facts:

CABLING INFRASTRUCTURE

The cable insta11ations are DOW complete. The Department now has an extensive network that meets International standards. This cabling is certified to operate to these standank and is warranted for the next fifteen years. A great

deal of effort bu gone into this project and Digital .Equipment Corporation and their subcontractors are to be coogratulatcd on the quality of work and the professional manner with whicli this work was

undertaken.

140,000 metres of copper cabling, 2081 computer outlets,

28,000 cable ties,

3,000 metres of fibre optic cable

have been installed over 52 buildings, at 16 sites throughout the Territory. This network will provide a solid foundation for the hundreds of new PCs now being installed.

Over the past two months approximately 300 new PCs and

90 new printers have been installed ( 1to the five hospitals around the

Territory. This work is part of the project to upgrade the

Department's computing ability.

This project will continue in 1HS over the next six months.

The early stages of the project have focused on preparing for the new hospital infonnation sysUm, Caresys, to be used in all Tecritory hospitals from 1 July. The project involves replacing all

ms

terminals and upgrading dozens of PCs and printers which could not operate this new application. The project team (in their yellow T-

NEW PCS FOR CARESYS USERS shirts) will finish this compooeot of the project over the next couple of wedcs to coincide with Caresys training at each site.

Lilre most very large projects there were many orgooisatiooal and technical challenges to overccme as the project progressed. Thanb to the understanding and co-operation of staff at all levels of the

hospitals, resolving these probkms has been quite painless.

The next part of the project involves upgrading existing older PCs and coonecting new PC1 to the network so that applications, information .and other resources (eg. printers, CDs) can be shared

across the .Dq>artmeot. A few new PCs have already been installed.

Extensive coosu1tation will be undertaken at each site to assist in the detailed planning and co- ordination of work.

As with any oomput« related queries, contact the Cmtputer Support Help Desk, Nortbcm region 28911 or Caltra1 region 17578 for advice and support. All calls are logged and a reference number will be allocated if

a

query can not be resolved on the phooe.

For more infurmation on the project contact DREW

Cox

^Oil 89228904.

MARKETING AND EDUCATION

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DISCHARGE SUMMARIES

For inpatients, where the definitive discharge swmnary is not done at the time of discharge, a time course for its generation must be established by the Unit Head so as to assure the safe, ethical and efficient delivery of on- going care.

3, Processes should be established to ensure the receipt of the written conununication by the referring agent and primary carer(s) responsible for delivering ongoing care,

4. Hospital Management and Unit Heads should have the responsibility of implementing the policy.

5. Hospitals and clinicians should be adequately resourced to enable them to meet the objectives of the 1HS policy.

6. A review process should be put in place to ensure that the THS policy objectives are met with resard to safe, ethical and efficient on-going management of patients.

DR JAMES .JARVIS- NT CABEMIX CUNICIAN, RDH

EXTRAS

THSCASEMIX CLINICAL&

RESOURCE MANAGEMENT

PROJECT

Your Hospital Casemix

Co-Ordinaton are available to assist you

with information in regard to Casemix or any

of the related projects.

Please contact your Casemix Co-Ordinator and telephone numben

are listed below :

LEN SCOTT

ROYAL DARWIN HOSPITAL ON89228758

BRONWYN TAYLOR ALICE SPRINGS HOSPITAL ON89517727

HEA1HER GRAVE

KA1HERINE HOSPITAL ON89739233

JUDITII HUfCHINGS GoVE DISTRICT HOSPITAL ON89870263

VERA.MCMAHON

TENNANT CREEK HOSPITAL ON89624306