Department of Health Library Services ePublications - Historical Collection
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Northern Territory Department of Health Library Services Historical Collection
12 AUGUST 1996
Edition No 7Central Library
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--- @HEALTHSERVICES ••••••• ./ ... ./1996
SPECIAL INFORMATION BULLETIN for reporting progress on THS
CASEMIXCLINICALAND RESOURCE MANAGEMENT PROJECT AND INFORMATION TECHNOLOGY STRATEGY.MANAGEMENT REPORTING PROJECT
PROGRESS REPORT
The Management Reporting Project aims to update the reporting infrastructure ofTHS and improve the ability to meet the information l�ds of clinicians and all THS managers.
Initially, the Management Reporting Project will focus on the content, presentation and validation of the·following periodic reports.
• Hospital Activity Reports
• THS Quarterly Management Reports
• Hospital Casemix Reports
These reports will provide more relevant information to managers, relating to service delivery utilisation trends and performance indicators that measure efficiency, effectiveness and quality. If - appropriate, performance will be reported against national and NT benchmarks.
Wherever possible, the data analysis required for the production of the performance indicators and other measures will be performed on data periodically extracted from the relevant information systems. All ( _ ort sections will be validated by appropriate operational managers before publication and dissemination.
HOSPITAL ACTIVITY REPORTS
The Hospital Activity Reports are produced for each hospital each month. These reports focus on hospital activity and are intended for internal hospital use only.
The developments to these reports focus on using information extracted directly from the CareSys information system and a major updating of their presentation.
QUARTERLY MANAGEMENT REPORTS
The Quarterly Management Reports contain information relevant to hospital, public health and community care for Territory Health Services. These reports focus on analysing and reporting health care trends. These reports are intended for THS use only.
The major focus for developments to these reports is to provide more relevant information for Community Care and Public Health program
AUGUST'S EDITION
_ ofthis
Special Bulletin includes progress
on ....
.... MANAGEMENT REPORTING (BUSINESS
INFORMATION MANAGEMENT .... CLINICAL INITIATIVES
.... MARKETING &
EDUCATION . ... HOSPITAL CASEMIX
CO-ORDINATORS .... COMMUNITY CARE
PROJECT
. ... QUALITY INDICATORS MATRIX
INSIDE
Management Reporting Project ... Pg 1,2 Mental Health ... Pg 2 Clinical Initiatives ... Pg 3.4 Community Care Info
System Project ... Pg 4 Hospital Casemix
Co-ordinators ... Pg 5,6 CareSys Training in
Central Australia ... Pg 6 National Quality
Indicators ... Pg 7 Marketing&
Education ... Pg 8 Extras ... , ... Pg 8
UPDATES • • •
•UPDATES .. •
•UPDATES
.... cont from page 1
MANAGEMENT REPORTING PROJECT
areas. A few program areas will have theii: sections included or upgraded in each edition of the report. This will allo'Y all program areas to be progressively
developed and upgraded over time.
THS CASEMIX REPORT ON HOSPITAL ACTIVITY
1995-96
The THS Casemix Report on Hospital Activity 1995-96 provides summary Casemix information for the previous financial year. This report focuses on hospital activity and analyses the information by hospital, specialty, AN- DRGs and Major Diagnostic Categories (MDCs).
This report uses AN-DRG Version 3 throughout and is intended to provide hospital managers and clinicians with analyses to inform decision-making in a Casemix funding environment.
HOSPITAL CASEMIX REPORTS The Hospital Casemix Reports are produced for each hospital each quarter. They contain individual hospital and THS summary information related to Casemix and nominal payments according to the Hospital Funding Model - Generation 1.
These reports are new and initially the major focus is to develop, distribute and evaluate these reports.
MANAGEMENT REPORTING UNIT- BUSINESS INFORMATION MANAGEMENT (BIM) The Management Reporting Unit of BIM has an ongoing commitment to developing an infrastructure to support the analysis and reporting of activity, financial and performance indicator information for all THS hospitals
INFORMATION MANAGEMENT UNIT- EPIDEMIOLOGY
The Information Management Unit of Epidemiology is responsible for providing the hospital morbidity data in a structured, accessible and secure format.
VALIDATION PROCEDURES
An integral part of the analysis and reporting process is the validation of information by officers in the relevant operational area.
The Management Reporting Unit will forward all
sections of management reports to hospitals and program areas for validation prior to publication. The project team will attempt to recover this additional production time through efficiencies in the extraction and production procedures.
HOSPITAL VISITS
A series of hospital visits by the Business Information Analysts is scheduled to coincide with the release of these reports. During these visitS, presentations relating to the content and interpretation of management reports will be given as well as seeking feedback on each hospital's management information needs.
FEEDBACK OR FuRTHER INFORMA1:10N As all management reports are designed to meet the information needs of clinicians and managers, your comments and suggestions are very valuable to us.
If you require any further information or would like to provide feedback, please contact the Management Reporting Unit ofBIM on 8999 2634.
and programs.
r······~··· .. ···.
MENTAL study. Darwin Urban Mental Health l.IEALTH Seivices is the Territory site that is
participating in the project.
M:S:NT.§.t.. 8~~f..t.'l"H
¢:it-:.~ :::;H=~ ~·.t--.:r~·Q=>~
::::::'.!;=(> ~..::~,BV~<::~;:. (::~):::i"ft
p~:~~·.1-:::.-::;:"'f
CLASSIFICATION AND SERVICE PROJECT· (NH-CASC) WHAT IS IT? It is a project which aims to develop a mental health
classification system which differentiates consumers according to their different care requirements. This classification system will allow desirable changes to be made to funding.
WHERE IS IT HAPPENING?
Some 21 acute inpatient, 12 Non-acute inpatient and 60 community sites through out Australia are involved in the
WHY DO WE NEED IT? The introduction of funding acute hospital seivices on the basis of Casemix (the number and type of patients that they treat) has commenced. Similar funding is to be introduced for mental health seivices.
Current classification systems in the general health sector are based primarily on diagnosis and procedure with much of the classification work occurring in the acute inpatient setting.
This project is important because it will assist in the development of a
classification system that is appropriate for mental health. It is testing the hypothesis that adding other patient attributes, such as functioning and severity of symptoms, will enable psychiatric patients to be better differentiated.
In mental health care the nature of many psychiatric disorders means that they require treatment in a variety of settings through out their course. Therefore a classification and costing system is needed which covers each seivice setting, as well as be used to make payment for someone's care/treatment across settings over time.
For further information: How ARD MARSHALL on 89994911.
UPDATES . . . . UPDATES . . . . UPDATES THS CASEMIX CLINICAL AND RESOURCE MANAGEMENT PROJECT
CLINICAL INITIATIVES
The Clinical Initiatives project consists of three sub-projects which are Clinical Data Collections, National Quality Indicators and Outcomes Measures, and Clinical Care Practices. Significant progress has been made in a very short period of time and
the current status is described below.
CLINICAL DATA COLLECTIONS
REVIEW OF DISCHARGE SUMMARIES, PRACTICES AND DOCUMENTATION
Feedback is beginning to be received
regardi.Qgth~new < ';
policy on written communications for i11paventapd
< , ·
outpatient separation1s. .·.·.·.· · ... ·.·.·.· · · · · .·.
It is important that medical staff realise
th~t th~ J>OtiW /
empowers them to make decisions and set standards Withii:i specified guidelines. It also empowers them to negotiate for resources to enable them to achieve those standard{
INTRODUCTION OF EPISODES OF CARE CLASSIFICATION SYSTEM
Much work has gone into the preparation of the document on policy and procedures for implementation of episodes of care classification. The two issues of the use of statistical discharge and statistical readmission to separate different episodes of care within the one hospital stay plus the creation of new types of care have received particular attention.
The aim of this project is to allow individual hospitals to record more accurately the type of work that they carry out,
. .. .. . ·. ;uid accordingly, to enable themtobe funded for this work
> · at al1 appropriate level.
._. :.·-:--:-·
( . relevant parties are encouraged to continue providing . feedback on the perceived strengths and weakllesses of this • ·
policy. .· . .•:•:· · Amore complete report on this project will be provided in
the
next issueof
Horizons. . . ·.CLINICAL SUMMARY
AUDIT /···
NATIONAL QUALITY INDICATORS AND OUTCOME MEASURES
A Documentation Audit was
c~mbined
witbfue recent Morbidity Coding Audif carrjed outby
Prime Carein
allNT hospitals. The final repcjrt has now been received and it indicates that, although there are a few problem areas~
the quality of.dpcufuentatio,ri in NT..ti.ospitals compares very favourably with. that of other states.. ·
Considerable work. has gone into preparing the business rules for the National Quality Indicators. Clarification of a number of issues has actively been sought from the
Commonwealth and some replies are still pending.
Copies
ofthi~rt forfadi~idfu.INThospitalswill
becirculated to the Medicru Supepntendents in the near future.
The four indicators for quality of care on which the working party is currently focusing are as follows:
1) Rate of emergency patient hospital readmission within 28 days of separation
(" ;~r~::~:i£.~~~~~m;.:;: :: :~~::::: ::: :::: ;::::::clean
despite problems in one hospicil due to.lack of on~site contaminated surgery
coding staff, the standard of coding in NT hospitals was 4) Rate of hospital acquired bacteraemia found to be quite good.
. Generally spealcing, the working party for this project has A number of issues were uncovered rel;i.ting tci • ·. . been reviewing the indicators according to the following standardisation of practice across NT.hospitalsfor}vhich. <' ¢riteria: ·
no rules are currently in place. This }"il1
riiflifr¢
li<'lisgp.> · · ' · · .. · · · ·
between Coders and medical staff
ac;ros~allN'I:' Jio~pi@s
tq .... · .>
>l)Th~~(Suitabilityfor
comparing across institutions at a establish standards of practice. ··> '> F
NitJ:ionaI ieveL(i;e:i:nightthey produce results which are· · •·•·•.·•·•·. · ·•·•·•·. •·•·•·•···•·.·•···.·· •·. •·•·•·•·.···· ··· · •·•·•···· · • · · .·.·. · Unfairly biased agai.nst the Northern Territory?) Copies of the report for
individualJ1~~i@kfyill!Je
/ ./.<< 2~ Th~ii
sltltability'for cC>IIlparing across NT hospitalscirolliatOO to
allNT ~:::~:::::~i~; \ f'!'; 'if ~~ ~::::=.o~d:::::: :::ms
This project involves writing a SAS
pi6iraihtoch~l{•th¢'\
.. particular results obtained ICD-9-CM codes in the Hospital Mofflj(titf P~~spt. Jb~program will check that certain Natiollill
(:;<>e:litig
J.1.ile~and
conventions are being followed by NT t&t~r~.
) [
A full program should be r::eady for all hospitllsby >
September.
At this stage, risk adjustment and validation of the indicators is currently being carried out by consultants in Melbourne. Furthermore, it is possible that substantial changes will be made to some of the indicators in the near
future. . ... cont page 4
DR JAMES JARVIS -PROJECT MANAGER - CLINICAL lNITIATIVES PROJECT on 89228258
3
UPDATES . . . . UPDATES . . . . UPDATES
.... cont from page 3
THS CASEMIX CLINICAL AND RESOURCE MANAGEMENT PROJECT
CLINICAL CARE PRACTICES
Progress has been slow on the project to assess the feasibility of computer-generated discharge
summaries due to the upgrade of computer systems at NT hospitals during the past month. The issue of on-line connection of the Pathology
reporting system to CareSys also needs to be resolved to enable this project to proceed to the next stage.
Further updates of progress on this project will be provided in later editions of Horizons.
, ...... ···+ , .·······
COMMUNITY CARE INFORMATION SYSTEM PROJECT
The good news for the Community Care The new Adoptions System goes live this month, Information System Project is that next
12months the implementation team at NCOM having of funding has been approved. This is significant as delivered the system ahead of schedule. The it represents the first major funding allocation for . .. . .. . . Adoptions System will support all aspects of acquisition and development of COffilTlHl'liW care ' / addptiort
serx~cedelivery including applications to information systems.
Ittakes the project from a adopt, the adoptfonp()ntact register and
planning phase to an impleµierttation phase,
< · ;- ••• •appljg(!tions for
infonnat~cmrelating to past bringing to fruition workthat comme9¢d bv6 ./ ·.tL
a4()p~iggs.>· · . · .· · .·.
years ago when the cS11lmunity Carelhrarrhati3n ··· ·· ' ·
>. · · · · · > · · · · · · ·. •••·•· ·:=~= i:=~r. ::::~l~if~i~:!nto provide a coordi.rtated T~fflt9rY~Wide focus to / ~:,~~::~i~~-~~~~·:~~·~~~~o:: Payment System1§4~si.gn~d to suppprt a revamped community can~ inform~tlgij $}'stems .
Itis this . . . . .. . . . system of compens~tirjg fg~ter carer§ for services
:~!::~:=~~~; :!l(f ::~~~!~Jlf~IBa!:lli!j
illit~~ 1 :o cllltdreQ iii If in the 9are of the that would contqbute sigmfjg~ntly to @.Pr()y~foent'. < · . . . . . . . . . . . . . . . . ... . ..
of health outcomes in the NT} .. . . .. . . . . Thls h19nt~ th~ NCO~ pfpgrarnmj#g team will Tlishtesnoeftgwoatiraetipoancsk/aegve }afcJ
0
. . u _ _ • · ... .. ta ··.···.t ·.t ·_·.i .h •_·_-~e ··~·co 0 f _
••.••.•r • . . • .. · · ··· · ea . . · .. ·.•· • . _ . . • . ... · ••.• · . .. ·_ . . c ·.c _._ · ··· · · ··.· ·•o•o · ••. • .. · ·.mmmm _•_· ··.·.· ·.· ·.····. ··· · · · · ···u ···e· ··· · · ··· ·.···rru · .· . • _·· ···. ·· · · . · . c _ ••. • . • • •.•. •. ·.••ti ····.··.···ay· ··.···.·.·.l ··.···csahroe ····~···••••·•·•·•·•·•· · ··• ·•·••• ><•••• ~~;n:~;~1••i~~f :~il~~n;;~~:at:~t~~~~:~s~~~ pil§t~y~em'Ymsud5essfully•• satisfy both base rural information system is neafly ¥ompteted> . . //
> /p~~~ihr~qu,itemell.ts aµg n;ifal coordinated care Unfortunately as it is subject
i6T~µgerboard . fequifoments . IQ$taitation is scheduled for late regulations no information can be released uµtiL .
Sept~mp~rinBarungaHealth Clinic the trial site.
vetted by the board. A complete update will be .. · · · .·.·.· · . · . . · · Trahiing for the health workers and nurses has published in the next edition of horizons. already commence to allow them to get familiar On other fronts the last two months have been a
busy time for the project team. Time has been divided between getting several new modules of the Community Care systems ready to go live and finalising the evaluation of a commercial short
with the hardware they will be using. The
prototype system will be refined during September and October as the staff work out how to
accommodate the system into their work process.
listed software package.
PAUL GOODING -
Telephone
89992621PETER KERR -
Telephone
89992648... --···-····-·· · . · t-··· .. ··· .. ····
r~ :-~~!6~~1
L ---~"'.;::"·::;·::::·~:._--- - - - - - - - -- - - - - -- - - - - - _I - - - - - - - - -J
4
HOSPITAL CASEMIX CO-ORDINATORS
ALICE SPRINGS HOSPITAL
here is an apparent increased awareness of Casemix implications as more staff come to grips with the requirements in their workplace.
In the main, people are managing well and developing new skills, while still experiencing frustration with a range of perceived problems in the information system. The Computer Support Team is in great demand and assure us that improvement will be noticeable by September.
The Performance Agreement between the hospital and the Regional Director. is still being finalised in terms of the budgetary details. Carol Beaver and Dr Yuejen
Zhao visited mid July and answered questions from senior staff on specific aspects of the funding model.
The Allied Health Professionals are demonstrating a keen interest in Casemix and the implications for their client management and work practice. They have started to meet monthly; aiming to invite a different Casemix Resource person each time. Robyn Priestley will represent the team at the next NT Allied Health meeting.
BRONWYN TAYLOR - CASEMIX Co-ORDINATOR on 89517727 or 8951777 and PAGE
( ROYAL DARWIN HOSPITAL
ost staffwe:re pleased that 1 July 1996 came (Casemix commenced) and went without the world converting to one massive singular Diagnosis Related Group (DRG) and one's life expectancy measured by inlinear and outlinear and Average Length of Stay (ALOS).
The situation at RDH is very much a continuation of projects rather than any major commencements.
Staff continued to work through the CareSys system with minor clinches being resolved quickly and efficiently.
The implementation of "Trendstar" is ongoing with the ( struction of procedure tables being the major factor.
In house auditing of recently introduced procedures has began to ensure compliance and to uncover any
problems.
RDH is experiencing problems with coding. The major concern is, charts that are not completed and returned to Patient Services at the time of the patient's discharge.
Clinicians are requested to assist in ensuring that coding is "on time".
. Finally we appear to be in a position to sign a Performance Agreement, hopefully this will be completed by next week.
LEN SCOTT on 89228758
TENNANT CREEK HOSPITAL
he introduction of Casemix has caused number of changes to most work areas in hospital. I feel the sighting of the first reports will have quite an impact on staff and will increase their awareness of Casemix. Once staffs see the reports they will have a better idea of why they are doing some of the things they feel are not important, and they may feel more
committed to ensuring that the information they load
into the computer is accurate.
Pat Plaistead and Mary Williams have worked quite hard on collecting and entering information into the computer for Infection Control. This is time consuming and their efforts to date are appreciated.
VERA MCMAHON - CASEMIX Co-ORDINATOR on 89517727 or 8951777 and PAGE
5
HOSPITAL CASEMIX CO-ORDINATORS
KATHERINE HOSPITAL .
®
n Thursday 25 July 1996, Carol Beaver conducted three Casemix sessions to the following staff-:Hospital Medical Officers The Hospital Executive Casemix Committee Members
These sessions focused on Performance Agreements, DRG payments, inliers, outliers and funding
arrangements for patient transfers. Carol gave all staff involved a clear and detailed view of the Performance Agreement and its implications.
Congratulations to Jacqui Fox, Patient Services Manager who successfully completed ~er ICD-9-CM Coding course and is now coding charts for Katherine Hospital.
Helen Mizen has been appointed Theatre Scheduling Co-ordinator to ensure implementation of NT Policy and Procedure for Elective Surgery Waiting Lists. This . position ensures correct procedures are followed for the successful management of Theatre Waiting lists. An Elective Surgery Waiting List Group has recently been formed, this Group will provide the Executive with regular up-to-date reports on the utilisation of Theatre and the management of Elective Surgery Waiting Lists.
Changes continue to occur at Katherine Hospital with the announcement of the appointment of Lesley Kemmis as Katherine Manager. Many thanks to Sally
Matthews, NKatherine Manager for her hard work over the past few months in taking on the challenges of restructure and Casemix.
HEATHER GRAVE
on 89739233
I have been very appreciative of Heather Grave's patience and professionalism in bringing a newcomer into the complexities of the Service Agreement process. Heather, Jacqui, Warren and all those involved in Casemix and associated changes at Katherine Hospital have done a brilliant job and are to be congratulated.
Thanks.
SALLY MATTHEWS, ACTING KATHERINE MANAGER
UPDATES . . . . UPDATES . . . . UPDATES
are located on the first floor
Leibig Building if you want to
come and visit.
UPDATES . . . . UPDATES . . . . UPDATES
NATIONAL QUALITY INDICATORS AND OUTCOME MEASURES
to be unsuitable for Commonwealth reporting purposes).
has been reviewing the
indicators. More discussion on the indicators is contained in the report on Clinical Initiatives.
Presented below is a matrix giv~ng an update on the status of the original five National Quality Indicators. (It should be noted that one indicator, "Rate of Unplanned Returns to Operating Room'", has already been deemed
The matrix presents the four different angles from which the Implementation Working Group
DR JAMES JARVIS
89228258
SUITABILITY AS RESEARCH DONE I
SUITABILITY AS SUITABILITY AS INDIVIDUAL TOBE DONE TO
INDICATOR NATIONAL INDICATOR TERRITORY-WIDE HOSPITAL EXPLAIN
INDICATOR INDICATOR INDICATOR
RESULTS Rate of Already agreed to be May be difficult to use as Might be a good Hospitals will need to
!('t1lanned unusable as a National a Territory-wide indicator indicator to use analyse the reasons _.irns to indicator in its present due to differences within individual for the figures Operating form. Consideration between Territory hospitals. obtained for this Room being given to limiting hospitals. Limiting the indicator.
this indicator to specific indicator to specific procedures. procedures may be a way
around this problem ..
Emergency Likely to be changed to Might be used in its Might be used in A study already done Readmission focus on specific current form but also its current form by Dr Stephanie Rate within 28 conditions useful to focus on certain but also useful to Gide at RDH.
Days of high-volume conditions focus on certain Future responsibility
Discharge high-volume for analysis may be
conditions directed to heads of clinical units.
Infection Rate May be useable in its May be useable in its More Detailed data analysis at Day 5 after present form but concern present form but concern sophisticated data already underway at Clean Surgery persists regarding the 5- persists regarding the 5- collection already RDHandASH.
(
day criterion. day criterion. being carried out Smaller hospitals will at RDH and ASH. need support to Smaller hospitals undertake data will need support analysis.to collect data.
Infection Rate May be useable in its May be useable in its More Detailed data analysis at Day 5 after present fonn but concern present form but concern sophisticated data already underway at Contaminated persists regarding the 5- persists regarding the 5- collection already RDHandASH.
Surgery day criterion. day criterion. being carried out Smaller hospitals will at RDH and ASH. need support to Smaller hospitals undertake data will need support analysis.
to collect data.
Rate of May be useable in its May be useable in its Not so useful for Some analysis of data Hospital- present form but present form but ad hoc reporting already underway in acquired clarification is need on clarification is need on due to the wording the larger hospitals.
Bacteraemia the way to handle false the way to handle false imposed by the positive results. positive results. definition of the
numerator.
·.
7
MARKETING AND EDUCATION
Ell'111111111~4'•11111ri1i :
·········:.:·················-·············· ·.·.·.·.·.·.·.··.·.·.·.·.·.·.·.···.·.··.·.·.·.·.···.·.·.·.·.·.·.·.·.·.·.·.·.·.·.··.·.·.··.·.·.·.·.·.·.·.·.··.·.·.·.·.·.·.·.·.·.·.·.·.;.·.·.·.····~~I
~r~ID!n8 ~n- &1W~§Y.~s : u•.···. · ·>> ···•·•·•· •·· ·•·· ·•·•·•···•· · <• ·•
<•<• <••••.••.•.•.•> .. • . ·•·· • >
>•• r•••<>•·•••••••••••>•r••·••···•••·•·•·•· / ... ·.·.·.· · · ·:::::::;:::;Jllll l. now • I LitJ> ill
Departmenta! @tj&pt~tig~~~the &~~~ Pt~§~p~p()~ t9()~j).J'<8~ on 7 August
1996~ wl~r~l~r~s>xer 2q~m12~~~~~~9~~1~andthe
::~::::: 0 & W~lllJ1l~tjlr1~1111rr~*:~~IJ,lt
Management Reporting Project. A number of Performance Indicator workshops have been held for several program areas within Family, Youth and Children's Services and Mental
&Disability Services. The purpose of the workshops was to develop a foundation for further development of management reporting for their individual program area. Further Performance Indicator workshops have been planned for several other service program areas.
For more detailed information please refer to pages 1 and 2 of Horizons under the heading of Management Reporting Project.
Further Casemix education including technical/clinical education is being planned and will occur shortly.
KAY COOK -MARKETING & EDUCATION Co-ORDINATOR TELEPHONE 89992749
COORDINATED CARE TRIALS AR£H£R£_
_ If" YOU WANT TO FIND OUT MOR£ - PL£AS£ RING MOIRA GEOGHEGAN
on 015 614343
or
JE~ CLEARY
on 89992533
PRODUCED BY: Next Edition September 1996
Business Infonnation Management Branch, Health House, Mitchell Street, Darwin Director: Stephen Moo
This Edition: Co-ordinated and published by Kay Cook 89992749
<::
Enquiries:
Fax:
Design:
Printed:
8
Stephen Moo 89992847 89992618
Kay Cook & Michelle Fidock Forms and Resources
Government Printer of the Northern Territory
EXTRAS
CARE SYS .
Now that CareSys has been with us for over a month and is running smoothly it has become clear that many of the problems that we are now having stem from a lack of understanding of the Local Area Network and the PC environment.
This has also contributed to the major problems with user Ids and passwords and some of the problems associated with logging on to the system.
So now is the time to concentrate on training to ensure that our staff are confident and skilled in the use of the system. Well trained staff will ensure that the full
functionality of CareSys is utilised and contributes to efficiencies i service delivery.
In busy operational areas where patient care is the priority, it is understandably difficult for staff to be released to attend training sessions. It is therefore important that staff are supported at the operational level to attend training and training is tailored to meet the requirements of busy work areas.
The CareSys Project Team are working closely with the IT Training section to devise ways to assist. A multifaceted approach with formal training, on the job training, rostered training for new staff members and the contribution from Key Users in the work plar will contribute to a much improved training strategy. Any other suggestions are welcomed.
The Key Users are staff members who have developed more indepth knowledge of the Hospital Information System through training and on the job experience.
They will play a major role in promoting the use of the system and sharing their knowledge with their colleagues in the work place.
To assist the Key Users to gain a more indepth understanding of the system and its capabilities it is proposed to have a one day workshop at all sites in the near future.
JAN ROBBINS on 89992973 CORALIE CHRISTIE on 89997482