Advancements in Healthcare IT Roll-Out and Connectivity in Wales
Health IT initiatives in Wales, led by Andrew Griffiths, are transforming primary and secondary care services. Optometry technology upgrades, including connectivity to the NHS network and electronic referral capabilities through the Welsh Clinical Communications Gateway, are enhancing patient care and streamlining communication between healthcare providers.
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IT Roll-Out Across Primary and Secondary Care in Wales Andrew Griffiths Chief Information Officer (Health) Director of NHS Wales Informatics Service
Optometry - Technology Refresh and Connectivity Technology Refresh and Connectivity to NHS Network for Optometrists Citrix Platform Architecture and Infrastructure in place Secure access available to NHS Network via RSA token Platform provides: NHS Email, E-library, HOWIS and WCCG access for a small number of pilot practices Practices can still register to participate by emailing: OptomICT@wales.nhs.uk Plan to connect all sites by 30th September
Optometry - Technology Refresh and Connectivity Statistics at 14-09-2015: 327/392 practices signed up to the connectivity scheme 246/327 [75%] practices have connected Ophthalmic Connectivity Status 80 70 60 50 40 30 20 10 0 Aneurin Bevan LHB Cardiff & Vale LHB Cwm Taf LHB Betsi Cadwaladr ULHB ABM ULHB Hywel Dda LHB Powys Teaching LHB Number of Practices Expected to Connect Number of Confirmed Connections
Optometry Referrals Capability delivered to enable electronic referrals using the Welsh Clinical Communications Gateway [WCCG] 3 condition specific referral templates developed [Cataract, Glaucoma and General Ophthalmology] Instant transfer of referral to chosen hospital with referral status updates available Integration work undertaken with secondary care systems to ensure receipt and management of referrals Pilot underway with 9 sites across Wales 130+ referrals made since pilot commenced in July 15
General Ophthalmology Referral Template Reason for Referral Clinical Data Sight Test Type Examination Date Referred Eye Priority Prism Occular Examination Relevant Findings Tonometry History and Health Previous Occular History Family History Relevant General Health Known Medication Clinical Alerts
Cataract Referral Form Reason for Referral Sight Test Type Examination Date Referred Eye Priority Clinical Data Signs, Symptoms History Lens Appearance Other Pathology Detected Tonometry Occular History Previous Refraction Clinical Alerts Impact and Health General Health Conditions Relevant Medication
Glaucoma Referral Template Reason for Referral Clinical Data Sight Test Type Examination Date Referred Eye Priority Signs, Symptoms History Tonometry Optic Nerve Head Visual Fields History and Health Visual Fields Family History Know Health Conditions Known Medication Clinical Alerts
BPMN Create Referral Worklist - Referral Login to WCCG New Referral View Referral Submit Referral Pool Optometrists Lane WCCG Start End Viewed Returned Prioritised Print Referral Lane GP Systems Send Next Steps / The Future GPs Worklist Pool GP View/Print Referrals End Start Optometrist creates a referral using WCCG Delivered End Referral Prioritsed Reject Referral Worklist - Referral Triage View Referral End Lane WAP Outcome Health Board Accept Referral Redirect Referral Accept Start Create PAS Referral Choose Prioritisation Group Choose Consultant Choose Waiting List Resolve Duplicate Referrals Choose Speciality Choose Pathway Pool Medical Clerk Attempt Auto Patient Match Search Patient Outcome Update Priority and Clinic details Lane PAS Book End Appointment Create Referral PAS System Services Lane WCRS Outstanding Tasks Create Task - Referral Prioritise Referral Document Book WCRS Create Task - Return Referral Outcome Prioritise Referral End Pool Consultant Consultant Review Lane WCP Return Referral - MedClerk or Referrer Reviews WCP Outcome Forwards Referral
Single Record Applications Infrastructure Community Care Information System (CCIS) Welsh Clinical Portal (WCP) My Health On Line (MHoL) Network (PSBA) GP Practice Systems Specialist Applications Indexing Services National Data Centres Patient Community Care Information System (CCIS) Administration Systems (NPAS) Master Patient Index (MPI) Welsh Care Records Service Index National Active Directory (NADEX) Server Infrastructure Emergency Department System (EDCIMS) Child Health System (CH2000/CYPRI S) Standardised Devices and Platforms Repository Services Radiology Information System (RADIS) Pharmacy System Diagnostic Reports Service (DRS) Welsh Care Records Service Repository (WCRS) National Image Sharing XDS Repository (XDS-VNA) Mobile Device Management Picture Archiving System (PACS) National Laboratory System (LIMS) Corporate Apps Patient Screening Services Other Clinical and Departmental Systems National Reference Data Service (NRDS) Howis and Content Management Interoperability Services Office Applications Welsh Clinical communications Gateway (WCCG) GP Links/Data Transfer Service NHS England Spine Services R (DTS) IHR Services NHAIS Finance and HR National Integration Services Secondary Uses Business Intelligence Self Service Dashboards Reporting Services Big Data
