Posts Tagged ‘Compliance’

NHS Complaints Handling under fire

Tuesday, October 18th, 2011

The Health Service Ombudsman has warned that the NHS needs to improve the method in which they deal with complaints, citing evidence that some GP’s are striking badly behaved patients off practice lists without the required warnings.

The ombudsman said the NHS was failing to adequately deal with complaints and many minor disputes were escalating as a result. It is calling for a more accountable NHS, and says it had already attempted to do so by bringing about a more robust complaints system.

Ombudsman Ann Abraham said the report showed that the NHS overall needed to improve the “patchy and slow” way it dealt with complaints. In her latest report on NHS performance, she warns “the NHS is still not dealing adequately with the most straightforward matters”.

Currently, one fifth of the complaints investigated by the watchdog last year concerned removals from GPs’ lists. In many of these cases, Ms Abraham said that GP’s were unaware of their contractual obligations, which require them to grant warnings before patients are removed unless the circumstances are exceptional.

Ms Abraham continued to state that minor disputes over unanswered telephones or mix-ups over appointments can end up being submitted to the Ombudsman due to knee-jerk responses by NHS staff and poor complaint handling. The escalation of these small, everyday incidents represents a hidden cost, adding to the burden on clinical practitioners and taking up time for health service managers, whilst having a negative effect on the patient experience and outcomes.

Of the 15,186 complaints dealt with, 9,547 were referred back to the local health body because they had not completed the complaints procedure properly. Only 349 were then investigated, with 79% (276) upheld with the others either withdrawn, fell outside the remit of the Ombudsman or judged not to be justified.

Jo Webber of the NHS Confederation said that it was “absolutely essential” that the health service improved their processes for dealing with complaints.

Health Minister Simon Burns said the NHS needed to have a “culture of learning and listening” so that mistakes were not repeated. “We have also introduced a more robust complaints system that will help all organisations respond to complaints quickly and effectively” he said.

In order to improve the manner in which medical complaints are handled, managers could seek to implement an Electronic Patient Record (EPR) system which can reduce the time, effort and money spent on preparing data in response to claims. Therapy Manager is such a system which captures all activity against the individual clinician, ensuring a protected, compliant and fully audit-able trail which is easily accessible to managers and administrative staff. Using Therapy Manager, it is estimated that it would take no more than 10 minutes to source all of the required information to deal with a complaint.

Original Source BBC News

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Patients want Improved Consent

Tuesday, September 27th, 2011

A study published in the Medical Journal of Australia has revealed that in more than 70% of legal disputes about informed consent, patients say the doctor or surgeon didn’t adequately explain the risks of complications potentially inherent in their treatment.

The findings suggest that to avoid medical negligence claims and patient complaints, hospitals must improve the consent process and ensure all possible complications are mentioned or explained prior to treatment. It also highlights the gap between what clinicians do and what patients want, a problem that stems from poor communication.

Lead Author of the study, Dr. Andrew Gogos, reported that the majority of clinicians feel that they do adequately discuss the risks of a procedure as part of their practice. He reported that the findings of the study show that patients do not always share this view, and this is where the problems arise.

The study recommended that improving the way in which clinicians and patients communicate about treatment can not only improve the quality of care, but it can also protect Trusts and their staff from costly lawsuits if problems do arise..

Another recent study published in the Archives of Surgery revealed that surgery patients at teaching hospitals also want informed consent when it comes to resident participation in their care. Most hospitals’ informed consent processes however do not currently include policies for notifying patients about the role of surgical trainees. In keeping with the trend toward patients becoming more active participants in decision-making, patients overwhelmingly preferred to be informed of resident participation in their surgery.

Original Source Fierce Healthcare

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Maintaining accurate and up-to-date alerts in Therapies

Wednesday, August 3rd, 2011
A recent report concerning Compliance indicated that there were large-scale failures in complying with important patient safety alerts. The report suggested that some Trusts and Health Boards have less than 50% compliance.

Maintaining accurate and up-to-date patient alerts can often be challenging if the mechanisms you have in place are paper-based or reliant upon alerts held on your Trust’s PAS (Patient Administration System), which may not be updated frequently.

Quick Solution

Therapy Manager provides a number of tools that enable you to capture accurate alerts and use them appropriately. These include:

  • PAS Integration
  • Alert History
  • Alert Indication

PAS Integration

When Therapy manager pulls demographics from PAS it can also pull patient alerts at the same time which will then populate the Patient Information screen. Alerts that have set for the patient are clearly indicated on this screen and are available to all users.

Alert History

Alerts by their very nature are permanently applied to a patient’s record however in a number of circumstances it may be appropriate to remove them from the patient record. Therapy Manager allows clinicians to remove alerts but records an audit trail and history of the application/removal of the alert so that colleagues can make informed judgements based on the current and historic application of alerts. For example, if a patient had an alert set ten years ago regarding aggressive behaviour which has recently been removed it might be useful for a colleague to know this if they were planning a Home Visit.

Alert Indication

When an alert is set for a patient this is indicated when that patient is selected in Therapy Manager and is also visually indicated in any appointment booked with the patient.

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

Efficiently dealing with complaints and negligence claims in Therapies

Wednesday, August 3rd, 2011
Data recently released by the NHS Litigation Authority shows that more than £1bn of costs were settled during 2010-11. Whilst much of this expenditure is related to legitimate claims it is an unfortunate consequence of our increasingly litigious society that there are also an increasing number of dubious claims.

The upshot of this is that Therapies, like all other specialties, are having to spend more time, effort and money on preparing data in response to claims.

The most common issues we tend to hear relating to complaints include:

  • Sourcing clinical records
  • Reviewing clinical notes
  • Difficulty gaining an overview of treatment provided

Sourcing clinical records

With the legal requirement to hold paper records for up to eight years it can often be very difficult to trawl through an extensive records archive to identify the relevant notes required to respond to a complaint, particularly if paper records have been moved off site.

Therapy Manager captures patient records in a relational database. As a result, patient records can be maintained on-site and are instantly search-able as soon as a complaint is raised without the need to physically trawl through paper archives. The only limit on the time span over which data can be stored is the physical storage space available on the server running Therapy Manager.

Reviewing Clinical Notes

Having identified the appropriate archived patient records it can sometimes be hard to read the hand-written notes (yes, they should be legible…but are they always?) and validate them with the member of staff that wrote them, particularly if they have left the Trust.

The Journal in Therapy Manager is used to record all clinical notes. It includes productivity tools like templates and shortcuts to abbreviations/medications. Each entry is time/date stamped and the name of the author is permanently recorded. Moreover, records cannot be modified within 1 working day of completion so you can be assured that the record is 100% accurate and auditable.

Difficulty gaining an overview of treatment provided

When responding to a complaint it is imperative that you have a clear and full picture of the treatment that was provided to the patient. Paper records are not conducive to establishing this perspective on the patient’s care.

The Patient Summary in Therapy Manager provides an overview of every aspect of each episode of care including: referral details, waiting list data, appointment details, completed assessments, clinical notes, equipment ordered for the patient, letters sent/received on behalf of the patient, and discharge summaries. Each episode can be navigated quickly and easily so that the individuals investigating the complaint can quickly get to the required information.

We estimate that it would take no more than 10 minutes to source all of the required information to deal with a complaint.

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

NHS failing to record patient Alerts

Monday, June 27th, 2011
A report concerning compliance in some Welsh Trusts has indicated large-scale failures in complying with important patient safety alerts.

The report indicates that some health boards have less than 50% compliance with concerns being raised over the use of blood transfusions, oxygen cylinders and delays in medication reflect the work done on compliance.

Information supplied to the charity “Action Against Medical Accidents” (AvMA) indicates that no health board in Wales was 100% compliant with all alerts by the beginning of May this year.

The Welsh Government requires health boards to comply with these safety and clinical directives in a timely way and to record and audit their own compliance. In a statement, they said that the figures shown were a snapshot in time and whilst they are not necessarily incorrect, they do not reflect the work being done across the NHS to ensure patient safety compliance. Namely, they assert that some of the alerts are classified as incomplete because their monitoring is ongoing.

Cwm Taf Health Board, which achieved a 50% compliance, stressed that some of the delays are down to finalising paperwork, which can prove time-consuming. The paper process of recording these alerts often means that information relating to patient safety alerts is static, and that lengthy administrative processes can delay compliance recording.

Medical Director at Cwn Taf Kamal Asaad said that all alerts that have been actioned and given the classification of complete or “ongoing” relates to the status of progressing final documentation or post implementation validation.

Mr Walsh, of the AvMA, said that whilst the effort to comply with patient safety alerts was appreciated by the charity, they are still calling for a concerted effort by clinicians in the NHS in Wales to ensure there is 100% compliance as soon as possible.

As one of the greatest challenges with compliance is the accurate recording of clinical information, to efficiently manage this Trusts could seek to implement an Electronic Patient Record (EPR) system. Therapy Manager is an EPR system which enables patient alerts to be instantaneously captured an available to all users of the system, with a fully auditable trail of information regarding the history of these alerts, when they were added or removed and identification of any clinician involved in treatment of the patient. Any clinical documentation held within the system is also time and date stamped against the individual clinician, ensuring that all records are high quality and fully HPC compliant.

Original Source BBC News

About Pathway Software

Pathway Software (www.pathwaysoftware.com) specialises in the design and development of patient information systems for Allied Health professionals.

Its flagship product, Therapy Manager, is an Electronic Patient Record (EPR) system specifically designed for Therapy Services to provide decision makers with the ability to track and manage clinical activity and analyse cost of care by patient, episode or service. The system also demonstrably reduces administration time and the costs of managing Therapy Services.

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