NEWS - eHealthNews.nz editor Rebecca McBeth
This is a companion discussion topic for the original eHealth News article:
This is a companion discussion topic for the original eHealth News article:
Well any step towards a national IMMS register is the right one.
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We should have imms data linked to all patient’s central data viewable from our clinical workstations. Imms data, as with allergies and medical alerts and warnings, is core data we should routinely have available to support care. Having to use separate apps to access imms data is unhelpful and flies in the face of patient centred care principles.
It is brilliant to see this coming together. It has been a sore need for decades!
Well, it all depends on how the data will be accessible.
If it comes with a decent FHIR API, it should be relatively straightforward to get it represented in your clinical workstation (once the work is done at your software’s end). If it doesn’t, then it will be a useless pig!
Hopefully there is some embedded clinical informatics / clinical digital governance that has ensured this is prioritised.
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That is the plan. There is a FHIR resource that is either in prod now or very close that will serve the data for this.
@john.carter is working on it.
Would then then to be called by the clinical portal to be presented.
Jon
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As someone prone to nasty allergies, few of which are recorded sensibly and most of which are not recorded at all. Some work also needs to be done at the people and process layers in the technology stack.
Grieg the problem may centre around who puts in the data for allergies and warnings. Data entry may be handed off to administration staff, who are in no position to judge clinical aspects appropriately. The main contributor to that in Waikato is that we can’t write to iPM/PAS from our clinical workstation without going through the iPM/PAS system, which many clinical staff don’t use. Set up to fail…
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@Straker135, I think you’re right. Certainly, internally within our Hospital entering allergies and alerts has issues. Our review found such helpful advice as “patient has two eyes” and the expectations were what or “the patient is pregnant” seemingly forever. From there it just went backwards into total embarrassment so we made it the pharmacist’s responsibility. Yet by increasing the data quality through adding the step of involving a committed and passionate allied health clinician it has no doubt also decreased the data quantity in some circumstances.
But I was always taught it was the prescriber’s ultimate responsibility to avoid poisoning the pigeons, twice in the same way. So the question is how to deliver this while cutting through the noise and frustration of inadequate systems.