Patient seen by the GP. Send patient to hospital? Patient arrives. The GP enters patient information...

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Patient seen by the GP. Send patient to hospital ? Patient arrives. The GP enters patient information and makes the hospital referral in HealthNet EHR. No Yes Treat, prescribe medication; request sick leave, etc. The Specialist in hospital reads the referral from the GP. Enter request for more information in the EHR and send to the GP. The Specialist decides whether to accept patient and determines urgency, and any preliminary studies needed. The GP is notified of the decision; hospital administrative staff notifies the patient. GP views request in EHR and adds requested info. PATIENT REFERRAL & TREATMENT PROCESS (At the GP Office and at Hospital) At Hospital . . . At the GP Office . . . 1 No Yes More info neede d? 1 5 4 3 2

Transcript of Patient seen by the GP. Send patient to hospital? Patient arrives. The GP enters patient information...

Patient seen by the GP.

Send patient to hospital?

Patient arrives.

The GP enters patient information

and makes the hospital referral in HealthNet EHR.

No

Yes

Treat, prescribe medication; request

sick leave, etc.

The Specialist in hospital reads the

referral from the GP.

Enter request for more information in

the EHR and send to the GP.

The Specialist decides whether to accept patient and determines urgency,

and any preliminary studies needed. The GP is notified of the decision;

hospital administrative staff notifies the patient.

GP views request in EHR and adds requested info.

PATIENT REFERRAL & TREATMENT PROCESS(At the GP Office and at Hospital)

At Hospital . . .At the GP Office . . .

1

No

Yes

More info

needed?

1

54

3

2

The Specialist meets the patient and documents his

evaluation in the HealthNet EHR.

The Specialist orders tests and evaluations in

HealthNet using the structured protocols.

1

More info

needed?

The Radiologist receives the x-ray request.

Radiologist completes x-ray request and enters results in HealthNet using the structured protocols

2

Yes

No

At Hospital . . .

6

7

8

9

At the patient’s bedside during the final ward round, the Specialist enters into HealthNet the final patient summary, describes the

needed sick leave and home care, prints out follow-up information for the patient, and provides feedback to the referring GP.

Patient returns to the GP for follow-up care and

routine monitoring.

The Specialist has made the decision to admit the patient. Using the HealthNet

ordering and messaging functions, he orders additional tests and specialized nursing care

and sends this information to the ward.

The patient returns to the Specialist to be advised of the results of the radiology

referral and the ongoing treatment plan.

During ward rounds, the Specialist uses the wireless LAN access to enter the information

into the HealthNet EHR

And back at the GP Office . . .

2

At Hospital . . .

10

11

12

13

The doctor uses the HealthNettemplate to make the referral

to the specialist.

Template information is transferred to the HealthNet referral

The HealthNet referral is available immediately to the

hospital specialist

The hospital specialist needs more information before

deciding to accept patient

Request for more information available—and answered—

immediately in the clinic

Specialist now has enough information and confirms

accepting the patient

The specialist meets and examines the patient and

makes his initial evaluation

The specialist orders a diagnostic radiology test using HealthNet template

The internal referral for the chest x-ray is immediately

seen by the radiologist

The radiologist confirms receipt of the internal referral

and accepts the patient

Procedure completed and image attached from the HealthNet digital archive

Specialist immediately sees the patient for follow-up and decides to admit to hospital

Specialist uses HealthNet messaging system to alert the ward of the patient admission

Mr. David ByrneEU Commissioner

Health & Consumer Protection

Specialist discharges patient at the bedside and provides

follow-up instructions

The Use of HealthNet in Real Life

Petri TurtiainenManaging Director

Doctorex