Patient Records
The concept of patient held records, notes and diaries have been discussed in the literature for some years. There are a range of alternative records within this concept with different systems, structures and formats suiting varying circumstances. However, all include basic information to maintain details of individual contacts, to monitor health status, to monitor practitioners’ health behaviours and to support legal requirements.
This case study examines patient records using an electronic records network for a rural palliative care program. The objectives include: replication of ‘work-flows’ between coordinator and GPs; electronic referral forms to hospital; electronic discharge forms; and, identifying gaps and challenges for process improvement.
Utilising electronic records and electronic communication for the purpose of rural palliative care.
A consideration is provided of options relating to the development of electronic records and electronic communications for the purpose of palliative care programs. The options include: software solutions for the management of patient data in palliative care programs; secure messaging options; and, electronic referrals and discharge summaries. The paper also considers issues such as challenges, efficiency, use of smart data, security, tracking and audit trails and practice incentive payments.
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