CareCentric End of Life

CareCentric End of Life
The CareCentric End of Life module is used by health and social care providers working across
the NHS, social services and specialist care organisations to co-ordinate care in the last year of a
patient’s life. Clinicians, care staff, patients and their carers can jointly plan end of life care, with
the security of knowing that up-to-date information, assessments and records are available to
authorised users where and whenever they need them.
The CareCentric system ensures that multi-disciplinary users are not just presented with the key
information they need about the patient, but are also prompted to record on-going information,
such as prognosis discussions.
CareCentric End of Life:
How does it work?
CareCentric End of Life is a specialist product built
specifically to provide a co-ordinated approach to
the delivery of palliative and end of life care services.
It works in conjunction with the CareCentric shared
care record which is used to provide a detailed
electronic health record across a care community.
The CareCentric system allows health communities to create
an end of life register, it builds a care record for patients in
their last year of life and makes it available in real time to
authorised users across care settings. The electronic record
is available to all approved staff when and where it is needed.
Known data such as allergies, current medications and
adverse drug reactions are pulled through from local systems
automatically and end of life-specific details can be entered once
and shared amongst all those involved in the care of that patient.
A key feature of CareCentric is that it can be embedded in
existing systems. This means that many health and social care
users will be able to access the CareCentric end of life record
directly from their own computer records. The system works
using single sign-on (so there is no need to log in twice) and
using patient context (so the corresponding end of life record is
called for the patient currently on screen in their own system).
This means that a GP using EMIS Web, a hospital doctor using
iPM or an out of hours clinician using Adastra, could all call the
record directly from their own systems without having to sign on
to a new system or re-select the patient.
CareCentric connects to most of the major health and
social care IT systems being used in the UK.
As the end of life approaches, individuals and
families must be able to rely on safe, appropriate
care that is consistent with their wishes, at any time of
day or night and no matter who is providing this care.
National End of Life Care Programme
Key Features
CareCentric End of Life fully interacts with primary care systems and will automatically pull through key clinical data such as
demographics, current medications, allergies and adverse drug reactions from GP systems.
The system collects end of life data such as:
✔
Diagnosis and prognosis information, including the capture
of all discussions with the patient and their relatives
✔
Detail of Gold Service Framework (GSF) meetings
✔
Advanced care planning, persons to be involved in decisions,
preferred place of death and other key wishes and extended
care planning
✔
DNACPR planning and recorded history of all discussions with
patient and/or relatives
✔
Any changes and new information feed immediately through
to the record. This gives all authorised users immediate access
to up to date and complete records
✔
Ambulance staff and other unscheduled care teams are able
to identify people with end of life plans prior to dispatch or
intervention through EPAC flags highlighted automatically in
the main patient record screen
✔
CareCentric can send automated alerts to specified people
and teams for key events
✔
Enables reporting and analysis on the people with end of life
plans and on the effectiveness of their management
The CareCentric record called from the Adastra out of hours system
End of life care helps all those with advanced,
progressive, incurable illness to live as well as possible
until they die. It enables the supportive and palliative care needs
of both patient and family to be identified and met throughout
the last phase of life and into bereavement. It includes
management of pain and other symptoms and provision of
psychological, social, spiritual and practical support.
Department of Health (2008) End of Life Care Strategy
The Benefits
✔
Promotes a whole-system coordinated approach to the
delivery of palliative/end of life care
– Reduces unnecessary or inappropriate hospital admissions
and unscheduled care
✔
Improves communications between the patient and service
providers, including in and out of hours services. This in turn:
– Decreases number of interventions by the ambulance services
– Makes the patient wishes clear and accessible to all – more
patients die in their preferred place of care, less distress for
patient and family, reduced complaints
✔
Encourages early identification of patients approaching end of
life and empowers patients to have choices regarding their care
✔
Encourages partnership working
✔
Creates an end of life data store which enables accurate audit
of costs and effectiveness of service provision
✔
Embedding CareCentric within other operational systems
makes it fast and easy to use
– Reduces the need for patients to repeat sensitive information
– Improves service efficiency – by reducing duplication of data
entry, unnecessary data gathering or investigation
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CareCentric End of Life
Call: +44 (0)1908 500 700 | Email: info@graphnethealth.com | Online: www.graphnethealth.com
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Data held in the CareCentric End of Life system
CareCentric provides a real time register with the ability for the user to view previous updates/versions. All users with the appropriate
access controls can enter and share core data. The system supports the national data sets including the following details:
✔
Dates of record creation, reviews and
patient consent to add and share data.
✔
Patient demographic details including
name, usual address, current address,
gender, NHS number and date of birth.
✔
✔
Contact and access details such as
phone number, main spoken language,
carer details, nominated family
members and how access is gained to
the property.
Information on the people and teams
looking after the patient including GP,
key worker, palliative care workers,
respite services and other health and
social care professionals.
✔
Summary of primary and secondary
diagnoses, treatments, complications,
progression of treatment, co-morbidity
and prognosis.
✔
Completed documentation such as
Lasting Power of Attorney, DS1500
disability allowance and Preferred
Priorities for Care.
✔
Wishes concerning death including
preferred place of death and
resuscitation status including details of
when discussed and by whom.
✔
Record prior to death where GP has
agreed to sign Medical Certificate of
Cause of Death/ Statement of Intent
documentation.
✔
DS1500 disability living allowance
form completed and by whom and
when.
✔
Allergies/adverse drug reactions,
current medications and doses, use of
syringe driver.
✔
Patient and carer awareness of
diagnosis/ disease progression/
prognosis.
✔
Contents and location of anticipatory
medications.
✔
The CareCentric messaging and portal
products are ITK accredited.
✔
CareCentric holds data on more than
17m patients and is used by over
30,000 care professionals.
The CareCentric solution and interoperability
✔
CareCentric End of Life is built
using the CareCentric product suite
from Graphnet.
✔
CareCentric is designed to support
the delivery of integrated NHS and
local authority care services. It is fully
interoperable and builds on existing
IT investments by connecting to most
of the major health and social care
IT systems being used in the UK,
including the majority of GP systems.
We connect to systems from most care IT suppliers, including:
Graphnet Health Ltd
Station House
Station Road
Newport Pagnell
MK16 0AG
Call:
+44 (0)1908 500 700
Email:info@graphnethealth.com
Online:www.graphnethealth.com
Graphnet is a Shearwater partner company www.shearwaterhealthcare.com