KIS

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Points raised at meeting of Palliative Care Leads, Perth 30th March 2012

KIS pilots

  • Nurses keen to be able to input directly as not always possible via the GP system
  • Keen to have an end to end evaluation – GP – OOHs – Sec Care
  • Could end of life plans be included? It will be up to pilot practices to choose which patients but hopefully each practice will choose at least 10 patients, including children.

Good news items:

  • ECS patient data extracts are now occurring every two hours at NHS Forth Valley, NHS Greater Glasgow & Clyde and NHS Tayside Health Boards.
  • Scottish Ambulance Service (SAS) now have access to ECS, ePCS and KIS from their call centres. Patient consent is being taken by the call handler, and records are visible to paramedics in emergency cabs.
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ePCS

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Points raised at Palliative Care Leads meeting Perth 30th March 

Palliative Care DES

  • All present hoped that the Significant Event Analysis returns from level 2 will be used to inform planning by Health Boards.  Do Boards know how they are to process the SEAs?  Can information be highlighted to Primary Care networks to make them aware that this information is being collected?
  • Health Boards and Primary Care Leads need to be able to make use of this information
  • It was suggested that Palliative Care leads should be putting in a bid for funding (MacMillan ?) for someone to look at these SEAs – PB group to think about this and how they would use this information
  • PB agreed to make contact with David Carroll and the RCGP e Discussion group on palliative care

Can users access ECS through EDIS (the national A/E system?)

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Yes, EDIS has been fully integrated with ECS for at least 3 years and should be a standard part of the system. The button for ECS can be activated once the patient’s name and DoB are confirmed. HOWEVER – EDIS will not be integrated with KIS and there are no plans to develop EDIS further particularly as many boards are moving to Trak or alternative systems.

Read Codes used in KIS to record consent

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The Read Codes used for the consent status values are as follows:

  • KIS Consent given [9Ndr Consent for key information upload]
  • KIS Consent overridden – patient aware [9Ndt Dissent for KIS upload overridden, patient aware]
  • KIS Consent overridden – patient unaware [9Ndu Dissent for KIS upload overridden, patient unaware]
  • KIS default consent unknown [No readcode – default based on none of the above codes]

All patients will therefore start with no consent and will have 9Ndr added to the record as consent is given. If the status is not known then the 9Ndr entry will not appear in the record

 

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KIS BLOG

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There have been lots of requests for updates and information on the progress of ECS, PCS and KIS so the simplest thing seems to be to take advantage of the latest technology and try out a blog. What I intend to do is gather together historical information on the history of ECS and publish it in chronological order for reference. From now on, everyone involved in the development of the electronic Palliative Care Summary (ePCS) the Key Information Summary (KIS) and the extension of ECS access will be able to add in up to date information on their projects and answer any questions that are asked. Catagories will be able to filter relevant postings into order, and editing rights will ensure that no offensive comments are left for others to read. Please feel free to comment or post queries and we will do our best to reply.