Clinicians often struggle to retrieve a patient’s medications history to prepare a list of collated medications as the data is, typically, stored across a number of systems.
In Bristol, the Connecting Care Programme has developed a solution which involves adopting FHIR to address the needs of medication reconciliation.
The initial aim is to avoid substance misuse (specifically opioid substitution therapy drugs) within Bristol but there are far wider future aims.
The project’s primary aim was cutting drug related deaths and near misses across Bristol due to opioid substitution therapy drugs over-prescription. Without joined up systems, it is impossible for prescribers to get a real-time accurate overview. Those most at risk from the ‘gap in care’ around controlled drugs are often the homeless and the most vulnerable. This project aimed at providing greater patient safety to those at risk.
This was a very rapid project; from design to go-live took just seven weeks. Across this locality, all the GPs and the 3 Community Providers used the EMIS system. In essence the project was, therefore, about linking two separate systems via FHIR. The project used agile methodology coupled with feasibility studies. Clinicians came together to produce a series of user profiles.
The Care Connect interface linked Orion Health’s integrated digital care record and the Cyber Media drug and alcohol system, Theseus, which is used by Bristol City Council. The Connecting Care platform is able to connect 27 organisations across 85 GP Practices, NHS Hospitals, Community, Mental Health and Out of Hour Services, Social Services, Paramedics, Charities and Hospices.