PCN Solutions

Empowering your PCN

Contents Introducing EMIS......................................4 EMIS in Numbers......................................7 Clinically Led...............................................9 Shared Clinical Services.........................11 PCN Hub.......................................................12 Case Study: Folkestone, Hythe & Rural PCN..........14 EMIS Mobile................................................16 Managing Medications...........................19 Shared Administrative Services......................................................... 21 EMIS Web for administrators..............22 Local Services.............................................23 Hero Health.................................................24 Seamless Communication.....................26 Scalable Workforce Planning...............28 EMIS Academy...........................................30 Getting the most out of EMIS Web....................................................32 System Wide Analytics...........................35 Data Driven Care with ES&R...............37 Risk Stratification . .................................... 38 EMIS-X Analytics.......................................40 APEX from Edenbridge...........................42 Get in touch.................................................45

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Introducing EMIS

The challenge of providing care that is high quality, accessible and affordable, in the face of increasing demand and stretched capacity, can only be solved by thinking differently, and acting differently. At EMIS we pride ourselves on providing innovative solutions that are enabling changing delivery models and supporting new care pathways that improve everyone’s wellbeing, while making the very best use of precious and finite resources. Clinicians, health and care professionals are working in different ways across integrated teams, and using technology to improve the services they provide.

Suzy Foster CEO EMIS Health

While COVID-19 certainly accelerated the use of digital tech, now is the time to move on and look forward to maintain that momentum of continuous, technology enabled change and challenge ourselves to do even more. That’s what we are doing every day; challenging ourselves to give you the best technology we can to help you do the amazing work you do for us all in the way that works best for you and your patients.

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We understand the challenges you face, in reducing health inequalities and improving outcomes, all whilst keeping costs down. With the global pandemic bringing significant pressures to an already saturated workload, we appreciate the incredible job that you’re doing to care for us in times of need. In this document, we’re delighted to present our solutions for PCN working that can enable you to deliver high quality care, now and into the future.

We’re looking forward to the opportunity to talk directly with you soon.

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163 M

annual appointments

40 M patient records

113

partners in our partner programme

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thousand organisations using EMIS clinical systems daily

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thousand weekly GP users

66 M

COVID-19 vaccinations recorded using EMIS software

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Clinically led We have a proud history of being a clinically led organisation, that began with our founding GPs over 30 years ago. This ethos continues to this day. All our products and solutions are designed, reviewed and developed with significant clinical oversight from our 89 strong clinical team, to ensure that we’re not only focused on the latest technology, but on the reality of the user experience. We understand that for PCNs to move from reactive care to proactively supporting people in their communities, they need the right tools to

Ian Bailey Senior Clinical Director

enable teams to work as one.

In this document, we’ve outlined where we can support core PCN capabilities, across shared clinical services, shared administrative services, scalable workforce planning and system wide analytics, to help enable collaborative PCN working that drives efficiencies and supports better patient care.

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EMIS has helped us to break down boundaries across the NHS” Dr Mike Hearne, Managing Director of Taurus Healthcare

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Shared Clinical Services Enabling your clinicians to work effectively together to meet patient needs is essential for a successful PCN. In this section, you’ll find out more about our solutions which support collaborative working, promote safety and enable efficiencies. Our solutions are making it easier to share valuable clinical expertise across your local area whilst ensuring patients are cared for by the right teams. 11

A clinical system for your PCN EMIS Web is the most widely used clinical system for primary care in the UK. Created by clinicians, for clinicians, our software is here to help you run your practice efficiently and deliver the best possible care, with patient safety at its core. With EMIS Web PCN Hub, we’re enabling joined up, integrated care with functionality that supports coordinated working across organisations, including EPS, GP Connect appointments and care record sharing, as well as our GP workload tool. Supported by the relevant sharing agreements, PCN Hub is enabling the relevant clinicians in any service to access the patient records they need to deliver accurate and personalised care, and to manage patient needs from within a dedicated hub environment. With a shared appointment book, practices working together can benefit from cross-organisational booking to manage patient needs against local resources. Consultation Write Back, provides a copy of a consultation to be written back into a patient’s registered GP record when they’re seen at another EMIS Web organisation, promoting clinical safety and empowering collaborative working. New GP Connect Messaging functionality also allows flexibility, by providing an unstructured record (pdf) of a consultation provided by a federated practice to be electronically returned to the ‘usual GP’ for easy filing (supporting a mixture of clinical system suppliers). By providing access to shared patient records and truly joined up care via PCN Hub, your teams will be empowered to work flexibly to support one another with services such as extended access clinics. In addition, our inbuilt safeguarding processes ensure that only the clinicians who need to access a patient’s information will be able to, preventing inappropriate or unnecessary access.

Here’s some of our key functionality empowering clinical staff to work effectively across organisations.

Record sharing View GP record and shared record information from any organisation within a PCN, including from the Hub.

Clinically intelligent decision support Powered by shared EMIS Web records to enable prescribing alerts at the point of care in a hub, or custom alerts relevant to the PCN.

Cross org appointments Book from any organisation into another organisation (including non-EMIS via GP Connect) without the need for multiple log-ins.

Shared protocols and templates Fast and consistent data entry that can be tailored around local enhanced services and shared with the PCN.

Centralised clinical services PCN wide services ran via the hub, supported by custom clinical views and data entry templates - e.g., Diabetes service.

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Folkestone Hythe & Rural PCN have been using EMIS technology to underpin the transformation of their service delivery model, making available an additional 10,000 appointments across the PCN. Supported by the PCN Hub clinical system, the team introduced a centralised hub for their ARRS practitioners to enable resource and expertise to be shared across their network, and to relieve pressure from their stretched GPs. Single sign on made it easier for these ARRS clinicians to work efficiently, supporting their seven member practices across the local area. Consultation Write Back functionality introduced into PCN Hub also ensured that each consultation was written back into the native GP record in seconds, supporting joined-up, collaborative working. Embracing our APEX analytics solution helped the team to make data-driven decisions, with dashboards that help them to visualise capacity and demand across their PCN.

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Remote working with EMIS Mobile

We’re empowering your PCN to deliver care closer to home with EMIS Mobile – a solution which allows you to securely and quickly access all the core elements of EMIS Web, wherever you are. With EMIS Mobile, clinicians across your PCN can access medical records, take photos, use body maps and refer to shared care plans whilst away from the office. Whether it’s district nurses working in the community, clinical staff in palliative care hospices or GPs providing home visits, EMIS Mobile makes it simple to manage patient needs on the go. Healthcare professionals can capture rich clinical information using EMIS Mobile at any consultation. With the ability to download and save patient information to access without a connection, as well as write back into patient records and sync when connected, we’re enabling your PCN team to provide better and safer decisions at the point of care.

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EMIS Mobile has revolutionised the home visits. You can see more patients in a shorter period of time.” Collette Kelly, diabetes specialist nurse, Liverpool Diabetes Partnership

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Managing Medications

EPS enabled care Using the Electronic Prescription Service (EPS) gives your PCN the flexibility to manage patient needs across your organisation, no matter where your patients are based. Combined with digital consulting methods such as video or telephone consultation, clinicians can support patients across their locality and send any prescriptions directly to their local pharmacy, saving unnecessary travel time and reducing footfall. Medication review EMIS Elite partner, CSIS offer the first patient-centred clinical medication review solution for patients with multiple conditions, helping to identify potentially harmful medications. Using this solution within your PCN can help enhance clinical safety, in scenarios where multiple prescribers may be caring for a patient, and help to eliminate any potential adverse drug events.

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Shared Administrative Services The ability for PCNs to share administrative services and capabilities can have a huge impact on time saving and patient experience. In this section, we’ll share how our solutions are enabling your PCN the flexibility to deliver services in a way that works for you – from centralised administrative functions to multiple teams collaborating together.

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Here’s some of our key EMIS Web functionality empowering administrative staff to work effectively across organisations.

Communication Manage campaigns and recall centrally using enterprise reporting and mail merge. Keeping consistency Ensure consistent ways of working using shared searches, reports, protocols and templates. Bulk registration Upload patients from all member practices into the hub, saving time and ensuring shared patient data is easy to access. Cross org appointments Book into the appointment book of any other PCN member practice, or even create a centralised appointment booking desk. Cross org tasks Send a task to a user at any organisation within the PCN. E.g., record a consul tation in extended hours service and send a task back to the registered GP.

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Effective triage and referral with Local Services Deploying Local Services across your PCN can help to reduce pressure, free up appointment time and improve patient care, by allowing you to connect patients with local care providers through a process of patient triage and referral. Built using EMIS-X technology and integrated into EMIS Web, Local Services offers a simple, quick and safe route to triage and refer patients into relevant services, such as CPCS (Community Pharmacist Consultation Service). What’s more, Local Services offers a configurable directory of services, meaning your PCN can tailor your offering in line with the needs of your local community and integrate local referral pathways into your way of working.

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Hero Health With EMIS Elite Partner Hero Health, we’re making it easy for patients to book appointments directly into PCN services at a time and date that suits them. Hero Health provide an online booking solution that automates appointment scheduling across your PCN clinics. Your team will be able to open and close EMIS allocated appointment slots where patients can book, reschedule and cancel appointments directly into the EMIS Web appointment book. All information is automatically updated in Hero Health without the need for additional data entry. Intelligent integration with EMIS Web helps you to streamline patient scheduling across clinics, helping to reduce lengthy wait times for patients, minimise additional admin pressures on staff and enhance patient access across your PCN. Clinicians can use Hero’s invite-only scheduling tool to alleviate the stresses of mass patient bookings during high volume services - such as vaccines, blood tests and smears. Simply send an appointment invitation to a selected cohort of patients and allow the patient to book a time and date that fits their schedule.

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With the average appointment booked via phone taking 4-minutes of administration time, Hero Health streamlines patient scheduling when you need it most.

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Seamless Communication Empower your remote workforce and enable faster, safer communications across your estate with our Elite Partner, X-on. Their Surgery Connect solution can support demand and remote working across your PCN by enabling quick and easy click-to-call functionality, allowing users to instantly dial out to patients from within the clinical system, no matter where the user is based. Surgery Connect also comes with simple click-to-SMS abilities, as well as the ability to switch from phone to video call seamlessly when the need arises. With full history and call recording, your organisation will also benefit from a full audit trail for audio recordings and SMS associated with a particular patient. Whether you want to improve communication between GP practices or between clinicians and their patients, we’ve got the solutions to help. Take a look at our partner solutions that specialise in seamless communication here.

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Scalable workforce planning

We understand that your workforce is your most valuable asset. For PCNs to work effectively, you need to be able to deploy a flexible workforce that can meet changing demands. Effective workforce planning ensures you have the right people, with the right skillset working in the right place at the right time. We’ve got tools to help you upskill your teams to work effectively wherever they’re needed, and to connect you to a pool of healthcare professionals when you need additional support.

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Our exciting new learning management platform. EMIS Academy is here to help you to get the most out of EMIS products and solutions, with interactive learning, subject forums and free live webinars. By equipping your teams with the skills they need to work where they’re needed, we’re supporting you to grow a skilled and flexible workforce. But EMIS Academy isn’t just a learning platform; it’s a powerful management tool, with dashboards that provide a holistic view of learning across your entire organisation. At PCN level, Academy can support you to manage, monitor and measure learning across your network, and perform reporting to obtain insights around any knowledge gaps. EMIS Academy content is built to reflect your needs – based on usage and case statistics, to ensure we’re meeting you where you’re at with the challenges you’re facing right now. There’s also the option to purchase bespoke learning content specific to needs of your PCN and your ways of working.

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Getting the most out of EMIS Web

Group Training Accredited with LPIs Gold Standard, our Group Training team deliver market- leading training and system optimisation to ensure you can make the most of our products and services. For new and existing EMIS Web customers, our Transformation Specialists can work with you to help shape your service and make sure you’re getting the most out of the functionality. Talk to us to find out how the team can help you to create local Standard Operating Procedures (SOPs), as well as helping you to maximise efficiencies to save both time and money. By working with your organisation to identify and recommend time saving quick wins through the use of smart configuration and advanced functionality in EMIS Web, we could unlock significant benefits for your PCN. If you want to set up shared services within your PCN, our team can also work with you on business change management, process management, implementation and end user training, to ensure consistency across your PCN, and ensuring you can maximise efficiencies. EMIS Now Our customer support centre EMIS Now is your free one-stop-shop for information, training and how-to guidance for all things EMIS. Our latest updates have made it easier than ever to find what you’re looking for, with guided tours, a video library, improved searches, news and case management.

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System wide analytics​

Obtaining a full picture and understanding of the needs and pressures across your PCN can enable you to make effective changes that drive efficiency and improve outcomes. Data driven insights allow you to get a holistic view of care delivery across your network, and redesign services to align to local needs, mean ing you can focus not just on reactive care, but preventative treatment pathways.

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Data driven care

Enabling proactive, preventative care with Enterprise Search & Reports Our Enterprise Search and Reports solution is the fast and efficient way to source, search and report up-to-date information across your entire Primary Care Network. With the ability to conduct centralised real-time searches on the data held by any practices within your sharing agreement, you’ll benefit from an organisation-wide view of the performance across your PCN. This data can prove invaluable in allowing you to measure the success of your initiatives, track progress against key objectives, measure performance around QOF, LESs/DESs, referral activity and immunisations, and even use data to support the reduction of prescribing waste. You can choose from a range of pre-defined, customisable searches, or you can create your own. Configure searches to repeat for regular reports, in order to enhance service planning and commissioning.

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Risk Stratification

We are empowering you to proactively manage patients and prevent hospital admissions with Risk Stratification. Our Risk Stratification solution is a fully integrated tool which uses the peer- reviewed and clinically validated QAdmissions algorithm. Searching for 29 different risk factors within the patient’s record, it produces an individual risk score for your patient. This will then support you to case-find patients and create a personalised care plan, preventing the need for the patient to be hospitalised. You will be supported with a suite of EMIS Web decision-making tools, including concepts, protocols, templates, alerts and searches. These are designed to help you proactively manage patients identified as at risk.

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As your PCN grows and evolves in its role within an Integrated Care System (ICS) and under local Sustainability and Transformation Plans (STPs), so does the requirement to work with data at scale across a healthcare system. That’s where our powerful analytics suite, EMIS-X Analytics, can support you. With EMIS-X Analytics, we’re enabling the ability to surface information quickly and at scale, combining open source technologies, application program interfaces and cloud storage architecture. Built specifically for analysts and data scientists, EMIS-X Analytics allows you to query all data sets at source from within your local network, giving you a much richer, in-depth view. The Explorer tool delivers self-service business intelligence for healthcare by empowering users to query and analyse data. Using Explorer, you can perform detailed data analysis to enable efficient reporting, intelligence and population health insight - all through a trusted, safe and secure cloud environment. By plugging in our Visualiser tool, you can also create personalised dashboards or reports, for onward use by healthcare professionals, helping bring the data to life for non-technical users.

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APEX from Edenbridge Enabling data driven decision making

We understand that access to near real-time analytics to inform decision making is crucial to your Primary Care Network. With APEX from Edenbridge, we’re supporting practices and PCNs to derive valuable insights from their data through simple to use and clearly presented business intelligence dashboards. Population Health APEX enables population health analysis to allow PCNs to understand their population needs and understand how patients currently engage with healthcare systems, to design and optimise healthcare interventions. Improving Efficiency APEX highlights areas for services improvement, including DNA prevalence, frequent attender trends and detailed clinician based data. Improving Access Provides insight into key indicators to help improve patient access, including 3rd available slot and appointments offered data. Capacity & Workforce Planning The APEX planning tool based on historical activity trends enables more effective service planning in line with local population demand, alongside cross-organisational rota management.

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Clinical systems are notoriously difficult to read and translate data, but APEX bridges that gap.” Amanda Meehan, Practice Manager

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If you’d like to find out more about how EMIS can support your Primary Care Network, speak with your local account director today, or get in touch via talkto@emishealth.com Get in touch

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