At project launch, Southampton CCG consisted of 31 practices working on two clinical systems, namely Emis and SystmOne. The CCG selected four pilot sites who received the software and on-site training, prior to main roll-out. The feedback received from the pilot sites was positive. However, the users did state that they would have liked a wider variety of content to test. It was also reported to be “very user-friendly” and “has taken over easily from Map of Medicine”. All the remaining practices received Virtual Classroom training, but on-site training sessions were also provided to particular sites who would benefit more from on-site sessions.
Content development was a crucial element for the CCG. DXS overcame this challenge by converting these documents into a more user-friendly format. For each main document, a one-page care pathway was created. These pathways contained numerous embedded links to specific sections of its main guidance document. If they needed additional information, the embedded links in the pathway would navigate them directly to the relevant section in the main document.
Patient UK leaflets, NICE guidelines, and Patient Decision Aids are also published in the Point-of-Care system, which means they are easily accessible to GPs. Local content can also be linked to these documents, adding value to the CCG content.
DXS provided the CCG with a self-service portal where new content, as well as changes to existing content, can be logged and tracked. The portal allowed them to see committed content production turnaround with an SLA, as well as when production would be completed and the content released into the database. It is also possible for the CCGs to provide information to DXS regarding the review of the documents, e.g. care pathways, to ensure that the documents will be reviewed within the appropriate time frame.
The DXS reporting portal provides the CCG with information on the usage of specific forms. In combination with the review dates, the information from the reporting portal can provide the CCG with defined focus areas that need to be updated.
The success of the project can largely be attributed to the initial work on content development and the accuracy of the clinical information, ensuring that the users were provided with a reliable and easy-to-use clinical decision support system.
Wigan Borough CCG, with three different clinical systems in use across the CCG, commissioned DXS Point-of-Care with the objectives of implementing a decision support tool, standardising referral processes and reducing inappropriate referrals.
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