Thought this might be useful information ....
PRIMIS
Primary Care Information Services
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PRIMIS, a new training and support service to help GPs make best use of
their clinical computer systems and boost data quality in primary care, was
launched in April 2000 by the NHS Information Authority.
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PRIMIS will advance the government’s modernisation programme and provide the
high quality data essential to support evidence-based practice, clinical
governance and a performance framework that focuses on the quality and
outcome of services. PRIMIS is an important component to the NHS Information
Authority’s contribution to the implementation of the national information
strategy and will help local health communities meet the requirements of
National Service Frameworks.
There are many facilities on clinical computer systems that GPs and practice
staff can use to provide more effective health care:
Many depend on the accurate recording of data and use of Clinical Terms
(Read Codes): for instance, call and recall systems for screening and
disease management rely on correct coding.
Careful use of electronic clinical guidelines can help improve quality of
care directly by ensuring that patients receive care appropriate to their
condition.
Most systems offer a variety of warnings and alerts for allergies and drug
interactions, to prevent patients receiving potentially harmful medication.
Training and Support Service
It is widely recognised that computerised patient records in primary care
are currently of variable quality and reliability. One factor has been the
lack of training and support available, and this new service is designed to
address the issue.
PRIMIS will provide training and assistance to local information
facilitators working for Primary Care Groups and Trusts, who will ‘cascade’
their knowledge and skills to GPs and practice staff.
Training and support for the facilitators will focus on:
Information management skills for primary health care teams
Clinical data recording methods
Assessing and improving data quality
Use of MIQUEST
Analysis and interpretation of primary care data
Facilitation and change management skills
Practices receive an assessment of their data quality derived from a
baseline data extraction using MIQUEST, and then focused help is given by
the local information facilitator, targeting areas for action shown by the
data quality assessment. Practices can expect to spend some time improving
retrospective data; they will also need to redesign information processes to
ensure more effective data recording in the future.
Comparative Analysis Service
PRIMIS will also offer a comparative analysis service, to provide PCGs and
PCTs with useful information to support clinical audit, clinical governance
and commissioning. This will be available from late autumn 2000 following a
consultation process, and can be accessed by practices who can demonstrate
good data quality. Schedules of query availability, response submission, and
feedback availability will be published on the website.
Accessing PRIMIS Services
PCGs, PCTs or Health Authorities wishing to provide help in information
management and data quality to their practices will need to prepare a
project plan, and employ an information facilitator. More information about
this process can be obtained from the PRIMIS Team.
The PRIMIS Team
The PRIMIS Team is based at the Division of General Practice at the
University of Nottingham, and is building on the work done by the same team
in the pilot Collection of Health Data from General Practice (CHDGP)
project.
Further Information
Please contact:
PRIMIS
Division of General Practice
University of Nottingham
PRIMIS Service Director
Sheila Teasdale
Tel: 0115 919 4495
NHS Information Authority
Dr. David Robson
Tel: 0150 921 1411
Document Reference No.: 2000-IA-304
Helen Maguire
Business Development Consultant
In Practice Systems
e-mail: [log in to unmask]
----- Original Message -----
From: Lorraine Culley <[log in to unmask]>
To: Minority ethnic health mailbase <[log in to unmask]>
Cc: Benjamin Jones <[log in to unmask]>
Sent: Wednesday, August 16, 2000 1:10 PM
Subject: Ethnic Monitoring in Primary Care
Reading with interest the messages about READ codes in primary care. I am
interested in doing some work around appropriate and effective monitoring in
primary care. Anecdotal evidence on collection of data on ethnicity in
hospitals suggests this is often done really badly (or not at all). This
raises issues about staff training to ask about ethnicity effectively and
sensitively (and issues about management commitment to the process!). Good
data collection in primary care is really important and more so with PCTs
and Care Trusts on the horizon. I am aware of the work by Pringle et al.
Does anyone know of any other literature/research/projects etc. on this
issue? I am particularly interested in training needs for staff (and wider
policy issues) - but of course the technical stuff on codes etc. is vital if
the information is to be put to good use.
Thanks
Lorraine Culley
Reader in Health Studies
De Montfort University
Leicester.
[log in to unmask]
0116 257 7753.
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