Introduction and Objectives The chronic disease management system (CDMS) is an electronic patient record developed by healthcare professionals (HCP) across inner northwest London for care of patients with COPD. It was introduced across Imperial NHS and Central London Community Healthcare in January 2012. The aim was to improve patient management by promoting real time information sharing across and between organisations.
The objectives of this study were to assess:
The acceptability and use of the COPD CDMS by HCPs.
Whether healthcare professionals using the system felt it benefitted patient care.
Methods All healthcare professionals (42) in the integrated COPD MDT were asked to complete an anonymous questionnaire at month 3 after the introduction to paperless working and again four months (month 7) later to assess whether opinions had changed.
Results 35/42 members of the COPD MDT completed questionnaires in March 2012 and 28/42 in July 2012.
Initial questionnaire: 33 (94%) of healthcare professionals were using the COPD CDMS with 17 (52%) multiple times a day. The most frequent reasons for using the COPD CDMS was that it gave access to timely information pertinent to patient care (25/89%) and increasing information sharing across teams (25/89%). 19 (58%) felt it improved patient care and 10 (35%) users felt it improved the patient’s experience. 18 (55%) rated the system as very or extremely useful.
Repeat Questionnaire: Responses in the follow up questionnaire were similar to the initial results with a similar number using it (89%) and rating it as very or extremely useful (52%). The system was also being used more out of hours (17% - 32%) and there were increases in the number of users who believe it improves patient experience (45%) and care (67%). Table 1 indicates factors influencing the use of COPD CDMS by HCP.
Conclusions Introduction of an electronic patient record is acceptable to the integrated COPD teams. The majority will use from day 1 with no drop off of use over 7 months. Over time, out of hours usage increases and the belief using the electronic record improves patient care increases. This information will help others who plan similar changes across their care communities.
Acknowledgements NW London CLAHRC.