PATIENT REFERRAL TREATMENT PROCESS At the GP Office

PATIENT REFERRAL & TREATMENT PROCESS (At the GP Office and at Hospital) At the GP Office. . . At Hospital. . . The Specialist in hospital reads the referral from the GP. Patient arrives. 2 Patient seen by the GP. Treat, prescribe medication; request sick leave, etc. No Send patient to hospital? Enter request for more information in the EHR and send to the GP. 3 Yes The GP enters patient information and makes the hospital referral in Health. Net EHR. 1 GP views request in EHR and adds requested info. 4 Yes The Specialist decides whether to accept patient and determines urgency, and any preliminary studies needed. The GP is notified of the decision; hospital administrative staff notifies the patient. 5 1 More info needed ? No

1 At Hospital. . . The Specialist meets the patient and documents his evaluation in the Health. Net EHR. 6 The Specialist orders tests and evaluations in Health. Net using the structured protocols. 7 The Radiologist receives the x-ray request. More info needed ? 8 Radiologist completes x -ray request and enters results in Health. Net using the structured protocols 9 2 Yes No

2 At Hospital. . . The patient returns to the Specialist to be advised of the results of the radiology referral and the ongoing treatment plan. 10 The Specialist has made the decision to admit the patient. Using the Health. Net ordering and messaging functions, he orders additional tests and specialized nursing care and sends this information to the ward. 11 During ward rounds, the Specialist uses the wireless LAN access to enter the information into the Health. Net EHR 12 And back at the GP Office. . . Patient returns to the GP for follow-up care and routine monitoring. At the patient’s bedside during the final ward round, the Specialist enters into Health. Net the final patient summary, describes the needed sick leave and home care, prints out follow-up information for the patient, and provides feedback to the referring GP. 13

The doctor uses the Health. Net template to make the referral to the specialist.

Template information is transferred to the Health. Net referral

The Health. Net referral is available immediately to the hospital specialist

The hospital specialist needs more information before deciding to accept patient

Request for more information available—and answered— immediately in the clinic

Specialist now has enough information and confirms accepting the patient

The specialist meets and examines the patient and makes his initial evaluation

The specialist orders a diagnostic radiology test using Health. Net template

The internal referral for the chest x-ray is immediately seen by the radiologist

The radiologist confirms receipt of the internal referral and accepts the patient

Procedure completed and image attached from the Health. Net digital archive

Specialist immediately sees the patient for follow-up and decides to admit to hospital

Specialist uses Health. Net messaging system to alert the ward of the patient admission

Mr. David Byrne EU Commissioner Health & Consumer Protection

Specialist discharges patient at the bedside and provides follow-up instructions

The Use of Health. Net in Real Life Petri Turtiainen Managing Director Doctorex