interactions such as writing capacity within mini mental assessments which can be captured as uploadable images or documents into clinical software.
construction allows pharmacists restricted access to only those patients they supply medication for.
Other applications allow audio capture which is also uploadable both to GP clinical software as well as RACF software.
This can be further restricted to viewing only the medication listings. The pharmacist is then able to set up scripts required but not to print.
This together with inbuilt photography allows for more meaningful longitudinal monitoring of clinical progress. The above assumes appropriate informed consent has been obtained.
These are stored in a holding file for the GP to view and print. Remember to compare this to web-based systems offered by some pharmacy services. Once again, the clinical record is no longer consolidated.
Some facilities have facility-wide wireless systems, which allows all the above including transfer to facility systems to be done at the point of consult, including room-based consults.
Remote access lends itself to telehealth via multiple hardware platforms ranging from desktops to mini tablets. With remote access, notes and investigation results can be viewed by both parties during the consult.
Interactions with other health professionals Further issues to be considered include the production of prescriptions. Some clinical software with the appropriate database
A further issue in aged care is the ongoing communication between the GP and medical power of attorney (EMPOA) to exchange and inform families of clinical progress and issues.
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This has now been addressed by a model utilising a secure mail client to allow access by EMPOA of clinical notes, assessments and investigation results.
Conclusion GP involvement in residential aged care needs to be focused on collaborative care. This requires the appropriate information gathering and dissemination processes as outlined. The GP is in a unique situation in this setting and with the appropriate strategic vision and digital tools, can positively impact the quality of residential aged care. Further, these systems continue to evolve, requiring ongoing review and adaption. Such systems can be extended to all virtual consults and allow the GP to practice in multiple settings, meeting a wide range of clinical requirements and breaking the tyranny of a physical-based practice setting.
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