Thursday 3 January 2013

A year of on-line GP practice services for patients


My surgery has been offering ‘on-line’ interaction with patients since 2006. We started with medication requesting and appointment booking, and more recently added access to medical records in November 2011. What follows is a summary of the activity during 2012.

Successful logins
8745
New patients registered for service
227
Appointments booked
2018
Appointments cancelled
591
Repeat medication requests
2468
Address detail change
226
Medical record viewed
115

So what are my conclusions at the end of a year that has seen a significant rise in political interest over ‘on-line’ GP services for patients?

  • With a practice list size of 9000 and 6 years of on-line service behind us, we still have an average of less than one on-line interaction per registered patient.
  • ‘Transactions’ at the convenience of patients dominate the activity.
  • Medical record viewing remains at a very low level without active clinician promotion.
  • There is significant potential to increase on-line activity and relieve telephone and front desk pressure with routine tasks such as repeat medication requests and GP appointment booking.


We do not know the age/sex breakdown of service users – this could be informative.
We are uncertain how we compare with other practices
We have not researched the barriers to use by patients
Medical record viewing has not been a major challenge or workload in the previous year.

So – ‘more of the same’, or ‘must do better’?

For serious consideration in 2013:
  • Offering nursing and ‘task specific’ appointments
  • Advertise the appointment and medication services more actively
  • Target specific individuals for Record Access and test result notification
  • Press for better activity reporting from system supplier


Happy New (Patient on-line) Year!

PS

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