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In a remarkable outcome from a coordinated care trial, a GP-led Queensland project that harnessed Extensia’s shared care record saw a 26 per cent reduction in avoidable hospital admissions for patients with chronic and complex medical conditions.

Held in one of the largest divisions of general practice in Australia – representing more than 800 GPs across 220 practices in Brisbane’s northern suburbs – the trial enlisted Department of Veterans’ Affairs Gold Card holders who had large numbers of health providers involved in their care.

The project, which was funded by a number of partners including the Department of Health and Ageing, covered an area with more than a dozen hospitals and 50 aged care facilities, and aimed to improve the quality of care provided to more than 2250 patients and reduce early admissions to aged care facilities.

By improving communication between GPs and hospitals, better coordinating discharge planning, and improving the coordination of community and allied health services, the health and wellbeing of patients benefited – allowing them to remain in their homes for longer.

The trial team used the Health Record eXchange (HRX) system, a secure electronic health record summary and document exchange system adapted from Extrensia’s RecordPoint, which led to the secure sharing of critical patient information regardless of the point of care, including medications, allergies, and diagnosis history.

RecordPoint easily interfaces with GP clinical information systems.

Project benefits

  • Improved quality of care for DVA Gold Card holders
  • Improved self management skills to help live independently
  • Improved knowledge about health services 
  • System interoperability between the shared EHR and GP clinical systems
  • Improved communication between providers
  • Sharing of critical patient information between care team members
  • Access to shared patient information at local public and private hospitals
  • Reduced risk of hospital admissions and unnecessary readmissions
  • Increased practice capacity to manage patients with chronic disease
  • Reduced risk of early admission to an aged care facility.

Hospital admissions were reduced by 26 per cent less for the trial intervention group. As well as easing pressures on the cost of service provision, care coordination also brought about additional benefits to patients and healthcare providers, with the Health Outcome Survey finding that patients reported better general health, less depression, an increased sense of empowerment and a higher quality of life at the 12-month measurement point compared with control patients.

HOW DOES RECORDPOINT ENABLE COORDINATED CARE?

RecordPoint clearly displays information from along a patient’s care continuum by integrating with primary, secondary and tertiary health software and non-clinical software systems.

Its ease of use encourages genuine collaboration between healthcare providers for care planning, which is why it has been deployed in Indigenous health, aged care, clinical trials, disabilities care, and chronic disease management in metropolitan, regional, remote settings. It has also been used to share information and enable coordinated care between state-run hospitals and Commonwealth-funded primary care ​systems.

By aggregating data, RecordPoint also fuels innovation by improving the functionality of health apps, AI, machine learning, mobile devices and emerging technologies.​

Meanwhile, each RecordPoint community is able to have its own tailored consent model and data governance oversight.

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To discuss the benefits of our RecordPoint platform, book your demo with one of our experienced team.