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Eventually almost any GP will want some form of report from the clinical system. Most report generators require the use of codes selected at the time of making the record. |
| Money and Lives |
At least in the audit field, the multitude of reports the keen auditors produce now are a first step on the path to enlightenment. The system should produce a single report, continuously updated, of exceptions to the rules it has been given. This can include procedures and claims due as well as a warning that less than 90% of the people taking Warfarin have an INR within their defined range, list of people not collecting their repeat (intended regular) medication, etc. Once an exception has been noted, investigated and it has been determined that action cannot be taken to remove/correct it, it should not be reported again, until any review period which has been set has passed. No current clinical system does anything like this. The process should run independently, using one or more machines at times when they would otherwise not be in use, eg at nights and weekends, and slowing down in the background when peak use occurs. Users should be able to define rules, set levels etc. |