Edin), FRCP(Glasg), HA Convention, Hong Kong Convention and Exhibition Centre, June 7, 2011

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Implementation of Managing Inter-departmental Consultation Requests by Clinical Inbox in a Medical Department Chan NY(1), Lo A(2), Leung SH(2), Lau A(3), Chan F(3), Wong S(3), Fung HO(3), Tong KL(1), Law CB(1) (1) Department of Medicine & Geriatrics, Princess Margaret Hospital (2) Working Group of Clinical Inbox for Inter-departmental Consultation, Princess Margaret Hospital Clinical Management System Subcommittee (3) Hospital Authority Information Technology Department Dr Ngai-Yin Chan,, MBBS, FRCP (Edin( Edin), FRCP(Glasg), FHKCP, FHKAM(MED), Associate Consultant, Director, Cardiac Pacing Service, Co-director, Cardiac Rehabilitation Service, Princess Margaret Hospital, Hong Kong HA Convention, Hong Kong Convention and Exhibition Centre, June 7, 2011

Response Time of Inter-departmental Consultation in Princess Margaret Hospital Dr orders consultation Dr prepares consultation form Ward staff faxes consultation form Staff distributes consulation forms Consultation attended 1 hr 41min 3 hr 41min 1 hr 35min 7hr 45min 15 hr 11min

Managing Consultation Requests by Clinical Inbox -Potential Advantages Security Time-saving Reliability Convenience Monitoring Environmental friendly Management statistics

Implementation of Clinical Inbox Function to Handle Interdepartmental Consultation Requests in the Medical Department of PMH Implementation on November 22, 2010 after multiple briefing sessions to the potential recipients and senders of consultation requests Data on consultation requests in January 2011 was retrieved from the system and questionnaires were sent to all recipients of consultation requests in February 2011

User satisfaction survey on Clinical Inbox for Inter-departmental Consultation (CI-IDC) JUST 1 MINUTE ONLY We sincerely invite you to provide your valuable feedback on Clinical Inbox for inter-departmental consultation (CI-IDC). This survey aims to collect opinion in using inter-departmental consultation function of clinical inbox from both non-urgent medical consultation sender and recipient. Your opinion would help a lot in our future enhancement and development of Clinical Inbox function. Recipient Questions: Strongly disagree disagree Neutral Agree Strongly agree (please tick into the blank field) 1. Do you think the inter-departmental consultation function of clinical inbox (CI-IDC) is user friendly as a recipient point of view? 2. Do you think the CI-IDC function provides you a safe convenient way to get non-urgent consultation request with patients sensitive information? 3. Do you agree that CI-IDC function in clinical inbox will help shortening your time spent on consultation information collection? 4. It provides me a convenient interface to check the progress of non-urgent consultation through CMS station in everywhere. 5. I would recommend rolling out the CI-IDC function to all departments within Kowloon West Cluster Any other suggestion / comment? ~~~~~ The End ~~~~

Evaluation 1067 consultation requests received via CI system 19 recipients responded to the questionnaire (100%% response rate) 89% Agreed or Strongly Agreed CI function USER FRIENDLY 83% 72% 83% Agreed or Strongly Agreed CI function SAFE and CONVENIENT in handling patient information Agreed or Strongly Agreed CI function SHORTEN the time on collection of consultation requests Recommend to roll out CI functions to all clinical departments in KWC CI=Clinical Inbox

Conclusions The Clinical Inbox function for managing non- urgent inter-departmental consultation requests has been successfully implemented for the first time in a medical department in Princess Margaret Hospital Recipients of consultation requests were mostly satisfied with the Clinical Inbox function

Future The Clinical Inbox function would be rolled out to other clinical departments in Princess Margaret Hospital in the second phase The shortening in the time required from sending consultation requests to completion of the consultations would be evaluated in the second phase implementation