Medical Note Summariser jobs

Claremont Clinic

Medical summariser

Job Description

Hours: 20 Per Week

Claremont Clinic Grade: Depending on experience

Accountable to: Practice Manager/ GP for clinical issues

This post exists to improve the quality of patient care by maximising the use of information technology to enable the practice to meet the standards set by IMT.

Main Duties

Clinical Data Quality & Governance

1.1 Data entry from hospital letters, discharge summaries etc entered onto patients electronic record either manually and electronically. Use appropriate EMISweb template and read codes

1.2 Summarise the new and old medical records, within the required time-frame (8 weeks). Confirming that the patients manual & GP2GP (where appropriate) records match the data entry. Maintaining accuracy at all times.

1.3 To assist and advise in consultation with the clinicians with regard to using read codes for the purpose of facilitating uniform data entry and extracting data from the computer for the use of audits. To integrate read code updates into the practice standard templates as and when necessary.

1.4 To carry out regular searches to organise proactive recall for chronic disease management. To carry out timely call and recall for patient groups

1.5 To provide regular reports as and when necessary including for clinical meetings and in consultation with clinicians and act as directed. For example:

· Audit/data/disease groups

· Ad hoc recalls

· Inadequate smear test

· Prescribing data including for prescribing incentive scheme

· Workload analysis

· Referral analysis

· Hospital activity analysis

· Appointment analysis

1.6 To monitor population manager and Quality and Outcomes Framework (QOF) supplementary network services (SNS) and act on information /results accordingly

2* Security, Confidentiality and Information Governance*

2.1 Assist in the maintenance and implementation of the practice policy on

Security and confidentiality in liaison with the practice manager and responsible partner

3* Training*

3.1 Assist the practice manager and responsible partner in carrying out training

needs analyses on IT subjects giving due regard to health and safety

3.2 Provide training and support to practice team members, including student

locums and temporary staff on :

Assist Practice Manager in use of the practice IT as appropriate to the team

members’ roles.

Implementation of the practice security and confidentiality policy

Data entry and data quality, in liaison with external advisers including

software suppliers

4* Practice Development*

4.1 Be pro-active in identifying and developing proposals for improving the

management of information and the use of current technology in the practice

and assist in the implementation of these developments.

5* Personal Development*

5.1 Keep up to date with developments in the rapidly changing field of health

informatics

5.2 Attend local and national IT events as decided by the practice

6* Confidentiality*

6.1 To maintain confidentiality of all the practice affairs and the patients information a breach of which will be subject to the practice disciplinary procedures.

This job description is not intended to be definitive and is subject to change to meet service needs through discussion between the post holder and their manager.

Job Types: Part-time, Fixed term contract

Pay: £13.50-£14.00 per hour

Benefits:

• Flexitime

Experience:

• Medical Records: 1 year (preferred)

Work Location: In person