By Alan Gillies;Bev Ellis;Nick Lowe
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Extra info for Building an Electronic Disease Register: Getting the Computer to Work for You (Primary Care Health Informatics)
System usage - this section is concerned with the impact that the system has upon the working methods of the practice. It measures the extent to which the system works for the practice and not the other way around Electronic Patient Records - this section is concerned with the implementation of the Electronic Patient Record. It considers how far the Electronic Patient Record is realised both inside and outside the practice. GPIMM is a model designed for PCGs and PCTs. However, it evolved from a simpler single practice audit tool.
The model is shown schematically below. Schematic view of the SEI Capability Maturity Model. 24 • Building an Electronic Disease Register The key characteristics of the SEI CMM that are utilised in the GPIMM model are: • • • • removal of a binary classification into 'quality' or 'not quality' definition of characteristics to define key stages of maturity definition of key actions to define how to move from each level to the next use of a questionnaire to facilitate analysis of current maturity.
4 It is possible for our purposes to map our IT infrastructure taxonomy onto our information management maturity model. This is done in the following table. Designation Risk analysis classification 0 Paper-based Paper-based 1 Computerised 2 Computerised PHC team Infrastructure level GPIMM level Paper-based Single-user Multiple-user 3 Coded + 4 Bespoke Externally linked 5 Paperless Computerised Externally linked Mapping of GPIMM classification onto risk classification. The IT infrastructure classification represents the hardware necessary to support the level of information management activity designated within the GPIMM model.