Job summary
We have an exciting opportunity for a Patient Administration Care Coordinator Medical Note Summariser to join the Shrewsbury Primary Care Network.
Main duties of the job
The role will involve ensuring that patients medical notes (when patients change practices) are summarised as efficiently as possible. The post-holder will follow protocols to ensure patients medical records are to a standard set by, and in accordance with, the "Good Practice Guidelines" published by the Department of Health.
The ideal candidate will have some experience, or willing to learn Medical Record summarising.
About us
Shrewsbury PCN is made up of 11 GP practices supporting over 104,000 patients in and around Shrewsbury, Shropshire.
We are passionate about leading a network that is supportive and collaborative, where members and staff feel appreciated and empowered to make a difference. Our ambition is to deliver exceptional care and have a positive impact on the community we serve.
Job description
Job responsibilities
- Follow an agreed protocol to summarise incoming patients Medical Records.
Incoming paper records
- Read and process all hospital letters (discharge letters/outpatient reports, results etc), and transpose by coding any information onto the patient's clinical record.
- Code and "link" each "problem" appropriately as per the summarising protocol. Review and enrich the summary page.
- Review QOF (Quality and Outcome Framework) performance markers and ensure read coding captures these codes.
- Identify gaps or errors in medical records and rectify as appropriate, or flag these gaps if unable to find any data.
- Record all allergies and sensitivities.
- Alert recall clerk to any potential recalls that need setting up/reviewing.
- Ensure that information on safeguarding children (or vulnerable adults) is appropriately flagged and identified.
Incoming electronic records - GP2GP
- Match electronic record on the computer.
- Validate all existing medical history (immunisations, problems, etc) entered by previous practice and complete any gaps.
- Tidy "home" page - removing old and out of date reminders, current and past medical history.
- Check medication, allergies, and sensitivities in degraded GP2GP data.
Record checking and verification
- Check medical record content for online coded record access (where patient has applied).
- Report findings back (via task) to usual GP.
- Check medical records (problems and summary items) for patients choosing to have enhanced summary care record. Make any required amendments for accuracy.
This job description is only a summary of what a Patient Administration Care Coordinator Medical Note Summariser job will entail. The role may expand and change over time as the needs of the PCN changes, the requirement of the Network Contract Directed Enhanced Service (DES) expands, or priorities of the population evolve. The Patient Administration Care Coordinator will also be expected to work effectively as part of a team to provide cover for other Care Coordinator roles when required.
Job description
Job responsibilities
- Follow an agreed protocol to summarise incoming patients Medical Records.
Incoming paper records
- Read and process all hospital letters (discharge letters/outpatient reports, results etc), and transpose by coding any information onto the patient's clinical record.
- Code and "link" each "problem" appropriately as per the summarising protocol. Review and enrich the summary page.
- Review QOF (Quality and Outcome Framework) performance markers and ensure read coding captures these codes.
- Identify gaps or errors in medical records and rectify as appropriate, or flag these gaps if unable to find any data.
- Record all allergies and sensitivities.
- Alert recall clerk to any potential recalls that need setting up/reviewing.
- Ensure that information on safeguarding children (or vulnerable adults) is appropriately flagged and identified.
Incoming electronic records - GP2GP
- Match electronic record on the computer.
- Validate all existing medical history (immunisations, problems, etc) entered by previous practice and complete any gaps.
- Tidy "home" page - removing old and out of date reminders, current and past medical history.
- Check medication, allergies, and sensitivities in degraded GP2GP data.
Record checking and verification
- Check medical record content for online coded record access (where patient has applied).
- Report findings back (via task) to usual GP.
- Check medical records (problems and summary items) for patients choosing to have enhanced summary care record. Make any required amendments for accuracy.
This job description is only a summary of what a Patient Administration Care Coordinator Medical Note Summariser job will entail. The role may expand and change over time as the needs of the PCN changes, the requirement of the Network Contract Directed Enhanced Service (DES) expands, or priorities of the population evolve. The Patient Administration Care Coordinator will also be expected to work effectively as part of a team to provide cover for other Care Coordinator roles when required.
Person Specification
Other
Essential
- Meet DBS reference standards and criminal records checks
- Willingness to work flexible hours when required to meet work demands
- Access to own transport / full clean driving license
- Ability to travel across the locality on a regular basis
Experience
Essential
- Experience of working in a role that requires a high degree of autonomy
- Experience of working across a variety of multidisciplinary teams
- Demonstrable commitment to professional and personal development
Desirable
- Experience of working in Primary Care
Knowledge & Skills
Essential
- Strong organisational skills, including planning, prioritising, time management and record keeping
- Ability to work collaboratively, liaising with other stakeholders as needed for the collective benefit of patients
- Ability to recognise and work within limits of competence and seek advice when needed
- Computer efficient with the ability to apply effective IT systems
- Excellent written and verbal communication skills
- Excellent team working skills
- Able to work independently, showing initiative
Desirable
- Knowledge of Primary Care and how it operates
- Knowledge of Primary Care Networks and the Network Contract DES specifications
- Able to use Clinical Information systems
Qualifications
Essential
- Educated to GCSE level or equivalent
Personal Attributes
Essential
- Ability to demonstrate personal accountability, resilience and work well under pressure
- Flexible and adaptable to team and service needs
- Flexible approach to change
- Reliable, punctual and confident
Person Specification
Other
Essential
- Meet DBS reference standards and criminal records checks
- Willingness to work flexible hours when required to meet work demands
- Access to own transport / full clean driving license
- Ability to travel across the locality on a regular basis
Experience
Essential
- Experience of working in a role that requires a high degree of autonomy
- Experience of working across a variety of multidisciplinary teams
- Demonstrable commitment to professional and personal development
Desirable
- Experience of working in Primary Care
Knowledge & Skills
Essential
- Strong organisational skills, including planning, prioritising, time management and record keeping
- Ability to work collaboratively, liaising with other stakeholders as needed for the collective benefit of patients
- Ability to recognise and work within limits of competence and seek advice when needed
- Computer efficient with the ability to apply effective IT systems
- Excellent written and verbal communication skills
- Excellent team working skills
- Able to work independently, showing initiative
Desirable
- Knowledge of Primary Care and how it operates
- Knowledge of Primary Care Networks and the Network Contract DES specifications
- Able to use Clinical Information systems
Qualifications
Essential
- Educated to GCSE level or equivalent
Personal Attributes
Essential
- Ability to demonstrate personal accountability, resilience and work well under pressure
- Flexible and adaptable to team and service needs
- Flexible approach to change
- Reliable, punctual and confident
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
