7

Primary care administration and information management and technology

This competency is about the appropriate use of primary care administration systems, effective record keeping and information technology for the benefit of patient care.

Insufficient Evidence

From the available evidence, the doctor’s performance cannot be placed on a higher point of this developmental scale.

Needs Further Development

Demonstrates a rudimentary understanding of the organisation of primary care and the use of primary care computer systems.

Competent

Uses the primary care organisational and IMT systems routinely and appropriately in patient care.

Excellent

Uses and modifies organisational and IMT systems to facilitate:

·         Clinical care to individuals and communities

·         Clinical governance

·         Practice administration

Uses the computer record and online information during the consultation.

Uses the computer during the consultation whilst maintaining rapport with the patient.

Incorporates the computer records and online information in the consultation to improve communication with the patient.

Routinely records and codes each clinical contact in a timely manner and follows the record-keeping conventions of the practice.

Produces records that are coherent and comprehensible, appropriately and securely sharing these with others who have legitimate access to them.

Seeks to improve the quality and usefulness of the medical record e.g. through audit.