Historical Overview of a Psychiatric Clinical Information System: ‘Peninsula Pathways’

Abstract

<jats:p> Objective: To review the development of a psychiatric documentation suite and associated quality improvement processes, comparing suites historically with changes in service delivery and review. </jats:p><jats:p> Conclusions: Changes to service delivery principles and frameworks have influenced trends to more comprehensive and modular documentation forms. Documentation of quality improvement processes will help ensure that psychiatry-specific needs for information are met during the transition to a more integrated health system and associated electronic records. </jats:p>

Implementation of a First Presentation Psychosis Clinical Pathway in an Area Mental Health Service: The Trials of a Continuing Quality Improvement Process

“…Peninsula Health Psychiatric Service consumer consultants and selected acute care staff and registrars were asked for input and feedback. Some Peninsula pathways[20] forms were modified to be first presentation psychosis-specific, including initial assessment, needs for care assessment and the acute management plan, and some were created as first presentation psychosis forms including the contact form, consultant psychiatrist assessment, pre-assessment and clinical review, pathway information and relapse profile for clients and carers, and the medication algorithm. The structured process of the Texas Implementation of Medication Algorithms[21] for schizophrenia was chosen as a simpler template for implementation and monitoring than the complex ACGEP medication algorithm.…”

Development and Implementation of the ‘Clinical Assessment Summary’ for Providing Continuous Clinical Information

“…A continuous clinical summary was expected to assist in improving performance for each aim of the new documentation suite 1 and to provide greater continuity and quality of clinical assessment and review. It was not initially part of ‘Peninsula Pathways’ but was created as an additional module, which could be added when appropriate.…”

“…Perhaps you have seen a typed discharge summary that states ‘See previous summaries’ (which cannot be found) or was never sent to the treating general practitioner (GP) or private psychiatrist? In response to such frustrations, the ‘clinical assessment summary’ (CAS) was developed and implemented as part of a new documentation suite, ‘Peninsula Pathways’, for adult and aged psychiatry services at Peninsula Health Psychiatric Service (PHPS) in Victoria 1 . This paper outlines this process.…”

“…In response to such frustrations, the ‘clinical assessment summary’ (CAS) was developed and implemented as part of a new documentation suite, ‘Peninsula Pathways’, for adult and aged psychiatry services at Peninsula Health Psychiatric Service (PHPS) in Victoria. 1 This paper outlines this process.…”

Clinical documentation

“…The correspondence between Ratcliff 1 and Sara 2 was reminiscent of our experience at Peninsula Health 3 in implementing a clinical documentation suite for mental health services. Sara summarizes principles which echo many of the concerns expressed by our clinicians of all disciplines.…”