3rd party clinician access enables clinicians at other hospitals to view and document additional information into the woman’s notes when the woman herself either cannot log in or is incapable of giving log in details to staff for her notes.

The access given to the clinician in the tertiary facility will be the same notes available to the woman. If more restricted information is required, this would need to be directly obtained from the primary care giving hospital which can then be transcribed into their own hospital notes if required. Notes from tertiary centres should also be obtained that can then be attached to the mother’s record at the next consultation.

1. The Organisation must set up a contact within the hospital that is able to give access to Tertiary facilities. This would preferably be somewhere that is available 24hrs a day (Delivery Suite etc).
   
2. The Organisation must be able to give something to the woman that can be presented to the Tertiary Centre so they are aware of who and where they need to contact for access.
   
3. Once the tertiary clinician has contacted the Organisation they must first state the woman for which they require access. The primary clinician can then log onto the mothers notes and navigate to the third party clinician access wizard via the link below. Woman’s Main Notes > Profile > Audit > Third Party Access
   
4. The Primary Clinician will then ask a series of questions (also seen in screen shot below);
   a. Name of Requestor
   b. Hospital or Organisation of Requestor
   c. Why has access been requested?
   d. How were the credentials of the requestor verified
   
   
   
   
5. Once these details have been recorded, the verifier is then asked whether access is to be granted or not. If access is not granted then the system will ask why and will prevent a code from being produced. 
   
6. If Access has been granted it will allow passage to the next page which will then generate a token (See Below) for the primary clinician to give to the tertiary clinician and will ask the primary clinician to state how long they would like to grant access for (once the time is reached the token will expire and a new one will need to be requested). Please Note token only becomes active once wizard is completed.
   
   
   
   
7. All Third Party Access Requests can be tracked using the Notes page (See Below)
   
   
   
   
8. Once the tertiary clinician has received their code they can then use it for the first stage of the log in process on the Organisation hosted Clinician notes website (See Below).
   
   
   
   
9. Once the code has been accepted it will ask the tertiary clinician to enter some specific identifiable information to confirm the woman’s notes they are attempting to view (See Below). They require three or four to be correct in order to grant access to the woman’s notes.
   
   
   
   
10. Entering the information correctly will then grant access to the notes for as long as specified by the primary clinician.
    

3rd Party Visit Documentation

1. If, after the 3rd party has reviewed the notes, they wish to electronically add information about their visit to the woman’s record they must navigate to the “Third party Visit Details” section. Here they can capture time of visit/contact, name, title, Reason for visit, Details about the visit/contact. See example below.
   
   
   
2. When a third party contact has taken place the system will then set a flag in Athena. This flag will do 2 things. Generate a list that will be added to the community midwifes “My Desk” and midwifery teams lists. Display a note on the “Brief Notes” (first page launched when viewing mother’s record) that will state that there is a third party visit/contact that needs to be acknowledged.
   
3. The next step in the Acknowledgement of the visit/contact. The Clinician will navigate to Profile > Audit > “Third Party Acknowledgement”. Here will be two tables. One which shows all third party visits/contacts that need acknowledgement and one where the details have previously been acknowledged. From here the clinician will be able to view all the data added by the third party.
   
4. Appropriate data from the third party visit/contact needs to then be transcribed into the woman’s main notes. This is a crucial step in order to maintain accurate notes, good data quality for MDS and other reporting.
   
5. Once the clinician is satisfied that all appropriate data has been transcribed into the woman's notes they must acknowledge that this has been done via the wizard shown below. This wizard allows the clinician to authorise that the third party visit/contact details has been read/acknowledged and transcribed, and also allows the user to authorise any attached documents to the woman’s record. The visit/contact will then move into the acknowledged table.