P124 A patient record embedded electronic form and registry to facilitate individual and population based care for patients with chronic liver disease

<h3>Background</h3> Monitoring and surveillance are important facets of chronic liver disease (CLD) management, often arranged reactively through outpatient visits. The implementation of electronic patient records (EPR) provides an opportunity for proactive, population based care. <h3>Methods</h3> An electronic form (eForm) was designed to be available for all EPR hepatology clinician interactions to collect and/or display patient data, including liver disease stage, presence of portal hypertension, transplant history, follow up category, monitoring/surveillance requirements (blood testing, cancer scans, other imaging, elastography, gastroscopy, lower GI endoscopy) and collect core clinical data (encephalopathy/ascites grade, HCC data, portal hypertension data), with real time calculation of clinical risk scores (UKELD, MELD, Child Pugh, TBS). eForm data contributed to a registry which displayed key clinical and calculated metrics. Among other applications (audit, service evaluation, research, communication in bulk), we identified patients undergoing liver cancer surveillance for monitoring and ‘bulk order’ of surveillance scans. <h3>Results</h3> As of 27 March 2024, the registry contained 1250 patients with chronic liver disease under liver cancer surveillance. 636 (93%) of 683 patients due a scan within 3 months, had an order placed. 1062 (87%) of 1216 eligible patients had been surveilled within the last six months.When comparing data for patients who had been on the registry before and after implementation, six month surveillance scan completion increased from 77% to 86% (p=0.0001), and three-month scan requests increased from 74% to 95% (p&lt;0.0001). <h3>Conclusion</h3> The implementation of a liver disease eForm and registry significantly enhanced CLD management, amongst other applications, demonstrably improving liver cancer surveillance quality metrics. The widespread implementation of EPR provides the opportunity to improve care for patients with liver disease.