Transcript How are we doing this

EPR –
A work in
progress
Our vision
Advances in medical science have
revolutionised
how
we treat
illness.
EPR will
empower us
to work
more
effectively,
so patients
improvedthat
quality and
Today benefit
we can from
cure illnesses
experience
previously would have killed us!
We will be the safest, most efficient and
patient-centred organisation in the NHS
EPR will take us there
Why are we doing this ?
How are we doing this ?
Integrated care
• Provides us with an electronic record
– Ability to share information –
• What & how ????
– Seamless view of primary care record
• Other opportunities
– E consults
– Tele health
– Virtual wards
What are we implementing ?
• Across all hospital sites
– 3 major acute sites
– 5 Community sites
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Clinical documentation
Order comms
E-prescribing
New PAS
ED functionality
Paediatrics
Its more than just EPR
• Data quality
• Business intelligence
• Bed management
How are we doing it ?
• Each significant area has a work stream
• Combination of Implementation professionals
& frontline Trust staff seconded to posts.
Example workstream
• Work stream lead – FT post
• SMEs – variable number – each 1.5 days a week
• Clinical analyst posts – band 5.
• Additional posts dependant on subject
• Large volumes of ad-hoc members from divisions
• Fixed work days
Engagement & signoff from
divisions
• Clearly critical
• Operational involvement at workstream /
design level
• Review at divisional EPR boards
• SME posts spread throughout divisions
Project Governance
• Clearly critical
• Project viewed as the biggest project either
Trust has undertaken
• Transformation board chaired by both Chief
execs in rotation
Further governance
• Govenor Involvement with the project
• Patient representation
• External assurance assessments
– Three during the lifetime of the project
– Provided by GE
– Assessing key stakeholders
Engagement
Consultants
• Consultant body as a whole
• Specialist groups
– Clinical governance
– Specialist meetings
• One to one meetings with opinion leaders
• Demo sessions
• Medical leaders
Other medical staff
• Any given opportunity
– Flu jab sessions
– Training sessions
– Formal meetings
• Juniors forum
• Leadership fellow
Who have we spoken to ?
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CCG’s & GPs
Patients & public
Universities
Staff groups
Unions
Vendors
• Anyone who will listen (or stands still for >10s)
Senior Nursing staff
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Nursing Midwifery Development Forum
Leadership events
Care and Communication workshops
Matrons meetings
One to one meetings
Ward level nursing staff
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Ward Sisters/Charge Nurse meetings
Visiting the ward areas
Demo sessions
Setting up a network of informatics link nurses
/AHP’s with representation across the staff
groups
Nurse engagement
Benefits
Continuity of care
Less time writing
Clear
guidance/instruction
More time to care
Improved patient
care and safety
NO AUDITS!
Not chasing paper
notes
Primary care
• CCG level and leadership
• Formal involvement
– Co-opt on to each workstream
– Involved at architecture board
How will life be
different in our new
world ??
Familiar
access
to primary
records
Improved
clinical
decisioncare
making
Safer patient care
Ordersets – specifying key care
Reducing duplication / unnecessary requests
ED to ward – single source of truth
Avoid duplication / repetition
Reduced Adverse Drug Events
Reduced missed doses
Improved nursing time management
So …..
How does that lead us to
achieve integrated care ?
We have something to share !
• Previously written records …….
• What do we share ?
• How and to whom do we share it ?
• Information Governance ?
Facilitating existing work
• Virtual ward
– Step up and step down philosophy
– Many patients – need to track them / review
results / consider treatment pathways
– Need rapid response and access to information
Newer ways of working
• Ambulatory care
– Preventing admissions
– Facilitating early discharge
– Bridging the gap from hospital and home
Integrated Care ?????