Transcript messages to our doctors & nurses every month www.coch.org The

Overview of the hospital’s
computer systems
www.coch.org
 Spend c3.0% per annum of Trust income
on Information Management
& Technology
 Support 2,000 networked
PCs over Wireless network
 Receive 30,000 calls to the
Main Switchboard each week
Send 50,000 Pager ‘bleep’
messages to our doctors
& nurses every month
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Admission
(elective or emergency)
The Patient Journey
Recovery
Assessment/
Diagnosis
X-ray, blood test, etc
Surgery
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Discharge
from
hospital
Follow up
with GP
Details are registered on the
hospital system as soon as the
patient reaches the hospital
Information includes name,
address, next of kin, etc
Details from
any previous
visits will
already be
in the system
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A&E staff use the ‘tracker’ to manage patients
while they are in A&E and to ensure we
consistently hit our ‘4-hour maximum’ targets
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If a blood test, x-ray or any other
test is required, these are
ordered on the system &
results are returned
electronically
If the patient
requires regular
tests, we build a
record of these
so the consultant
can compare
results and look
back at the
results history
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PACS Picture Archiving & Communications System
Captures, stores, distributes and displays static or
moving digital images such as electronic X-rays or scans
Takes away need to print on film or distribute images
manually - images are created and can instantly be sent
and viewed across several NHS locations simultaneously.
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The nursing staff complete
assessment forms designed
to assist the assessment &
monitoring of the patient’s
nursing needs
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The Patient Care Enquiry
facility allows clinicians to
view all details relating to
an episode of patient care
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MedisecNET 1010 4101 1430 0500 002
Patients’
hospital
letters
are
accessed
on the
system
The Countess of Chester Health Park
Liverpool Road
Chester
CH2 1UL
Email: [email protected]
Tel: 01244-366426
Fax: 01244-366455
DIANNE Y BULGEN MB BS FRCP
CONSULTANT RHEUMATOLOGIST
Outpatient Clinic Attendance
Our Ref. GEH/VP/CC00031041 Date Typed: 24.05.04
Dr S P Smith
Helsby Health Centre
Lower Robin Hood Lane
Helsby Warrington
Cheshire
WA6 0BW
Dear Dr Smith
Re:
IRENE JONES
32 SPRINGFIELDS
MICKLE TRAFFORD, CHESTER CH2 4EG
DOB
Hosp No.
NHS No.
10/12/1929
CC00031041
4404543492
DATE/TIME OF APPOINTMENT
CLINIC
TYPE OF APPOINTMENT
20 May 2004 at 11:00
DR BULGEN THU AM CA ASSISTANT
Old
Diagnosis: Seropositive rheumatoid arthritis
COPD
Drug therapy:
Prednisolone 10mgs daily
Warfarin
Frusemide 80mgs daily
Citalopram 40mgs daily
Zopiclone 7.5mgs nocte
Calcichew D3 2 daily
Ramipril 5mgs daily
Diazepam 2mgs bd
Uniphyllin 300mgs bd
Aspirin 75mgs daily
Risedronate 35mgs weekly
Nicorandil 10mgs half tablet bd
Eyedrops
Nebuliser/Inhalers
I reviewed this lady in clinic today. I understand that she had to increase her Prednisolone recently for a few days to 20mgs
as she had a chest infection. She is now back down to 10mgs daily. She is limited mainly by her COPD as she gets very
short of breath when she tries to walk.
On examination the synovial proliferation of her right wrist and small joints of her
hands had settled.
I have advised her from the point of view of her joints we can now gradually reduce her steroids.
I
would suggest when she is stabilised from her chest point of view following her infection that she could try a reduction down
to 10 and 7.5mgs Prednisolone on alternate days for two months and could then reduce down to 7.5mgs daily if she has no
problems with that reduction and if her chest allows this.
Blood pressure in clinic today was 118/74. Urinalysis showed a
trace of blood. She informed me that she had a blood test taken yesterday.
Rheumatology review: Six months
Yours sincerely
DR G E HOLLEY
CLINICAL ASSISTANT IN RHEUMATOLOGY
GPs are notified electronically
when one of their patients has
been discharged.
Social Services are engaged earlier
so that arrangements can be made
www.coch.org to reduce delayed patient discharge
Clinical Correspondence
Discharge summaries, Attendance
letters, A&E reports, Radiology
reports, One-off letters.
The system is fully integrated with
the Patient Care System.
www.coch.org
Hospital
system
• A&E
• All Wards
• Theatres
• Radiology
• Pathology
• Pharmacy
www.coch.org
• Patient demographics
• Diagnosis & treatment
• Nurse care pathways
• Medications
• Test orders & results
• X-ray images
• Letters
Fully integrated
hospital-wide
Patient Care System
Hospital
system
Electronic
exchange
with GPs &
Social Services
• GP referrals
• Letters to GPs
• Test requests
• Results reporting
• Discharge bulletins
www.coch.org
GP & Social
Services systems
National Programme for IT (NPfIT)
and The Countess of Chester
N3
The new national NHS Network
 N3 provides fast, broadband networking services to the
NHS offering reliability and value-for-money
 N3 will be as important to the NHS as road and rail
networks are to our daily lives, and will make it possible to
deliver reforms and new services to improve patient care.
www.coch.org
National Programme for IT (NPfIT)
and The Countess of Chester
Choose & Book
Electronic Booking Service
Choose and Book allows GPs and
other primary care staff to make
initial hospital outpatient
appointments at a convenient time,
date and place for the patient.
With Choose and Book a patient
can choose where they wish to be
treated. They can book the
appointment at the surgery, on-line,
or through a telephone booking
service.
www.coch.org
We must be doing something right!
Top results in Audit Commission survey
on attitudes of clinicians to IM&T
4
3
Chart 18: Overall attitude to IT
2
www.coch.org
Countess of Chester vs Medium Acute Outside
London
If you would like any more
information about the Trust’s
computer systems, please contact:Phil Davies, Director of IM&T
Tel: 01244 366302
eMail: [email protected]
www.coch.org