Ayrshire Consortium eCare Project A Partnership Perspective eCare Programme A Modernising Government Fund Partnership Sharon Gall Ayrshire Consortium eCare

Ayrshire Consortium Ayrshire Consortium eCare ProjecteCare Project

A Partnership A Partnership PerspectivePerspective

eCare ProgrammeA Modernising Government Fund Partnership

Sharon Gall

Ayrshire Consortium eCare Project

MGF2 bid developed by local partners who

agreed to contribute funding to deliver integrated electronic tools for sharing information

Build on the successes of MGF1

Focus was Single Shared Assessment

Ayrshire eCare Consortium ProjectAyrshire eCare Consortium Project


Joint Future Unit– Single Shared

Assessment

21st Century Government– Modernising Government Fund




Assessment





Assessment


Ayrshire Consortium eCare ProjectSupported by Senior Management via the Project Board




Assessment




Practitioner Group



Assessment




Practitioner Group

Technical Group


The Partnership Project was tasked with the delivery of an electronic solution for data sharing across geographical and agency

boundaries in Ayrshire that must be :

fully integratedrobust & (above all)secure

The main objectives of the Ayrshire eCare Project for MGF2 were :

The implementation of an electronic single shared assessment framework for older people across Ayrshire;

To ensure that staff have access to the information they need when and where they need it and that underlying support mechanisms are in place to maintain the service;

To create a resilient, scaleable environment capable of expanding into other service areas;

To manage the seamless integration of current software platforms into a central eCare server and to provide the subsequent information to clinicians and practitioners as is appropriate.


Sharing coreinformation via the

Multi AgencyStore

for Older People

Develop andImplement Electronic

Recordingof

Single SharedAssessment

South Ayrshire Council: SWIS

North Ayrshire Council: Care First

NHS Ayrshire & Arran: FACE

East Ayrshire Council: SWIFT

Sharingassessment

information via

Multi AgencyStore

for Older People

Extendsharing toother caregroups /settings

Spring 2005

Initial Implementation and Development Introduce Software Start Electronic Sharing

30 September 2005 31 March 2006

Ayrshire eCare ConsortiumAyrshire eCare Consortium

Overview of Implementation


Not asking for much then?!!!



We didn’t think so




Naïve ???? …. Maybe





Parochial??? … Probably


Not asking for much then!!!!?



Parochial ??? … Probably

Wilful ??? … Definitely


Compromise was

NEVER

an option


To achieve our aims we needed to be willing and open to :

Learning

Sharing

Developing


To achieve our aims we needed to be willing and open to :

Learning

Sharing

Developing

& (Stealing!!)


Our Strengths

Shared background & values

Established working relationships

Strong sense of direction

Supported by Senior Management

But most importantly – practitioner enthusiasm and engagement


“By sharing information and experiences we have better learned to trust and respect each other’s professional

judgement and experience - rather than differences, we now focus on our shared values and purpose.

That is not to say differences are not important but if we are truly person centered then that means finding an

acceptable compromise for the benefit of service users.”

Community Care

Social Worker Aug ‘04


“Social work staff largely have their own PC’s and dedicated software system;

we have one PC between nine nursing staff and no system.

We are continuing to strive to develop and improve our integrated working, including improving processes locally.

We have now reached the limits of our current systems.The eCare database is urgently needed to better share and

communicate.”

District Nursing SisterOctober ‘04


Medical Director NHS Ayrshire & Arran June ‘05

“eCare is a national programme. What is going on in Ayrshire is being replicated across Scotland.

We have however, a long history of close working and co-operation between the NHS and our local

authority colleagues and eCare will allow us to build on this strong foundation thus enabling us to put an electronic solution in place that will better provide high quality care for the residents of Ayrshire &

Arran”


Early Lessons Learned

Importance of Admin Support Ability to Problem Solve Improved Communication Systems Focus on Documentation and Duplication Encouraged Multi-Agency Discussion Identified Training Needs Sharing Information Does Work Closer Working Relationships

Ward Sister Jul ‘04


PARTNERSHIP WORKINGUnder the eCare umbrella new partnerships were forged & existing improved:

Locally between agency practitionersLocally between agency practitioners With other partnership areas With other partnership areas With the Data Standards TeamWith the Data Standards Team Between practitioners and techniciansBetween practitioners and technicians Bringing Together Shared Policy AgendasBringing Together Shared Policy Agendas Support from National Programme TeamSupport from National Programme Team With Vendors / SuppliersWith Vendors / Suppliers

INFRASTRUCTUREINFRASTRUCTURE - DMZ DMZ (De-militarized Zone)(De-militarized Zone) - Connections & SecurityConnections & Security- Server Set Up & MaintenanceServer Set Up & Maintenance

PRODUCT DEVELOPMENT (NATIONAL) PRODUCT DEVELOPMENT (NATIONAL) - Multi Agency StoreMulti Agency Store- Index & MatchingIndex & Matching- Consent & DisclosureConsent & Disclosure- Messaging Framework and Web ServicesMessaging Framework and Web Services- eCARTeCART- National ViewerNational Viewer

Ayrshire eCare ConsortiumAyrshire eCare ConsortiumWhat Have We Been Up To So Far?

PRODUCT DEVELOPMENT (LOCAL) PRODUCT DEVELOPMENT (LOCAL) - Host Systems Development Host Systems Development - Local AdaptorsLocal Adaptors- Business Processes, Data Standards & Mapping Business Processes, Data Standards & Mapping

ORGANISATIONAL DEVELOPMENTORGANISATIONAL DEVELOPMENT- Information Sharing Protocol Information Sharing Protocol - Single Shared AssessmentSingle Shared Assessment- Communication Communication - TrainingTraining- Children’s IAFChildren’s IAF

Ayrshire eCare ConsortiumAyrshire eCare ConsortiumWhat Have We Been Up To So Far?

eCareAPPLICATIONS

eCARTeCARPetc

eCare ADAPTOR

Enable communicationbetween agency systemsand the eCareFRAMEWORK

HEALTH CARE

Systems andinformation domainemployed byHealth CareAgencies

SOCIAL CARE

Systems andinformation domainemployed by SocialCare Agencies

EDUCATION

Systems andinformation domainemployed byEducationAgencies

etc

Other systems andinformationdomains

eCARE FRAMEWORK

Geographical System Boundary

MAS

multi-agencydata store

Index

Stores cross-referencing information

Security

Provides userand applicationsecurity

Viewer

Allows MASdata to beviewed bytrusted clientapplications

Matching

Associates recordsfrom differentsystems and storesthem in the Index

Messaging

Enables communicationbetween theFRAMEWORK and theADAPTOR

Directory

Provides userbase and userservices

Information Sharing – Conceptual ModelInformation Sharing – Conceptual Model

Ayrshire eCare Consortium : Ayrshire eCare Consortium : Infrastructure Diagram

Ayrshire eCare Consortium : Ayrshire eCare Consortium : Index & Matching

How We See Matching

• Matching is :– Either 100% sure match– Or “Not Matched”

• If Not Matched– Manual Intervention required

Ayrshire eCare Consortium : Ayrshire eCare Consortium : Index & Matching

- Based on eCare Programme Matching Overview

- Builds on ideas used in Lanarkshire

- Uses eCare MAS Index Model

- Links to SCI to match to CHI

- Uses existing SCI functionality

Ayrshire Tool

Ayrshire eCare Consortium : Ayrshire eCare Consortium : Local Adaptor Development

Documents

Ayrshire Consortium eCare Project A Partnership Perspective eCare Programme A Modernising Government Fund Partnership Sharon Gall Ayrshire Consortium eCare