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The Digital Switchover One Trusts plans to eliminate paper. Dave Lang – Programme Director THIS. A brief history of CHFT…. An in-house PAS and a series of connected systems Reasonable levels of integration Patient centric clinical viewer Some financial investment User experience variable - PowerPoint PPT Presentation
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The Digital Switchover One Trusts plans to eliminate paper
Dave Lang – Programme DirectorTHIS
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
A brief history of CHFT….
• An in-house PAS and a series of connected systems
• Reasonable levels of integration• Patient centric clinical viewer• Some financial investment • User experience variable• The national programme for IT
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
The why……
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
Patient benefits…
• Reduction in the number of unnecessary tests• Reduction in length of stay (LOS)• Increase in patient safety, reduction in medical
errors• Reduce repeat admissions• Reduction in paper based transactions• Reduction in adverse drug events
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
Main benefits…..• Overall increase in
patient satisfaction and outcome….
• Overall increase in staff satisfaction and well being….
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
The What - 6 underlying principles
• Your Care, Our Concern will be our mission and our values will be built around People, Patients, Partnerships and Pride (which is at the heart of the approach)
• We will be clinically led and treat patients, staff and partners as we would expect to be treated ourselves
• Collaboration in the interests of patient care will be central to how we work both within and outside CHFT
• Real time patient information will always be at hand for us and our partners to provide the best seamless care
• We will ensure regulatory compliance by improving our access to care for patients and prioritising their safety
• We will meet the financial circumstances and use this challenge as a driver for change and not solely as a constraint
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
EMR Adoption Model
Electronic diagnostic and pharmacy department information
A patient-centered electronic data repository
Clinical ordering and documentation – especially nursing care
Electronic order entry with decision support and result reporting
Completely electronic diagnostic image management
Full electronic clinical decision support, and highest medication safety
“Paperless” patient record environment for highest quality of care, data continuity & full HIE
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming HealthcareLevel of investment
2011 HIMSS Analytics based on yearly averages from 2007 through 2011 from HIMSS AnalyticsTM Database (U.S.A.)
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
The how…..
• Three key strands to the Programme– Infrastructure– Tactical & New Systems– Electronic Patient Record
• Developed a strategy for our EPR/Clinical Systems
• This is supported by a SOC
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
Developing our strategySTRATEGIC
KEY OPERATIONAL
TRIED & TESTED GAME CHANGERS
LEGACY
Virtual Ward
S1 Therapies
Telehealth
S1 Diabetes
PharmacyStock Mgmt
CRV
Specialist Department
PACS
Portal
EnsembleIntegration
Engine
These are systems that support strategic initiatives such as the shared clinical records
These systems have delivered significant benefit to other healthcare organisations, but as yet they have not been
fully deployed at CHFT.
Systems supporting either functions or services that are currently fit for
purpose, but could be replaced as part of an EPR
Considered legacy systems, need to be replaced as part of the EPR/PAS
replacement programme
Asset Tracking
RIS Labs
S1 Community
Digital Dictation &
VR
Kiosks
Medicine Mgmt
EPR
Patient managementEnterprise Scheduling
Bed ManagementElectronic Correspondence
MaternityTheatres
A&EOrder CommsePrecsribingClinical Docs
Decision SupportcaB
Patient Ident
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
System Architecture
Virtual Ward
S1 Therapies
Telehealth
PACS
S1 Diabetes
PharmacyStock Mgmt
CRV
Specialist Department
CaB
Portal
EnsembleIntegration
Engine
Asset Tracking
RIS
Labs
S1 Community
Digital Dictation &
VR
Kiosks
Medicine Mgmt
EPR
Patient managementEnterprise Scheduling
Bed ManagementElectronic Correspondence
MaternityTheatres
A&EOrder CommsePrecsribingClinical Docs
Decision Support
• Hybrid Solution• Still will have an IE
(Ensemble) at its core• Decisions about portal
to be made• Some functionality
may be developed
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
THE SOC Investment modelInitial cost Annual ongoing Deployment Mid point
6 Year cost
Full EPR Programme
£4m - £10m £1m - £2.2m £5m-£7m £22.6m
Of which:
Core EPR £16.5m
Vital Pack £1.8m
E-prescribing £300k - £800k £75k - £200k £200k – £300k £1.6m
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
Benefits• These have been taken from a handful of other EPR Business Cases
• They have been adjusted for the size of CHFT• They have been further reduced to take into account some tangible benefits CHFT have already accrued through good practice and the LEAN work in place at CHFT
• The table shows some preliminary work forecasting benefits accrual over years
Year
1 2 3 4 5 6 7
Early Clinical quick wins 569 1516 1516 651 651 488 5389
EPR main 273 6557 9971 12613 14329 14572 58316
EPR additional 0 223 562 832 994 1098 3709
Total 842 8296 12049 14095 15974 16159 67414
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
So what have we been doing
• Developing Governance model and designing Structure
• Getting clinical buy-in• Engaging with the organisation• Deploying Infrastructure & Tacticals• Market Research including site visits, demo’s
and conferences
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
So what next
• Continue to explore the market• Develop OBS• Consider our procurement options• Develop the FBC• Procure a solution
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
ID Description Oct Nov Dec Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Jan Feb Mar
Pre-Procurement
1 Organisational Readiness
2 Patient Involvement
3 Develop FBC
4 Demos & Do See
5 Develop Vision
6 Board Sign off Vision
7 Workshops
8 Develop OBS
9 Board Sign off OBS
10 Agree Shortlist
11 Understand Procurement Options
12 Board sign off FBC
13 Procurement
14 Trust signs contract with EPR Supplier
15 EDMS (Document Management)
Tactical's
16 Maternity
17 Theatres
18 eWhiteboards (Bed Management)
19 Digital Dictation and Voice Recognition DD VR
20 Vital signs
21 eRostering
22 Self service ESR
23 Wireless Projects
24 eHealth
Infrastructure
25 Video Conferencing
26 Community Agile Working Pilot
27 Wireless Network - CRH EPR Enabler
28 Wireless Network - HRI EPR Enabler
29 Single sign-On
30 Core IT Infrastructure EPR Enabler
31 Acre Mills
32 Unified Comms
33 Replacement PC's EPR Enabler
The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust
The Health Informatics ServiceInforming Healthcare
So why am I here today..• We recognise this as the biggest programme
ever for CHFT• Not trying to do anything new (reinvent
wheel)– We want to learn from what other people are
doing– Test our thinking– Maybe we can help each other
The IM&T modernisation programme…
Dave LangTHIS