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Investing in technology to improve the patient experience

Chris Cook, Group IT Director, Nuffield Health

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KEY ISSUES & TRENDS ACROSS HEALTHCARE

Technology !Technology !Technology !Technology !

Care ImprovementCare ImprovementCare ImprovementCare Improvement

• Patient safety—technology enabled change

• Clinical outcomes and operational excellence

• New care delivery models

• Patient safety—technology enabled change

• Clinical outcomes and operational excellence

• New care delivery models

Access to Patient HealthAccess to Patient Health& Care Information& Care InformationAccess to Patient HealthAccess to Patient Health& Care Information& Care Information

• National, regional, community electronic health records

• Integrate health, social services and local government

• Patient identity, securityand confidentiality/privacy

• National, regional, community electronic health records

• Integrate health, social services and local government

• Patient identity, securityand confidentiality/privacy

Rising Cost of HealthcareRising Cost of HealthcareRising Cost of HealthcareRising Cost of Healthcare

• Move to Shared Services • Shift to pay for performance• New contracting

models–risk sharing• Quality monitoring

• Move to Shared Services • Shift to pay for performance• New contracting

models–risk sharing• Quality monitoring

Ageing Population, Ageing Population, Obesity, Obesity, & Chronic Diseases& Chronic Diseases

Ageing Population, Ageing Population, Obesity, Obesity, & Chronic Diseases& Chronic Diseases• Patient segmentation• Technology enabled

proactive care management • Patient tools for self-care • Patient wellness programs• Cost reduction pressures

• Patient segmentation• Technology enabled

proactive care management • Patient tools for self-care • Patient wellness programs• Cost reduction pressures

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NUFFIELD HEALTH

• Largest not-for-profit healthservices provider in the UK

• 31 hospitals with 5,000 end users

• 750,000 inpatient visits per year

• Provide integrated healthcareservices for the UK NationalHealth Service (NHS)

• 150 health and fitness centres

• Business strategy is dependent on IT

“As Britain’s longest standing not-for-profit group of independent hospitals, Nuffield Health (formerly Nuffield Hospitals)is committedto providing healthcare excellence thatis accessible and affordable toas many peopleas possible”

“As Britain’s longest standing not-for-profit group of independent hospitals, Nuffield Health (formerly Nuffield Hospitals)is committedto providing healthcare excellence thatis accessible and affordable toas many peopleas possible”

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Single purpose

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The UK Healthcare market

• A time of change

• “Patient Choice”

• More competition

• New entrants

• UK NHS improving

• Increased focussed on preventative healthcare

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The transformation required

• Simpler, faster, fitter

• Offer services across the healthcare spectrum

• More productive

• Standardised processes

• Lower cost base• Shared services

• Procurement control

• Materials management

Highest priority is still Patient Care

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IT to support the transformation

Nuffield IT in 2003

Nuffield IT in 2008

PAS: iSoftMIS: Business ObjectsRisk Management: DatixPathology Labs: CliniSysImaging: Agfa PACS/RISCRM: MicrosoftMaster Patient Index: InitiateIntegration: BridgeForward

Basic IT Market leading,best of breed IT

ERP?

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ERP requirements

• Enterprise-wide (31 hospitals and 100+ sites)

• Modern technology

• Web-based for ease of deployment and access

• Scalable

• Financials

• Procurement

• Requisition self service

• Materials management

• Management reporting

• Workflow

• Best practice in Health Care

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Best practice in Healthcare

• 500+ healthcare customers

• 4,500+ customer sites

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What we bought

• Lawson S3 version LSF9 / SQL Server:• Financials

• Procurement

• Requisition Self Service (RSS)

• Inventory Management

• Mobile Supply Chain Management (MSCM)

• Lawson Business Intelligence (LBI)

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Business process design

• 300 business processes designed

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Integration

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Schedule

2006 2007

Design / Config /Testing

Pilot3 sites

Set upShared AP

Rolled out to 37 hospitals

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WHAT WE’VE ACHIEVED

More focus on patient More focus on patient carecareMore focus on patient More focus on patient carecare

• Process improvements allows mean focus on our highest priority: Patient Care

• Process improvements allows mean focus on our highest priority: Patient Care

Procurement savingsProcurement savingsProcurement savingsProcurement savings

• Major cost savings achieved through procurement controls:

• Approved vendors• Authorisation controls

• Major cost savings achieved through procurement controls:

• Approved vendors• Authorisation controls

Improved decision makingImproved decision makingImproved decision makingImproved decision making

• Enterprise-wide management information reporting

• Enterprise-wide management information reporting

Shared financial services Shared financial services Shared financial services Shared financial services

• An enterprise-wide system to support the implementation of shared financial services

• An enterprise-wide system to support the implementation of shared financial services

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Questions?

Thank You!

Chris Cook

Group IT Director, Nuffield Health, UK

+44 7900 048 898