1 lancashire teaching hospitals nhs trust epr implementation – lthtr heather binkle epr project...
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1Lancashire Teaching Hospitals NHS Trust
EPR Implementation –LTHTR
Heather Binkle
EPR Project Manager11 December 2003
Lancashire Teaching Hospitals NHS Trust
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Trust Activity in 2003 – 2003
575,514 patient contacts 90,363 inpatients in 1,174 beds 89,684 new outpatients 229,112 follow-up outpatients 105,923 A&E patients 3,568 births
5,400 staff
Lancashire Teaching Hospitals NHS Trust
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Current IM&T Position
X-rayfilms
Radiology
PAS
A&E system
Theatreman
Other systems
In-houseclinical
developments
PaperCasenotes
Intranet
Lancashire Teaching Hospitals NHS Trust
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Specialist Clinical systems
Internet/Intranet
EPR
Pathology
Future IM&T within clinical areas
Lancashire Teaching Hospitals NHS Trust
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The Solution
Misys CPR
Lancashire Teaching Hospitals NHS Trust
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EPR – 3 year implementation
Nov 2002 April 2004 March 2005 March 2006
Phase 1
Phase 2
Phase 3
Lancashire Teaching Hospitals NHS Trust
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1st Phase – Nov 5th 2002 to April 2004– Replaces 2 PAS systems– Replaces 2 Radiology systems– Replaces 2 A&E systems– Replaces Theatre system– New interfaces to pathology for better result reporting– Introduce access to archived scanned casenotes
Nov 2002 April 2004End phase 1
Sept 2004
Phase 1
CasenotesCasenotesPreparatory workPreparatory work
Lancashire Teaching Hospitals NHS Trust
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Phase 2
Nov 2002 April 2004 March 2005 March 2006
Phase 2
Phase 2 – Electronic requesting of tests and services throughout Trust, documentation of Nursing Care, Clinician screens, GP access
CasenotesCasenotes
Lancashire Teaching Hospitals NHS Trust
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Phase 3
Nov 2002 April 2004 March 2005 March 2006
Phase 3
Phase 3 – Electronic Drug Prescribing, Clinical Pathways
Lancashire Teaching Hospitals NHS Trust
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Issue – Infrastructure readiness
Organisation wide network upgrade Wireless network on wards 400 mobile, wireless computers for
use on wards Additional PCs Barcode readers, printers, security Resilient, centralised data storage Windows 2000 and MS Office 2000
12 month implementation project:
Lancashire Teaching Hospitals NHS Trust
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Lessons Learned
Experience is a hard teacher because she gives the test first, the lesson afterwards.
Vernon Sanders Law
Lancashire Teaching Hospitals NHS Trust
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Organisation of Project
Smaller project teams with appropriate leadership and corresponding analyst
Discovering appropriate forums for advisory to project by different user groups
Target groups differently
Lancashire Teaching Hospitals NHS Trust
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Don’t underestimate the work
Appropriate resources are required Understanding the role of the on-site analyst A huge amount of configuration is required to
make the system “ours”
Lancashire Teaching Hospitals NHS Trust
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Data collection – the key to success
Getting the right people involved Begin standardising the processes well in
advance Helping people to an early understanding of
standardisation Understand how the data will be used
Lancashire Teaching Hospitals NHS Trust
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Technology versus Change Management
Putting a PC on every desk and at every nursing station does not make an EPR
Lancashire Teaching Hospitals NHS Trust
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Talking the talk versus understanding what it means
That is what learning is. You suddenly understand something you've understood all your life, but in a new way.
Doris Lessing
Lancashire Teaching Hospitals NHS Trust
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Communication
American system – differences in language and health care system
Complex organisation Large number of staff with different interests Team approach to getting the message out
Lancashire Teaching Hospitals NHS Trust
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Scope of the project
Stick to the scope in each of the phases Help the end-users understand that it is a
phased process Beginning to plan for Phase 2 now
Lancashire Teaching Hospitals NHS Trust
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If computers get too powerful, we can organize them into a committee -- that will do them in. Bradley's Bromide