dave lang – programme director this. the health informatics service is hosted by calderdale and...

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 why……



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



Main benefits…..• Overall increase in

patient satisfaction and outcome….

• Overall increase in staff satisfaction and well being….



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



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 ServiceInforming HealthcareLevel of investment

2011 HIMSS Analytics based on yearly averages from 2007 through 2011 from HIMSS AnalyticsTM Database (U.S.A.)



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



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



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 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



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



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



So what next

• Continue to explore the market• Develop OBS• Consider our procurement options• Develop the FBC• Procure a solution



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



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

dave lang – programme director this. the health informatics service is hosted by calderdale and...

Documents

health informatics service

healthcare slide

huddersfield nhs foundation

healthcare reduction

patient safety

patient satisfaction

interests of patient

hie slide