dr jack barker & colin sweeney - 'war and peace a ccio and ict director working together
TRANSCRIPT
War and PeaceA CCIO and ICT Director
working togetherDr Jack Barker and Colin Sweeney
CCIO and Director of ICTKing’s College Hospital
• Who are we?• What have we done?• Different projects different
perspectives• Some statistics
Agenda
King’s EPR Milestones
• 1999 EPR Pilot with i.CM• 2002 Completed roll out of orders and results• 2000-2 Electronic discharge notifications and TTA drugs• 2003 Replaced IRC PAS with i.PM• 2004/5 PACS integrated with EPR• 2005 First attempt at inpatient ePrescribing• 2007 Moved i.PM to CSC as part of iSOFT7• 2009-10 Inpatient bedside noting using King’s Documentation
Framework• 2008-2010 2nd attempt at Inpatient ePrescribing• 2010 to date – development of King’s Specialty System
Framework as adjunct to help move to paperless/light hospital• 2011 WardWare to capture vital signs and calculate Early
WarningScores
• 2012 - HIMMS Analytics score us 5.386 on their European EMR Model
Clinical input has always been important
• Clinical Champions : original EPR product research team had: – A medical and a surgical consultant,– A nurse and change leader– Representatives from diagnostic departments
• Implementation team had technical and clinical members– Clinical Analysts – what are they?– Clinical trainer?
• Original Project Board chaired by A&E consultant and membership included 2 doctors from the pilot area as well as nursing and diagnostic representatives
Jack is not alone
• Current IT Strategy Group has 3 consultants including Medical Director and Jack as well as nursing representation
• Current EPR Support/implementation team includes 9 members who are either still registered and practice or were nurses previously
• Deputy IT Director is a microbiologist by background
Managing the Executive• Key players
– Medical Director – Chief Executive – Director of
Finance – Director of
Operations
Electronic Prescribing
Electronic bedside Clinical Notes
Vital Signs – WardWare
eClerking
Managing priorities
Develop or Buy?
King’s Health Partners
In summary
• Strengths of the CCIO– Knowledge of clinical processes– Active use of the IT
• Strengths of the Director of IT– Knowledge of his staff– Management of contracts
• Together – A united front– Shared problem solving
I was so much older then
I’m younger than that now
S1: Number of orders placed each year
S2: Number of results placed in each year
S3: Number of inpatient prescriptions placed in each year
