LORENZO

AKACome On In The Waters Lovely;

What’s The Worst That Can Happen?

MARK NORWOODAssociate Director of IM&T

Derby Hospitals Foundation Trust

MARTYN SMITHDirector of IT & Innovation

Hull & East Yorkshire Hospitals

DERBY Hospitals FT

• Turnover of £442m; 1150* beds; circa 8000 staff• One main site (PFI) serving population of over 600,000• Derby Medical School run in partnership with Nottingham

University• Large DGH with Cancer Centre – FT since 2004• Funded budget for IT & Programme for 3 years• Mature user of clinical IT – OCRR for Rad, Path, Cardio

and IP and OP ePMA with high level of integration and penetration

• Managed Service Contract for core clinical systems - ends 2014

*Subject to regular variation

HULL & EAST YORKSHIRE HOSPITALS

• Turnover of £485m; 1300 beds; 8700 staff• Two main sites; 1.25m Catchment• Major Centre for:

Cancer; Trauma; Cardiac; Vascular• Partner in the Hull & York Medical School• Funded budget for IT & Programme for 3 years• Mature user of clinical IT: High level of integration and

penetration• PFI EPR Managed Service Contract: ends Sept 2014

LORENZO THEMES

• ‘Full Fat’ Clinically Centric EPR• Tailored and customisable• Focus on ‘Up-Front’ structured Clinical data

recording• Less retrospective ‘Back-End’ Chasing • Clinical Handover Triggers• Enabler For Resource Scheduling• Supports Paper-Light to Paper-Less Processes

LORENZO THEMES

• End-to-End Pathway Management across Hospital Teams & Care Partners

• Comes with the following in-built functionality: PAS Care Management Emergency Care Clinical Documents / Noting TTO Prescribing Care Plans Maternity

Results Requesting Results Reporting ‘Advanced’ Bed Management IP Prescribing & Drug

Administration

The Good

• Solid product designed for uptime with thin client• Comparable to others in the market• Value added product• Change is possible – not always expensive• Structured development with user input• Visible roadmap – looks fundamentally alright• Clear loosening of the reigns by HSCIC• Funding is helpful

THE BAD

• Some core parts of the product still being built:– e.g. IPPMA

• Some lack of clarity on what’s included in the funded product?

• Still ‘Clunky’ in parts• Standard Deployment Approach• ‘Working as Designed’ still rears its ugly head• Who is the customer?• Elements of the contract still opaque

THE UGLY

Being tested and graded – can you pass their test ?

Risk avoidance drives everything

What didn’t they tell us?

The process – you will be put through the mill

WHY WOULD YOU DO IT THEN?

DERBY• End of Life PAS – March 2014• Aging set of core clinical applications• Large existing managed service contract with

CSC• Allows to replace our PAS and our core clinical

product set with one product• Current product set/ technology can’t deliver

a paper-lite hospital• Current financial position!

HULL• End of Life EPR• Strategic fit• Built on existing CSC partnership • Integrated solution• Functionality met our requirements• Good clinical buy-in

It’s not about the money

Deployment Approach

Derby•Care Management (PAS) / Day Care – Feb 2014•Clinicals Late 2014/ Early 2015 – hopefully staged•Very little data migration on clinicals – ‘click thru’ to legacy•Use of UHMB extensions

Hull•‘Big Bang’ - Full Clinicals – Sept 2014•Very little data migration on clinicals – ‘click thru’ to legacy•Use of UHMB extensions

HOW TO SUCCEED WITH LORENZO

• Don’t let the process manage you; you manage the process

• Own the plan• Use HSIC when you need them, but own the

project and don’t let CSC off the hook • Don’t assume that everything is as it appears

to be• Share information and experiences

HOW TO SUCCEED WITH LORENZO

Mobilise resources; don’t scrimp

Stay Calm!!

Create momentum with a publicity campaign