NIPEC Annual Conference Gary Loughran Nicky Brown Margaret Fogarty

1. Northern Ireland Electronic Care Record#NIECR #NIPECICT13Innovation + Commitment = Transformation NIPEC Annual Conference Gary Loughran Nicky Brown Margaret Fogarty Linen Suite, Mossley Mill 9th October 2013

2. Northern Ireland Electronic Care Record #NIECR #NIPECICT13 • Challenges and Strategic vision • What is an Electronic Care Record • Short Film • NIECR in Practice • Nicky Brown, Virtual Ward Co-Ordinator SET • Margaret Fogarty, Sister Belfast Trust • User Feedback

3. The challenge; Fragmented Electronic and Paper Records . . . #NIECR #NIPECICT13

4. The Aim; One virtual Electronic Care Record #NIECR #NIPECICT13

5. NIECR “Core” Data Items Lab Results Demographics & ID’s GP Practice Detail Meds & Med History Clinical Documents Diagnosis Rad reports & results Encounters Alerts & Allergies Special Factors & Problem List

6. Benefits & Savings #NIECR #NIPECICT13 • Reducing delays at every stage of patient journey • Reduction in Inpatient length of stay (4.5%) • Increased Outpatient clinic capacity (5%) • Reduction in Outpatient review appointments (8%) • Decrease in number of bed days used by patients with long term chronic conditions (5%) • Avoidance of acute admissions • Volume of patient testing reduced (£5) • Avoidance of potential adverse clinical incidents • Reduction in Inpatient drug reconciliation time

7. NIECR in Practice #NIECR #NIPECICT13 Nicky Brown Virtual Ward Co-Ordinator South Eastern Trust

8. NIECR in Practice #NIECR #NIPECICT13 • Virtual Ward evolving into Community ward • Current 5 day service progress to 7 day service • To provide timely assessment / diagnosis / treatment for service users with LTC’s who experience an exacerbation • Improved patient care • Avoidance of unplanned hospital admissions

9. NIECR in Practice #NIECR #NIPECICT13 • Single system for all information • Ease of access to ECR • Speedy access to blood results / Xrays enabling timely treatment / prescribing • Simple to navigate • Information accurate and up to date • Better communication between primary / secondary care • Patient choice - consent

10. NIECR in Practice #NIECR #NIPECICT13 Margaret Fogarty Sister Day Of Surgery/Pre-Assessment Unit Belfast City Hospital

11. NIECR in Practice Before After #NIECR #NIPECICT13 • Phoning GPs to get Medication list/ Allergies • Phoning other hospitals to get more information on patients e.g. attending other clinics in other hospitals, blood results, x-ray results, discharge letters, etc. • Ordering notes from other hospitals • Printing out several blood results for anaesthetist • Bringing patients back to get repeat bloods • No need to phone GP • All current letters from other hospitals is available from ECR • Bloods results from all GP/hospital sources are available – several results are available to view at one time • Bloods can be repeated in GP practice – results are then available on ECR • No need to order notes to see clinic letters – only if anaesthetist requires to see past anaesthetic notes

12. NIECR in Practice #NIECR #NIPECICT13 Better prepared More informed Information available at finger tips.

13. What do Users Think of NIECR “Used for the first time today in ED ,Brilliant!, this will improve quality of care” - ED Consultant Southern Trust “Best IT spend in NI ever.  Expect hospital secretaries’ phones will be quieter now’.” - GP “The NIECR system is excellent. The best thing to happen to NI NHS in years! I think within a few weeks everyone I speak to will want to get on it.” - Cardiologist Western Trust “I really appreciate it and use if regularly on a daily basis. In fact I would be lost without it now. - Specialist Nurse Lagan Valley