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David Bone. Informatics Manager South Devon Health Informatics Service. Joining up the Healthcare Community. A journey from here to there and back again. Vital Statistics. Employs over 3,700 staff C atchment area of 300 square miles 300,000 population + 100,000 visitors
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David Bone Informatics Manager South Devon Health Informatics Service
Joining up the Healthcare Community A journey from here to there and back again...
Vital Statistics • Employs over 3,700 staff • Catchment area of 300 square miles • 300,000 population + 100,000 visitors • Runs Torbay Hospital • Provides clinics in 9 community hospitals • 70,000 A+E attendances • 100,000 new referrals • Spends nearly £500,000 a day
Rurality • 50,000 non-emergency ambulance journeys (covering 250,000 miles) • 35,000 hospital car service journeys • Rivers • Valleys • Poor mobile phone/data coverage
We have some problems • How do I know I have seen everything • Log on to multiple systems • How many is too many? • IT thought 5-6 • Users thought 3-4 • We have 97
Key points from IT Strategy • Best of breed systems • Integrate all • Clinical portal
Joinedup Health and Care Cabinet • CCG Chief Clinical Officer • CEO and MD of all provider organisations − acute, community and mental health • CCG commissioning director • GPs from the CCG governing board • Local authority - adult social care. • The chief executive of the local hospice
Joinedup Cabinet sub-groups • Finance • Communications • Information • IT
‘Stop just thinking about your own perspective and think about the whole system and put the patient at the centre’
SDH Transaction Programme (Acquisition) TSD Divestment Programme
The journey • HealthShare at Symposium September 2012 • HealthShare Foundation December 2012 • Proof of concept with full HealthShare • Demonstrator delivered January 2013
Clinical Engagement • Clinical safety officer • Steering group • 1:1 demonstrations • Consultant Management Group • Other clinical groups and departments
Intersystems colleagues • Tom Spencer • Max Vershinin
Interfaces developed • Laboratory results • Radiology reports • Operation notes • ADT (PAS) • Care Plan Summaries (discharge) • Clinical coding (PAS) • Electronic document management
Other custom work • Search by ward -> My Inpatients • Search by clinic -> My clinics
Demonstration • Internet permitting!