Overview of the hospital’s computer systems

1. Overview of the hospital’scomputer systems www.coch.org

2. Spend c3.0% per annum of Trust income on Information Management & Technology • Support 2,000 networked PCs over Wireless network • Receive 30,000 calls to the Main Switchboard each week • Send 50,000 Pager ‘bleep’ messages to our doctors & nurses every month www.coch.org

3. Admission (elective or emergency) The Patient Journey Recovery Assessment/Diagnosis Dischargefromhospital X-ray, blood test, etc Surgery Follow up with GP www.coch.org

4. Details are registered on thehospital system as soon as thepatient reaches the hospital Information includes name,address, next of kin, etc Details from any previous visits will already bein the system www.coch.org

5. A&E staff use the ‘tracker’ to manage patients while they are in A&E and to ensure weconsistently hit our ‘4-hour maximum’ targets www.coch.org

6. If a blood test, x-ray or any othertest is required, these areordered on the system &results are returnedelectronically If the patient requires regulartests, we build a record of these so the consultant can compare results and look back at theresults history www.coch.org

7. PACSPicture Archiving & Communications System • Captures, stores, distributes and displays static or moving digital images such as electronic X-rays or scans • Takes away need to print on film or distribute images manually - images are created and can instantly be sent and viewed across several NHS locations simultaneously. www.coch.org

8. The nursing staff completeassessment forms designedto assist the assessment &monitoring of the patient’snursing needs www.coch.org

9. The Patient Care Enquiryfacility allows clinicians toview all details relating toan episode of patient care www.coch.org

10. Patients’ hospital letters are accessed on the system GPs are notified electronicallywhen one of their patients hasbeen discharged. Social Services are engaged earlierso that arrangements can be madeto reduce delayed patient discharge www.coch.org

11. Clinical Correspondence Discharge summaries, Attendance letters, A&E reports, Radiology reports, One-off letters. The system is fully integrated with the Patient Care System. www.coch.org

12. Patient demographics • Diagnosis & treatment • Nurse care pathways • Medications • Test orders & results • X-ray images • Letters Hospitalsystem Fully integratedhospital-widePatient Care System • A&E • All Wards • Theatres • Radiology • Pathology • Pharmacy www.coch.org

13. Electronicexchangewith GPs &Social Services Hospitalsystem • GP referrals • Letters to GPs • Test requests • Results reporting • Discharge bulletins GP & Social Services systems www.coch.org

14. National Programme for IT (NPfIT) and The Countess of Chester • N3 • The new national NHS Network • N3 provides fast, broadband networking services to the NHS offering reliability and value-for-money • N3 will be as important to the NHS as road and rail networks are to our daily lives, and will make it possible to deliver reforms and new services to improve patient care. N3 www.coch.org

15. National Programme for IT (NPfIT) and The Countess of Chester • Choose & Book • Electronic Booking Service • Choose and Book allows GPs and other primary care staff to make initial hospital outpatient appointments at a convenient time, date and place for the patient. • With Choose and Book a patient can choose where they wish to be treated. They can book the appointment at the surgery, on-line, or through a telephone booking service. www.coch.org

16. Chart 18: Overall attitude to IT • Top results in Audit Commission survey on attitudes of clinicians to IM&T We must be doing something right! www.coch.org

17. If you would like any moreinformation about the Trust’scomputer systems, please contact:- Phil Davies, Director of IM&TTel: 01244 366302eMail: phil.davies@coch.nhs.uk www.coch.org