1 / 26

The paperless hospital – Is it achievable? Colin Sweeney Director of ICT

The paperless hospital – Is it achievable? Colin Sweeney Director of ICT. Agenda. Background How paperless are we? EDMS v active record The Pre-requisites What have been the big achievements? Rolling out EPMA across the hospital

dean-hart
Download Presentation

The paperless hospital – Is it achievable? Colin Sweeney Director of ICT

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The paperless hospital – Is it achievable?Colin SweeneyDirector of ICT

  2. Agenda • Background • How paperless are we? • EDMS v active record • The Pre-requisites • What have been the big achievements? • Rolling out EPMA across the hospital • Making continuation notes electronically to increase accuracy and legibility • Developing new methods of digitally viewing vital signs using mobile devices • Utilising electronic data to audit department's performance and improve patient care • What is missing? • Obstacles and issues

  3. King’s EPR Milestones • 1999 Implemented pilot of the initial EPR vision • 2002 Completed roll out of orders and results as first stage of EPR • 2000-2 Discharge notifications and TTA drugs • 2003 Replaced old IRC PAS with i.PM • 2004/5 PACS • 2005 First attempt at inpatient prescribing • 2007 Moved i.PM to CSC as part of iSOFT7 • 2009 Inpatient noting • 2008-2010 Inpatient prescribing roll out • 2010 to date – KSSF to help move to paperless/light hospital • 2012 Wardware to calculate Early Warning Scores • 2012 Assessed by HIMSS as a level 5 EMR • 2013 Acquired Princess Royal Hospital

  4. Vision and Tactics Our Vision A single point of access to information about individual patients in electronic real-time format How do we get there? An EPR is a Strategy not a System

  5. i.CM/EPR RIS KCH develop-ments PACS NNB Score-cards Maternity Choose &Book i.PM/ PAS What does that mean? Data Ware-house/ABC Theatres TIE Pharmacy E-PSB Pathology Finance A&E Payroll PICU ESR Specialty systems E-Rost-ering E-Learning NHS Mail

  6. How paperless are we?

  7. Pre-requisites • Reliable and stable Infrastructure • Wireless and wired • Enough equipment • Right equipment • Committed and dedicated people • Executive • Clinical Users • ICT staff

  8. Hardware

  9. EDMS-Pros • Provides a complete record • Availability • Saves on storage space • Savings on folders • Potential savings on prep clerks • Potential savings on archive/retrieval • Ad hoc scanning is prone to error

  10. EDMS - Cons • Quality of original documents • Volume – do you need everything? • Are you duplicating information that is already available? • Speed of access • Continuous paper generation • Needs initially to be an industrial scale process • Cost

  11. Civica WinDIP

  12. Key Successes • EPMA • Continuation Notes • Vital Signs • Wardview

  13. Electronic Prescribing Drug Charts

  14. EPMA – What is it good? • Prescribing process the same as ordering a test • Legibility • Availability • Administration monitored • Analysis/audit available • Decision support • Safety

  15. EPMA – What is it not so good? • It doesn’t look like a drug chart • Some of the complex prescribing is not available • Chemotherapy • The infrastructure needs to be reliable and perform and easy to use • Wireless network • Computers on Wheels • Other devices • Patient flows • Time to implement

  16. Continuation notes

  17. Continuation notes - Good • Legibility • Availability • Easy to use • Meets national standards • More structured

  18. Continuation notes – Not so good • Free Text – hard to analyse • Lack of drawing • Re-entry of data • “Too much information” • More devices/screens

  19. Vital Signs

  20. Vital signs – good • Easy bedside entry • Calculates Early warning scores • Draws graphs • Accessible from wherever • Nurses extremely positive – want to use tools for more

  21. Vital signs – not so good • Although available from EPR data is not currently shared across systems • Access to chart while writing a note • More equipment/devices • Coping with demand/decisions about what goes where

  22. Using the data to improve care Quality Indicators

  23. What are we missing • Free flow drawing capability • Forms – although we have a form builder • Consent and patient access • Non-PACS images • Historic notes • Information from outside

  24. Obstacles and Issues to going paperless • Paper is easier/quicker to use ? • What are people used to? • Dependence upon a reliable, stable and high performing network and devices • The number/variety of devices required

  25. Any Questions? ColinSweeney@nhs.net

More Related