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IM&T Enabled Clinical Change

IM&T Enabled Clinical Change. Overview . ….give an overview of how Informatics Merseyside has strengthened the Merseyside QIPP Programme . ….give an taster of how IM&T Programmes and projects across Merseyside are releasing QIPP Benefits .

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IM&T Enabled Clinical Change

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  1. IM&T Enabled Clinical Change

  2. Overview ….give an overview of how Informatics Merseyside has strengthened the Merseyside QIPP Programme. ….give an taster of how IM&TProgrammes and projects across Merseyside are releasing QIPP Benefits. ….bring to life an example of an IM&T enabled transformation of a care pathway through the use of a patient journey.

  3. Our Services • Application Support • Business Change • Business Management • Desktop Support • Information Security • IM&T Commissioning Service • IT Training • Network Infrastructure • Secondary & Care Informatics • Primary Care Informatics • Programme and Project Management • Relationship Management • Service Desk • Technical Services • Web and Software Development • Research and Development

  4. Who do we work with?

  5. Merseyside

  6. Merseyside The advances we have made in improving life-expectancy in recent years are likely to be wiped out of the current trends for excessive drinking and unhealthy weight continue. • A boy born in the North West today might expect to live 10 years fewer than one born in the south of the country. Eight out of the top 10 local authority areas with highest rates of harmful drinking levels in people aged 16 or over are in the North West. Nine out of the top 20 PCTs with the highest rates of alcohol-related hospital admissions are in the North West. There is an increasing trend of 11% per year in the rate of alcohol-related hospital admissions per 100,000 population in the region. • Mortality rates for all cancers are 40% higher than in England and Wales and the mortality rate for lung cancer is 90% higher than the national average. Merseyside has some of the highest rates of long term conditions, and its increasing.

  7. What the challenge?

  8. IM&T • Good Corporate Citizenship Enabling Work streams • Commissioning • Finance • Estates • Finance • Prevention • Medicines Management • HR

  9. Children's Diabetes CVD Rehab Dementia Trauma Mental Health Vascular Tailored Care Cancer Heart Failure Urgent Care COPD QIPP Clinical Pathways

  10. Dr. Simon Bowers, GP lead for the QIPP IT Programme • “….Information Technology has the potential to revolutionise the way we care for our patients in the NHS. By improving communication between clinicians, care can be delivered safely, efficiently and to the highest standards, ensuring patients are seen by the right person, in the right place, at the right time….”

  11. BUoI Programme Clinical Pathways Transformation Programme ICT Innovations Programme

  12. ICT Innovations Programme .…harnesses innovation and new technologies across local Trusts and the wider health community to reduce cost, increase efficiencies and most importantly to improve patient care; delivering a visible return on investment in terms of QIPP….

  13. h a Further pathway interoperability NHS Office BYOD & Shared Purchasing ICT Programme g b Mobile Apps Spreading innovation & best practice f c Web 2.0 Digital Image Sharing Video Enabled Healthcare d e

  14. ICT Innovations Programme Telecoms • Mobile Working • Printing • Contract Management • IT Ops Efficiencies Electronic Document Management System (EDMS) Green Computing and Power Management

  15. Increasing Productivitythrough an Agile Workforce ….work is something we do, not somewhere we go….

  16. Agile Working Programme h Business Process Redesign a Laptops NMHIS Digital Pens g b IT Support Digital Dictation f c Estates Strategy Video conferencing d e Mobile Apps

  17. Mobilising Information • Laptop solution • Clinic environments • Working from other desk environments/home • Access to whole systems • Mobile Apps Programme • NMHIS Developed mobile apps • Smart phones / Tablets / Laptops • Scales down the EPR • Allows viewing and updating of record • Disconnected working • Automation / Integration

  18. Derek Campbell, Chief Executive of NHS Merseyside • “….Our experiences show how technology • can be used to enhance and improve healthcare • systems. The QIPP IT programme will build on that • success, offering more opportunities for greater • efficiency and, most importantly, resulting in • improved care for patients….”

  19. Clinical Pathways Transformation Programme ….delivering modern IM&T technologies and systems to enable Clinical Pathways to operate seamlessly and effectively, supporting the delivery of integrated patient care….

  20. Children's Diabetes CVD Rehab Dementia Trauma Mental Health Vascular Tailored Care Cancer Heart Failure Urgent Care COPD QIPP Clinical Pathways

  21. Jay Wright, Consultant Cardiologist,Liverpool Heart and Chest Hospital • “…. The Heart Failure programme is an integral part of • delivering a streamlined service to patients with Heart • Failure and providing equity of care to all. I am • delighted with the IM&T support I have received from • North Mersey Health Informatics Service. The staff • that are working on this Programme of work are • extremely knowledgeable and talented with a real can • do approach.….”

  22. LHE • Shared EPR • Programme Clinical Pathways Transformation Programme • LHE • Shared • Diagnostics • Clinical Engagement across the Best Use of Informatics • Messaging Hub - Medical Interoperability Gateway • Tele-Health • E - Prescribing • Map of Medicine

  23. IM&T enabled Award Winning COPD PathwayNorth West Respiratory Best Practice Award - Integrated Care Category • Name: Stanley Park • Age: 54 • Diagnosis: COPD • Medical History: Generally in poor health, heavy drinker, smoker, Liverpool fan

  24. Stanley’s wife has noticed a decline in his general health and books an appointment for Stanley to see his GP via an web enabled booking service

  25. Stanley arrives at his GP Practice and ‘arrives’ himself via touch screen in reception

  26. Stanley has a consultation with his GP, who views the North Mersey COPD Pathway via the Map of Medicine. A spirometry test is carried out along with a referral to the Community Respiratory Team. GP updates his clinical system using digital dictation / voice recognition technology

  27. Later that evening Stanley presents at the local AED who are able to view the GP Summary record through interoperability with System C (Acute Clinical System). This includes details of his earlier consultation and his spirometry test results. Stanley is admitted to hospital.

  28. Stanley is given prescribed a course of antibiotics and steroids using the Trusts EPMA system. His extensive medical history is reviewed by the respiratory team, accessing all 6 volumes through the EDMS system. A range of devices are used at Stanley’s bedside.

  29. The electronic white board is able to flag Stanley as medically fit for discharge after a 7 day stay in hospital, and show his referral to the Community Respiratory Team is complete. On leaving, Stanley completes his patient satisfaction survey using a tablet device / APP where he says the food is awful

  30. CRT Team visit Stanley the following morning and are able to view the GP Summary and Stanley e-discharge via their agile working equipment.

  31. The GP OOH Service is triggered by CRT later that month who are able to view Stanley’s patient record in Adastra and advise appropriately. Stanley remains at home with increased care from CRT & Community Matrons. Stanley is later enrolled onto the local telehealth programme.

  32. Telehealth equipment allows Stanley to record a series of self care values on an easy to use system, making this information available to Stanley’s care team. Should these values become alarming or drop outside of a preset range then the care team can intervene at the earliest opportunity, avoiding hospital admission and increasing Stanley’s quality of life.

  33. Bernie Cuthel, Chief Executive of Liverpool Community Health • “…. NMHIS are exploring how Telehealth could play an • important role in delivering care for patients with long • term conditions. Telehealth has the potential to create • some really innovative and effective ways to provide • patient care, which will be ever more important as we • look towards growing future demand….”

  34. IM&T enabled COPD Pathway Benefits • “….in the last twelve months the shared care record has been accessed over 55,000 times across North Mersey ….” • “….community services seen a 70% reduction in time spent searching for patient information….” • “….AMU Department seen increased productivity, enabling a further two patients to be seen in a two hour clinical window….”

  35. Paul King, Patient • “….This service has changed my life….”

  36. For further information, please contact… Stephen Appleton, Clinical Informatics Lead Informatics Merseyside stephen.appleton@imerseyside.nhs.uk Tel: 07792 955 017

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