Accomplishments Authorisation process delivered and tested

1. Clinical Documentation Library (CDL) Highlight Report - December 2009 D • Accomplishments • Authorisation process delivered and tested • The technical process to migrate existing electronic clinical documents into the CDL. The software to automatically populate historic clinic documents with patient number has been delivered and tested • Scanners have been delivered Key Milestones • Key Issues & Risks • Agreement to rationalise templates for each unit for all clinical units • Agreement from GPs to provide surgery email addresses for emailing discharge summaries • Delivery of functionality to automatically populate Clinical team details. • Lack of single referral management process to ensure that referrals are captured on arrival. • Ability to scan referrals and attach them to the appropriate patient. • Issues with adding historic documents if not appropriately filed and named • Setting up Clinical Documentation library on the Intranet with advance search facility. • To redesign the Clinical Documentation Library Interface (Phase 2) Mitigating Actions The project team is working with the clinical units taking part in the pilot. Commissioning team are liaising with the commissioners. Currently individual templates will be used until the functionality is developed It has been agreed with the Director of Operations that this process will be piloted in Centralised bookings Suppliers have developed the functionality and it will be delivered on the 18th November Units will have to rename files to meet the file naming requirements to enable them to be processed Discussed with the supplier and awaiting a delivery date. Discussed with supplier and awaiting a delivery date • Upcoming Activities • Completing final testing for all supplier functionality • Develop e-learning training material – this is an ongoing task • Test the scanners with the referral scanning functionality

2. Corporate Document Library Project – December 2009 • Accomplishments • Installation of Infrastructure and system completed • Training in the module has been provided to the key administrators • The workflow mapping has been completed • Pilot policies for IM&T loaded but not published Key Milestones • Key Issues • Confirmation of the commencement of the workflow development • Resources may not be consistently available to deliver the remaining policies into the library Mitigating Actions This has been discussed with the developer and confirmation of start date has been discussed. Awaiting delivery date from supplier Need to ensure that resources are allocated to ensure timely delivery of a consistent location for all policies and procedures • Upcoming Activities • IM & T policies to be published on RNOHWeb Policy and Procedures (delayed due to staff illness) • Test the search facilities • Further development of the module to provide full workflow to support our requirement • Test the workflow processes • Update and upload the Policy on Policies Document to include the requirement for search criteria to be identified in all policies • Develop a Communication Plan for the Trust Go Live • Incorporate all policies into the Corporate Document Library • Incorporate all departmental documents into the Corporate Document Library and lock down access to K drive

3. Real Time Patient Feedback Project - December 2009 • Accomplishments • Proof on concept for design and functionality on the application has been delivered • Final sets of questions have been received from the Nursing team • An administrator has now been confirmed Key Milestones • Key Issues • Finalise the design of the patient survey • Provide specification of internal and external management reports required • Complete integration of response data with Data Warehouse Mitigating Actions Feedback has been given to suppliers on the design and functionality and they are working on the development Clinical Governance team are providing this information Suppliers working on the integration • Upcoming Activities • Awaiting delivery if the final design of the application • Testing the application

4. Single Sign On and Context Management Highlight Report - December 2009 Key Milestones • Accomplishments • Push 1 of the Roll out has been completed (Information, Commissioning, Medical Records, Histopathology, Orthotics and Centralised Booking) – we have rolled out to over 100 PCs.  Feedback has been largely positive and no major issues have been raised by • All training documentation (including an e-learning tutorial) is complete and has been posted to the RNOH Web • Single Sign on functionality for RNOH Insight has been completed Mitigating Actions As part of the roll out the users will be educated about the reasons for the shared approach and the ability to fast user switch The Bone Tumour Unit is the main user of LSS Infoflex. This has now been deferred until the issue has been fixed. The issue has been referred to the supplier for resolution A gap in the roll out schedule has been provided to allow for the conflict of IT resources required for Bolsover Street • Key Issues & Risks • Users may not like the “Shared”/”Public” workstations functionality and the limited access • It has not yet been possible to roll out Single Sign on and Context Management for LSS Infoflex (used by the Bone Tumour Unit) due to some technical issues • IT Resources Upcoming Activities • Completion of Single Sign on and Context Management functionality for LSS Infoflex through resolution of associated technical issues (this is a prerequisite for Push 3) • Completion of Push 2 and 3 (another 200 PCs targeted) and associated post implementation support • Development of Single Sign on and Context Management functionality for RIS (this is a prerequisite for Push 6)

5. RNOH INSIGHT Status Update – December 2009 • Accomplishments • Data Warehouse • Validation of the PAS data into the Data warehouse • Data Cleansing of to address Outpatient Data Quality issues complete • Creation of RadCentre clone (required for the transfer of Imaging data into the Data warehouse) now complete • Automated Data Cleansing of Inpatient Episodes missing referrals has been completed • Agreement has been reached with the supplier for RIS data migration at no additional cost • Analysis of RadCentre Data • The Project Board have agreed the systems for the next phase of the data migration • Insight Reporting • The Information team has been trained on report design and creation so that they can work with the project team to deliver Phase 1 Business Intelligence reports • Commenced work on Data Warehouse sourced Phase 1 Reports (based on the requirements raised by the workstreams) Mitigating Actions All issues are being captured and undergoing close investigation by the Project Team and the Supplier. All impacts on the overall solution and plan are being assessed Key Issues & Risks Issue – The Data Validation exercise has revealed a number of discrepancies between PAS and the Data warehouse, which require thorough investigation. This may further impact the project delivery timescales Upcoming Activities Data Warehouse • Completion of Data cleansing effort and validation of PAS load and automated update process – Sign off of PAS Data transfer in the Data warehouse • Definition of a Support/Operations Model for the Data Warehouse for the ongoing management after go live • Commencement of Imaging data transfer into the Data warehouse • Initiate discussions on required data for PLC and for Therapies into the Datawarehouse. Insight Reporting • Deliver Phase 1 Business Intelligence reports directly from the Datawarehouse • Design Review

6. RNOH INSIGHT Detailed Workstreams Report – December 2009 • RNOH Insight Phase 1 Business Intelligence Workstreams • Operational Workstream (led by Claire Euesden) • A series of requirements has been delivered and reviewed by the project team. • A number of interim reports (using excel and access database sources) have been created to meet those requirements and published on Insight (new to follow up ratio for Inpatients and Outpatients, Discharge Monitoring , Pre Op Assessment and Screening activity) • The project team is now in the process of creating the reports that are reliant on PAS sourced data from the actual Datawarehouse. These will be ready in December for review by the workstream • Executive Information Workstream (led by Saroj Patel) • A number of interim reports (using excel and access database sources) have been delivered and published on the Insight portal for the Executive team • The project team is now working on creating these reports using the Datawarehouse (end state solution) • PBR Clinical Coding (led by Andrew Wheeler) • A series of requirements have been received and reviewed by the project team • An interim report (sourced from an access database) has been created and published on the Insight Portal • The project team is currently working with the clinical coding workstream to generate Datawarehouse sourced reports to meet their requirements • Clinician Workstream (led by Dr Maya de Souza) • The Project team has met with Dr de Souza and agreed a series of high level information requirements • The team are producing sample reports from the Datawarehouse (these are closely based on the Operational workstream reports). These will be then reviewed by Dr de Souza and following her feedback and approval, will be circulated for review to other clinicians • Patient Level Costing Workstream (led by Cai Morgan) • The PLC Reporting Solution has been deferred to Phase 2 at the request of the workstream lead • Analysis has commenced on the required data attributes for PLC and their required source • Data Quality Workstream (led by Colin Waller) • A Data Quality working group consisting of key personnel from across the various units and areas in the trust they have met twice. A number of key objectives have been agreed: • Obtain engagement across the Trust on the Data Quality agenda • Raise awareness of the importance of Data Quality • Define and develop Data Quality reports • Define and implement solutions to address procedural or system issues which affect Data Quality • Implement and embed the Data Quality Policy • To carry out periodic Data Quality audits • To develop targeted programmes

7. Orthotics Paper Light Project – December 2009 • Accomplishments • Wireless survey completed and order place for completion of the installation • Delivery of interim version of the application to Orthotics for review and initial testing. • Some testing has been completed and feedback provided to the supplier and further updates delivered • Equipment survey has been completed Key Milestones • Key Issues • Delivery of wireless and other network points • Delivery of equipment requirements. The tablets will be the main issue as a decision on which model has still not been taken. • Interface software to be purchased • Integration of faxing software Mitigating Actions This is being scheduled with the original supplier as resource conflict resolved. The equipment list has been completed and is currently being ordered. A sample tablet has been provided for review however the timescale for their delivery is around four weeks. The order has been placed and is awaiting Finance to approved payment method. This is currently being tested using the free service offered by NHSMail • Upcoming Activities • Final Testing Scenarios and Test Scripts to be completed • Testing to continue on the interim version of application including HL7 testing • Delivery of further updates to the application • A test wireless to be installed to test tablet PCs • The live wireless and other network points to be installed • Provide template for demographic data load

8. PAS Discharge Summary Project – December 2009 • Accomplishments • Discharge summary completed Key Milestones • Key Issues • Embedding of process changes in areas and with personnel where Discharge Summaries are to be completed • Some changes may be required for Go live • Access to clinical staff to provide information and testing Mitigating Actions Discussions with key stakeholders are taking place with a view to implementing this process Raise the changes with PAS supplier with a view to prioritising early development • Upcoming Activities • Obtain drug codes, diagnosis codes, procedure codes for drop down list selection • Set up standard phrases as appropriate • Obtain clinical sign off to the process • Establish training plan • Deliver training