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Leeds Care Record: Integration Pioneers

Explore the Leeds Care Record, a groundbreaking integration project that provides access to patient information across various healthcare systems. This clinically led initiative aims to improve care outcomes in Leeds and enable patient-centered care.

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Leeds Care Record: Integration Pioneers

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  1. Integration Pioneers 3rd June 2015

  2. Dr Tony Shannon Clinical Director - Ripple Clinical Director - Leeds Care Record Director - Frectal ltd Joanne Dixon Lead Nurse Informatics – CNIO Twitter - @JoD1905 E-mail – joanne.dickson@nhs.net

  3. Health and Social Care

  4. WHY? sxc.hu - /24acorns

  5. State of the Market: A/B/C A B C Common UI Enterprise Wide System x Modular SOA 1 2 3 4 5 Core Process Core Process Enterprise wide System Y Core Process Core Process Core Process Access/SQL Integration Engine ESB Leeds TH 200+

  6. eHealth – Open Platform required

  7. What is it? Secondary Care Primary Care CommunityCare SocialCare MentalHealth

  8. Collaborating organisations

  9. Integrating • The Leeds Care Record provides access to patient information drawn from existing systems across the city. • Developed by Leeds Teaching Hospitals Trust, built on its well established ppm+ platform that provides an electronic patient record using agile methodology. • Sharing • Sharing common information (e.g. medications, allergies, test results) for direct-care purposes. • Patient-centred care • Supporting integration of Health & Social Care staff and a move towards more community-based care. • Clinically led, with the focus on improving care outcomes in Leeds. • Strong focus on Patient Engagement and awareness of the project.

  10. Single Patient View

  11. Multi-Patient View

  12. Progress to date • Live use in Leeds Teaching Hospital and GP practices • 104 GP practices signed up and live • Contribution of mental health, social care and community data - July 2015 • 673,000 GP patients • 44 patient opt-outs (communications) • Regional oncology records Flickr

  13. Neighbourhood Teams • Teams based around GP boundaries, ensuring integrated care is delivered via teams dedicated to serving cohorts of geographically aligned GPs • 800k citizens • 3 CCG’s • 13 Neighbourhood Teams (NTs) • 109 Main GP’s • 31 Branch surgeries • Users such as; Community Matrons, District Nurses, Occupational Therapists, Joint Care Managers, Physiotherapist • LYPFT users – Dementia and Mental Health Liaison Practitioner • Adult Social Care – Social Workers Links to city wide transformation programme – technology is an enabler

  14. Examples of user feedback Caroline Lockie, Community Matron “I have 9 case managed patients who are registered at an EMIS practice. LCR access lets me see what is happening with these patients so I’m no longer going blind” Gary Schofield, Social Worker “ This is REALLY good! Enables me to see information in other systems so I aren’t going in blind” Emma Seabourne, Occupational Therapist “Being able to see an EDAN so easily saves time in wards photocopying documents.” Chris Woods, District Nurse “ I was able to use this whilst working on a weekend when I couldn’t  call the GP” Angela Kier, NT Co-ordinator “This will save me time phoning round wards and chasing GPs for summaries” KieraPagdin, Staff Nurse “It enabled me to see what had happened to a patient who had been hospitalised, meaning I didn’t make a wasted journey to see them”

  15. Taking Learning from LCR to IDCR sxc.hu/gallery/kovik

  16. The Ripple effect Collaborate Innovate Open

  17. Technical Platform Open Viewer Open Integration Open Architecture Six components Foundation layer Open Requirements Open Governance Open Citizen

  18. Requirements Engagement NOW Open Requirements Requirements Document JULY & NOV

  19. Plain English guide to info sharing JUNE Open Governance Endorsed IG templates to use JULY

  20. Citizen Apps MARCH Citizen Engagement JULY Open Citizen Citizen PHR Requirements SEPTEMBER

  21. Integration Engine Supplier API’s SEPTEMBER Open Integration Transfer of care e-Referral JULY Flickr.com - horiavarlan

  22. Open Architecture OpenEHR Workshops Archetype Development & Review VNA workup BI-MONTHLY Flickr.com - redux

  23. Thank You @RippleOSI RippleOSI.org

  24. END Icons used made by Freepik, Yannick & Plainiconfromwww.flaticon.com

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