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ForWard

North Cumbria – recent rollout and progress. ForWard. Introductions. Laura Parkinson – Project Manager Joan Markwell – Benefits & Change Manager David Young – PAS Manager. ForWard Programme. IM&T Strategy Clinically led transformation, enabled by technology Four steps: RealTime

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ForWard

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  1. North Cumbria – recent rollout and progress ForWard

  2. Introductions • Laura Parkinson – Project Manager • Joan Markwell – Benefits & Change Manager • David Young – PAS Manager

  3. ForWard Programme • IM&T Strategy • Clinically led transformation, enabled by technology • Four steps: • RealTime • Electronic Observations • Order Comms • ePrescribing • Underpinned by SSO & Wireless LAN

  4. A Brief History • Placed order September 2010 • Software installed October 2010 • Organisation in turnaround • Nursing Review • Senior Management turnover • Acquisition! • ForWard adopted by QIPP • Green light to roll-out – 16th June 2011 • Patterdale (EMAU) & Pillar (general medical) – 5th Oct • Honister 1 & 2 - 5th Dec

  5. From Day One • Bed Management – bi-directional PAS link (iSoft iExPRess) • Discharge Planning (conditions, TLOS) • Produce electronic discharge summaries for GPs (print & fax) • Refer patients to Social Services or STINT (Contact 1) (print & fax) • Record nursing paperwork • Record VTE assessments • Electronic handover between shifts • Referral to Hospital at Night teams out of hours • Monitor infection outbreaks – link to Pathology system (iSoft Tpath)

  6. Forms • Currently • Inpatient Assessment • Bed Safety Rails • DIAG • Derby Nutritional Score • Falls Care Plan • Waterlow Plan • Discharge Summary • VTE • Contact 1 (DTOC) • Nurse-led discharge • Planned • ?Liverpool Care Pathway

  7. Roll-out approach • Two/three wards at a time, every five weeks • Business change engagement • Adapt generic process • Identify any new requirements • End-user training delivered over three weeks • Two weeks floorwalking support • On-site 07:00 – 22:00, on-call overnight • ForWard Coordinator • Next!

  8. Challenges • Limited organisational buy-in • Huge change to working processes for all staff • Small team = long roll-out, but still challenging • Releasing staff for training • SSO/Smartcards • Interfaces • Doctors • Discharge Summaries, VTEs

  9. Benefits • Up-to-date, accurate information on patients • ADTs, consultant, conditions, assessments • Patient information more widely available, yet more secure • Nursing assessments • Better quality input (mandatory fields) • Lack of duplication • Improved communication between staff (at handover) • Improved bed management/planning

  10. Future Plans • Continue roll-out • Support wards already live/enhance use of RT • More forms • Develop care pathways • Electronic Observations – development partnership • Other ForWard Programme projects: • SSO & Context Management in A&E • Order Comms • ePrescribing

  11. Thank You! Any Questions?

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