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Integrated Digital Care Record Proof of Concept

This project update outlines the development and procurement of a Proof of Concept for the Integrated Digital Care Record (IDCR) in Doncaster. The update covers the vision for the IDCR, engagement sessions, procurement exercise details, the awarded supplier, and the contributing information to the IDCR. It also includes the project timeline, evaluation, and project management structure under development.

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Integrated Digital Care Record Proof of Concept

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  1. Integrated Digital Care RecordProof of Concept Update - May 2017

  2. Introduction • The requirement for a Doncaster Integrated Digital Care Record (IDCR) was clearly identified in the Local Digital Roadmap and the Intermediate Care Case for Change • It was agreed that a Proof of Concept for the IDCR would be developed focussed on the Rapid Response Pathway • We agreed with our partner organisation that the CCG would take the lead on the procurement of the Proof of Concept solution • A budget was secured from the BCF fund and CCG non-recurrent monies • Support for the procurement of the system was engaged from Channel 3 Consulting

  3. The Vision for the Integrated Digital Care Record • Timely sharing of accurate health and social care information • An IDCR solution that can interface with all systems in use in the Doncaster region • A shared assessment and plan which will move with the patient • A reduction in paper based activities which can ultimately be eliminated • Access to the IDCR from any location • The option, where appropriate, for patients & carers to have access

  4. Engagement • Engagement sessions (group and 1-1) ran January and early February • Very positive engagement with clinicians, service managers and technical staff. All keen to support the process and setting ambitious goals for the IDCR “A solution that supports effective care delivery through timely & appropriate access to the holistic health and social care record.. supporting integration, alerting, communication and workflow on any device, at any place and time..”

  5. Specification • Output Based Specification, Requirements Catalogue and Invitation To Tender developed and approved during February • It was agreed the Proof of Concept would aim to link up the following systems:

  6. Procurement • Procurement exercise for the PoC ran during March using London Procurement Partnership Framework • Evaluation team of 20 people across all IDCR partners, with mix of clinical , managerial and technical staff • 6 suppliers made bids, including all well recognised IDCR suppliers • 3 eliminated on capability • 3 identified as acceptable suppliers • Of these 3 Orion Health scored best and had the lowest cost over 5 years

  7. Procured Solution • Orion awarded Preferred Supplier status 10th May 2017 • 12 month fully hosted Proof of Concept solution • 6 interfaced systems (JAC removed) • Implementation design and configuration service • Software licences, support and maintenance for 350 users • Implementation training • Orion/EMIS integration for 20 practices

  8. Contributing Information to the Doncaster IDCR: • GP • EMIS / INPS • Events • Procedures • Diagnosis • Examinations • Investigations • Medications • Problems • Risks/Warnings • Demographics • RDASH - Mental Health Data • TPP - SystmOne • Demographics • Alerts • Allergies • Diagnosis • Referrals • Appointments • Admissions • Discharge • Conditions • Risk Summary • Care Coordinator • Mental Health Summary • Care Plans • RDASH- Community Data • TPP - SystmOne • Demographics • Admissions • Discharges • Transfers • Current Problems / Client Categories • Allergies • Relationships • Special Notes • Tasks • Care Plans / Care Plan Goals • GP • EMIS / SystmOne • Events • Procedures • Diagnosis • Examinations • Investigations • Medications • Problems • Risks/Warnings • Demographics • DMBC – Adult Social Care • OLM Group – Care First • Demographics • Episodes • Assessments • Referrals • Alerts / Risks • Service User Groups • Allocated Worker / Team • Support Plan • Care Package • Communication Needs • GP • EMIS / INPS • Events • Procedures • Diagnosis • Examinations • Investigations • Medications • Problems • Risks/Warnings • Demographics • DBHFT – Acute • EMIS Health - Symphony • Demographics • ADTs • Alerts • Documents • TTOs • ECP Service • Advanced - Adastra • Demographics • ADTs

  9. Proof of Concept Timeline - Implementation

  10. Proof of Concept Timeline - Evaluation

  11. Project Management • Project Team to be established • Sub-work streams: • Project Management • Clinical Engagement • Technical • Information Governance • Communications • Business Intelligence

  12. Governance • Governance structure under development • Suggested that the Project Team to report to: • Intermediate Health & Social Care Project Board • Doncaster Health and Social Care Interoperability Group • Programme Board • Chief Officer/CIO level recommended

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