The Digital Switchover One Trusts plans to eliminate paper

The Digital Switchover One Trusts plans to eliminate paper Dave Lang – Programme Director THIS

A brief history of CHFT…. • An in-house PAS and a series of connected systems • Reasonable levels of integration • Patient centric clinical viewer • Some financial investment • User experience variable • The national programme for IT

The why……

Patient benefits… • Reduction in the number of unnecessary tests • Reduction in length of stay (LOS) • Increase in patient safety, reduction in medical errors • Reduce repeat admissions • Reduction in paper based transactions • Reduction in adverse drug events

Main benefits….. • Overall increase in patient satisfaction and outcome…. • Overall increase in staff satisfaction and well being….

The What - 6 underlying principles • Your Care, Our Concern will be our mission and our values will be built around People, Patients, Partnerships and Pride (which is at the heart of the approach) • We will be clinically led and treat patients, staff and partners as we would expect to be treated ourselves • Collaboration in the interests of patient care will be central to how we work both within and outside CHFT • Real time patient information will always be at hand for us and our partners to provide the best seamless care • We will ensure regulatory compliance by improving our access to care for patients and prioritising their safety • We will meet the financial circumstances and use this challenge as a driver for change and not solely as a constraint

EMR Adoption Model “Paperless” patient record environment for highest quality of care, data continuity & full HIE Full electronic clinicaldecisionsupport, andhighestmedicationsafety Completely electronic diagnosticimagemanagement Electronic order entrywithdecisionsupportandresultreporting Clinical orderinganddocumentation – especiallynursingcare A patient-centered electronic datarepository Electronic diagnosticandpharmacydepartmentinformation

Level of investment 2011 HIMSS Analytics based on yearly averages from 2007 through 2011 from HIMSS AnalyticsTM Database (U.S.A.)

The how….. • Three key strands to the Programme • Infrastructure • Tactical & New Systems • Electronic Patient Record • Developed a strategy for our EPR/Clinical Systems • This is supported by a SOC

Developing our strategy

System Architecture • Hybrid Solution • Still will have an IE (Ensemble) at its core • Decisions about portal to be made • Some functionality may be developed

THE SOC Investment model

Benefits • These have been taken from a handful of other EPR Business Cases • They have been adjusted for the size of CHFT • They have been further reduced to take into account some tangible benefits CHFT have already accrued through good practice and the LEAN work in place at CHFT • The table shows some preliminary work forecasting benefits accrual over years

So what have we been doing • Developing Governance model and designing Structure • Getting clinical buy-in • Engaging with the organisation • Deploying Infrastructure & Tacticals • Market Research including site visits, demo’s and conferences

So what next • Continue to explore the market • Develop OBS • Consider our procurement options • Develop the FBC • Procure a solution

So why am I here today.. • We recognise this as the biggest programme ever for CHFT • Not trying to do anything new (reinvent wheel) • We want to learn from what other people are doing • Test our thinking • Maybe we can help each other

The IM&T modernisation programme… Dave Lang THIS

The Digital Switchover One Trusts plans to eliminate paper