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LTC-iHub Update

LTC-iHub Update. November 2011. Lanarkshire LTC-iHub. Brief reminder of what the project is about Progress to date and current status What has been learned so far How success will be/is being evaluated Potential for wider applicability. 1. Brief reminder of what the project is about.

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LTC-iHub Update

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  1. LTC-iHub Update November 2011

  2. Lanarkshire LTC-iHub • Brief reminder of what the project is about • Progress to date and current status • What has been learned so far • How success will be/is being evaluated • Potential for wider applicability

  3. 1. Brief reminder of what the project is about

  4. 2. Progress to date and current status TrakCare/ Vision/ MiDiS EDM Diagnostics Communication Digital Data Capture Interventions

  5. Clarification of Requirement 1

  6. Knowledge Business Intelligence Labs ECGs Guidelines etc Long Term Conditions-iHub Ensemble Interactive TrakCare MiDis Vision PACS Meteor Other SCI Store ECS

  7. NHS Lanarkshire Applications Strategy Portal Options: Orion/MiDis/CareFX/Trak/Ensemble Integration & Interoperability: Ensemble Information Strategic Application ( Vision; TrakCare; MIDID; MAS) Acute Application (Theatres; Cardiology; PACS; Photoware) Community/PC Application (Dental; SCI-DC; NASH;OOH; PIMS) Other Applications (NHS Mail; EDM; eKSF; eExpenses; EDT etc)

  8. User Details and Photo Clarification of Requirement 3 P1 P2 Unread emails My clinic list My Theatre list New Referrals Lab & Rad Reports Activity Data Patient Search Sean Brennan Newly diagnosed LTC patients Journal Links Recently viewed patients ….Links to other applications…. Athena TrakCare Meteor MiDis

  9. P2 Sean Brennan d.o.b 9th.August.1982? P1 Demographics & Contacts Allergies & Adverse events Social & Personal Alerts & Risks Healthcare Encounters Admin & Patient Preferences Clinical History Correspondence Medications & Devices Notifications & Legals Investigations & Results Clinical Notes Observations Notifications& Legal 3rd Party Documents Miscellaneous All records ….Links to other applications….

  10. Clarification of Requirement 2

  11. Vision 360 LTC-iHub & Wider Portal Programme: Interdependancies NHS-L Portal Programme LTC-iHub Project Technical Projects NHS-L LTC-iHub Project Board Ensemble Interface/Design Data Capture Incl digital dictation Portal Design Midis IG/ Access Labs/ EDM Single Sign On OCS LTC-iHub Steering Group Rheumatology Heart Failure COPD ? Elderly

  12. 3. What has been learned so far • A lot of project inter-dependencies • Ensemble development • Single Sign On • EDM • Vision 360 • Digital Dictation • Must adopt national standards were possible • Feeder system issues • Labs • Cardiology • Clinical Coding may be an issue.

  13. 4. How success will be/is being evaluated

  14. Digital Pen sub project

  15. Digital Pen • One heart failure nurse • Data Capture form created/revised • Hardware delivered (one pen/docking station) • Dry run with forms • 3 month trial • Evaluation

  16. A new approach to Paper Review error messages on mobile, make corrections and re-send Automatic routing of form images via email if no data editing required Complete form Send via mobile Or Dock with PC Check & edit of form data on AuraQ forms management portal prior to publishing (if required) Publish data and forms to internal systems

  17. OCR and Validation Form filled in – Pen Strokes Form filled in – Pen Strokes

  18. Digital Pen Evaluation • A quantitative account of how long it takes to put the info into the computer program now. This is at the office, before and after the pen • A quantitative account of how many patients are seen and for how long before and after, to ensure that any benefits are not lost elsewhere • a qualitative account of whether there is a change in time for data capture in consultation • a qualitative account of whether there is a downside to quality of consult when using the system • a qualitative account of what any freed up time is used for • a quantitative account of communication with Drs./ others. How long to get letters out faxes out etc., before and after pen.

  19. Issues • What happens if…………. • Meteor : off-shore based. • IG and GP data • Roll-out/Timescales • What happens if mixed notes (e.g. Rheumatology patient attends for a routine general surgical episode etc) • Incremental : • ACP’s ; KIS;

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