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Accomplishments

Appendix A. Clinical Documentation Library (CDL) Highlight Report 22/02/10. Key Milestones. Accomplishments Some issues from testing fixed and delivered 11/02/2010 with further fixes due by 20/02/2010 The consultant table has been made available on the Data warehouse

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Accomplishments

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  1. Appendix A Clinical Documentation Library (CDL) Highlight Report 22/02/10 Key Milestones • Accomplishments • Some issues from testing fixed and delivered 11/02/2010 with further fixes due by 20/02/2010 • The consultant table has been made available on the Data warehouse • The server to support the Intranet has been purchased and built • Key Issues & Risks • Agreement to rationalise templates for each unit for all clinical units • Agreement from GPs to provide surgery email addresses for emailing discharge summaries • Lack of single referral management process to ensure that referrals are captured on arrival • Issues with adding historic documents if not appropriately filed and named • Setting up Clinical Documentation library on Intranet with advance search facility • To redesign the Clinical Documentation Library Interface (Phase 2) • Ongoing management of the system after Go Live Mitigating Actions The project team is working with the clinical units taking part in the pilot Surgery email addresses are now being collected and supplied to the PAS team for updating It has been agreed with the Director of Operations that this process will only take place in Centralised bookings Agreed with Users to change file names accordingly There have been issues raised which has prevented the migration of the existing Intranet to the new server. In progress. Waiting for the SharePoint server to be configured There is a requirement for a system manager to maintain and run the system • Upcoming Activities • Finalise development of e-learning training material for training to commence w/c 11/03/10 • User acceptance testing and trial run of training materials • Testing of fixes delivered in readiness for Clinician Demo (see below) • Clinician demos arranged over 8th, 9th, 10th March 2010 • Both scanning and Intranet testing to be completed by 28/02/10 have slipped due to Technical issues with Intranet server (Issue 5). Rescheduled to be completed by 05/03/10

  2. Corporate Document Library Project as at 22/02/10 • Accomplishments • IM & T policies have been published on the RNOHWeb Policy and Procedures Key Milestones Key Issues Publishing Trust wide policies and procedures Mitigating Actions Milestone Plan added to this report. HR and Corporate affairs are responsible for the delivery of this plan • Upcoming Activities • Develop a Communication Plan for the Trust Go Live – HR policies to go-live after the IM&T policies • Incorporate all policies into the Corporate Document Library • Phase 2 • Further development of the module to provide full workflow to support our requirement

  3. Real Time Patient Feedback Project as at 22/02/10 Accomplishments Key Milestones • Key Issues • None Mitigating Actions 1. None • Upcoming Activities • Integrate the data into the Data Warehouse • Confirm reporting requirements from Insight • Additional questions to be added to the questionnaire

  4. Single Sign On & Context Management Highlight Report at 22/02/10 Key Milestones • Accomplishments • Implementation now 90% complete (we have just completed Bolsover Street and Stanmore outpatients). Feedback from clinicians has been positive • Remaining areas are as follows: • Therapies – to be deferred until Therapies organisational changes are complete • Imaging Stanmore and Bolsover Street – to be deferred until single sign on capability is available for RadCentre Mitigating Actions The team is currently working to provide a solution which will ensure that when searching for patients with no NHS numbers in one system, subsequent applications will yield no results and force the user to repeat the patient search . Supplier to advise ETA RadCentre Single Sign on functionality expected 19/02/10 Supplier to advise ETA for ICE amendment • Outstanding Issues • Patient information sharing across systems will not work if the patient does not have a NHS number booked in the Trust systems. This presents a clinical risk as users may view the wrong patient details in a particular system. • Completion of Single Sign on and Context Management capability for RadCentre needs to be completed so that we can proceed to roll out to Imaging in Stanmore and Bolsover Street • Some Clinicians have requested some changes to ICE to enhance patient context sharing Upcoming Activities • Completion of Single Sign on and Context Management functionality for RadCentre. This will enable us to complete the Push 6 roll out for Imaging • Completion of RNOH 1+1 Operations Manual and handover to relevant System owners and IT Support • Debrief and Lessons learnt to be completed with the Supplier

  5. RNOH INSIGHT Status Update as at 22/02/10 • Accomplishments • Data Warehouse • PAS load validation is approaching completion – the number of data issues arising from validation is now considerably less (2 key themes) and can be handed over to the Data Quality working group for long term resolution and management • RadCentre data model is being constructed in the Data Warehouse and Data transfer into the Datawarehouse  has started and we will look to validate the data during the course of February and March • Insight Reporting • Completed work on Data Warehouse sourced Phase 1 Reports that are solely reliant on PAS data (based on the requirements raised by the work streams) . • Commenced discussions with Finance on phase 2 PLC reporting requirements. • Commenced discussions with Therapies on therapies data transfer into the Data Warehouse and associated information requirements Key Issues & Risks Given the absence of referral information in RadCentre, we are currently not able to RadCentre patient exam information to the referral information in PAS Mitigating Actions We are currently analysing RIS and PAS data to find the optimal way to link them Upcoming Activities Data Warehouse • Completion of Data cleansing effort and validation of PAS load and automated update process – Sign off of PAS Data transfer in the Data warehouse • Completion of Imaging data transfer into the Data warehouse Insight Reporting • Publish Data warehouse sourced (those purely reliant on PAS data) reports on the Insight Portal following PAS Data transfer sign off • Conduct a design Review of Insight to assess current v target usability/look and feel of reports and ensure that the reporting tool meets the information needs of the intended audience

  6. RNOH INSIGHT Detailed Work streams Report • RNOH Insight Business Intelligence Work streams • PHASE 1 • Operational Work stream (led by Claire Euesden) • A number of interim reports (using excel and access database sources) have been completed to meet those requirements and published on Insight (new to follow up ratio for Inpatients and Outpatients, Discharge Monitoring , Pre Op Assessment and Screening activity) • The project team have completed the reports that are reliant on PAS sourced data from the actual Datawarehouse. These are ready for review by the Work stream lead. • Executive Information Work stream (led by Saroj Patel) • The project team have completed the reports that are reliant on PAS sourced data from the actual Data warehouse. These are ready for review by the Work stream lead. • PBR Clinical Coding (led by Andrew Wheeler) • An interim report (sourced from an access database) has been created and published on the Insight Portal • The project team has created some reports directly sourced from the Data warehouse, which are being reviewed by the work stream. • Clinician Work stream (led by Dr Maya de Souza) • The project team has created a number of reports based on the work stream requirements. These are now being reviewed by the work stream lead. A • feedback session is scheduled for this week. • Data Quality Work stream (led by Colin Waller) • A Data Quality Dashboard is being created by the project team using the Insight Reporting Tool, which will be reviewed by the Working Group. • A Data Quality working group consisting of key personnel from across the various units and areas in the trust have completed the following: • Confirmation of assigned areas of responsibility • Interim review of Data Quality Dashboard • Confirmation of responsibilities for Monitoring the Dashboard • Review of Updated Data Quality Policy • PHASE 2 • Patient Level Costing Work stream (led by Cai Morgan)- deferred to Phase 2 (at the request of Cai Morgan) • Analysis with the work stream team has commenced on the required data attributes for PLC and their required source. • The agreed plan/approach is to consolidate all required data elements for PLC in the Data Warehouse, the required algorithm will be applied to the output • in COMBO CC by HealthCost. The data will then be fed back to the Data Warehouse and then reported via Insight. • Therapies Work stream (led by Heather McDowell) – Phase 2 • A kick off meeting was held with the Work stream lead • The agreed plan is for the project team to build a feed from the Community module of PAS into the Data warehouse for Therapies information and map the Tiara information to the Community data structures.

  7. Orthotics Paper Lite Project as at 22/02/2010 • Accomplishments • Further software updates have been applied as bugs are found as testing has progressed. • Equipment requirements have been delivered except washable keyboards. This will not prevent the commencement of the pilot Key Milestones • Key Issues • Further issues have arisen from testing the application relating to the Calendar integration with the PAS. • Mitigating Actions • This is being investigated by the supplier • Upcoming Activities • Completion of Testing Scenarios and Test Scripts • Business Continuity Plan and Operational Plan to be completed • All additional equipment to be installed – 22/02/10 • Set up of the Live environment in readiness for Pilot – 22/02/10 • Limited pilot testing from 22/02/10 • Full Implementation plan to be completed

  8. PAS Discharge Summary Project as at 22/02/2010 • Accomplishments • An interim Drugs database has been provided to the PAS supplier to update the drugs tables on PAS • A discussion has taken place with the PAS supplier to set up a facility to load updates to the table. This cannot be completed until agreement is reached on the final source files and their structure Key Milestones • Key Issues • Finalising Discharge Letter template to work within PAS • Embedding of process changes in areas and with personnel where Discharge Summaries are to be completed • Some changes may be required for Go Live • Key resource has been distracted by 18 weeks information development Mitigating Actions Defined minor changes required are being updated to the letter within PAS A meeting has been arranged with the “lead” Ward Clerk to discuss the process and embedding change Raise the changes with PAS Supplier with a view to prioritising early development There are still some issues but the call on their time has reduced but not disappeared • Upcoming Activities • Continue to work with the PAS supplier to get the Drug Database uploaded with a process to update this regularly • Set up standard phrases as appropriate • Obtain Clinical Sign off to the process • Establish Training Plan • Deliver Training

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