4 EMIS Web: England’s most popular primary care clinical system NEIL
5 KLAS report EMIS Web rated highest of all GP systems Scored highest for supportRated easy to useRich in functionality – including search and reports and community functionalitySHAUNSegway to next slide – user engagment (to Qinnovation)Details:KLAS interviewed providers from 102 GP practices to offer greater transparency into supplier system performance. Which suppliers lead in system functionality, service, training, and up-to-date technology?Independent review.WebWeb is EMIS’ go-forward, hosted platform. It rated highest of all fully rated GP solutions, and customers are satisfied with the platform overall. As one provider said, ‘The programis very easy to use. It has a lot of functionality, including functionality for community health services. Also, it gives users the ability to write very powerful searches and reports. And Ilike the ability we have to provide a patient interface.’[Page 20]EMIS scored highest for their support due in part to their support staff. One provider stated, ‘EMIS has been doing this for such a long time, and they are pretty solid. We are able to interact with engineers who go around to the individual practices and they stay until everything is sorted out. It can’t get any better than that. We have complete continuity.’[Slide 11]Most Customers Remaining with Their Incumbent for the Long TermPCTs (primary care trusts) and CCGs (clinical commissioning groups) often choose between several government-accredited suppliers for new software, but those retendering generally remain with their incumbent and look at upgrading their software. Despite complaints of lacking functionality and support, over 90% of customers reportedthat their current supplier was part of their long-term plans.[Slide 15]55
6 QInnovation Partnership between EMIS and the UON £10,000 grant towards research projectsTwo winners in 2013:Dr Walter - use the QDiabetes tool to improve detection of diabetes among 100,000 patients in the local CCGProfessor Sheikh - evaluate the safety of varenicline among smokers with COPD.Launching 2014 award today - Google ‘QInnovation’Across any domain - acute, CCMH, CCGsSHAUNSEGWAY – encouraging from all aspects – acute, community and CCG projects. Talking of CCGs.This year’s winners:Berkshire GP Dr Tim Walter and Glasgow GPSI Professor Aziz Sheikh will each receive a £10,000 grant towards their projects and access to the QResearch database.The GPs won the inaugural awards from QResearch, a partnership between software company EMIS and the University of Nottingham.Dr Walter's project will use the QDiabetes tool to improve detection of diabetes among 100,000 patients in the local CCG.His aim is to develop a best practice toolkit to help other CCGs. Picking up more cases of undiagnosed diabetes would also raise QOF income.Professor Sheikh, who works at the Royal Hospital for Sick Children in Edinburgh, will evaluate the safety of the smoking cessation drug varenicline among smokers with COPD or similar lung conditions. These patients may be more susceptible to possible side effects.
7 CCGs – what it means to us UncertaintyBudgetsRelationship buildingOpportunityJoint objectives to provide core GP systemCCG strategy and EMISWe’re learning as CCGs are learningDevelopment roadmapWider responsibilitiesNEILMessage:- landscape very different than 2 years ago.- supporting the change positively.DETAIL:UncertaintyThe CCGs didn’t get their budgets at the same timeSo we didn’t get paid for 8 weeks – putting our cash flow at risk.In terms of relationship building, new contacts for us to build relationships with, or existing contacts were trying to get to grips with their new jobs and suppliers were the last thing on their mind.OpportunityA lot of engagement came from the fact that we had a joint objective to provide an incumbent essential core service to GPs – can’t do without their operating systemWe’re trying to work out where we fit in to CCG strategies – some have their strategies worked out, some don’t know yet where they’re going.We’re learning as they’re learning what their strategies are – our world has changed as their world has changed.It’s changed some elements of our development roadmap – standardised templates and data entry, data audit, QOF performance, search and reports are important to CCGsSupporting CCGs that don’t immediately have the capacity or manpower that PCTs had – seconded project managers, intensive training etc.
8 Interoperability Interoperability between all healthcare sectors Examples of where the MIG is delivering benefits in a local health economy:Record sharingDischarge summariesClinical correspondenceNEILThe MIG is a national interoperability solution delivered locally, connecting anyhealthcare system within a healthcare economy.Uniquely we provide connectivity to virtually all UK primary care systems. This gives Healthcare Gateway’s customersunparalleled, secure access to the whole-life health records of nearly all of the UK’spopulation.By mobilising this data via the MIG, healthcare providers are able todeliver safer, more efficient care.Healthcare Gateway has become a recognised industry standard for interoperabilitywith a significant and growing number of suppliers
9 Progress on CCMHRecruited Martin Bell, Director of Community, Children’s and Mental HealthRing-fenced dedicated teamsNEIL
10 EMIS CCMH Roadmap Q4 2013 Apr 2014 Jan 2014 Q2-Q4 2014 Sexual HealthSchool HealthMaternity / New Born2015Bed ManagementMental HealthEnhancements toSafeguardingAppointmentsRegistration / DBSFamily LinkagesRecord UtilitiesQ2-Q42014Full Child HealthAssessmentsCommunity MobileReportingApr2014PA ConfigurationDeath NotificationService PrescribeFamily LinksCare PlanningSpine ServicesCAB ProviderPA multi-workflowsRecall SchedulesJan2014SHAUNWon London and South contracts.Speaking of contracts, GPSOC-RQ42013
11 GPSOC-RPrincipal and subsidiary supplier model to introduce new market entrantsFocused on improving national programme usageCreate a framework to promote innovationOpen interfaces and new interface standardsUser engagement in roadmaps Due early 2014SHAUNGPSoC R- taking a lot of time on requirements – key message loads of work for us- big focus for usPrinciples:- increasing utilisation of national spine services – to improve patient care- increased participation of the user groups-
12 EMIS Primary Care Roadmap 20152014Q12014Summary ConfigEMIS Mobile v2Customer codesGPESMeds enhancementsEPSr2Meds managerSynonymsSpell checkerCare PlansPatient Access Record ViewerQ42013SHAUNQ32013
13 With help from Paul Lowry, Chief Systems Architect EMIS WebWith help from Paul Lowry, Chief Systems Architect
14 EMIS Primary Care Roadmap 2015EMIS Web ScotlandEMIS integrated care pathwaysGPSoC v2Spine servicesGP2GP v2.2aEnriched SCReReferral Service2014New Doc ManagerWorkflow ManagerResource ManagerWales MMSv6CDAQ12014Summary ConfigEMIS Mobile v2Customer codesGPESMeds enhancementsEPSr2Meds managerSynonymsSpell checkerCare PlansPatient Access Record ViewerQ42013SHAUNQ32013
15 Patient.co.uk Health and Wellbeing launch Apps MyHealth testAppsPatient Access appDiabetes ManagerMedical Abbreviations appToilet FinderListen aloud functionalityShared decision making resourcesPatient ProGP Web Solutions redesignAnd….Patient.co.uk local
16 Localisation Relevant local information Local trends National heat maps
17 Harnessing local dataLocal searchNational trendsMajor cities
18 Localised services & trending topics Live trending dataLocal health servicesLocal news & weather
19 National picture – trending topics Live trending dataHeatmaps show ‘hotspots’ across the UK
23 Integrated care across EMIS Group CCMHSHAUNGP (EMIS) - 5,170 of 9,858 GP Practices in the Primary Care market (52% penetration - #1 in the market)Pharmacy (EMIS Group) - 4,727 of 13,549 High Street Pharmacies) in Community Pharmacy market (35% penetration - #2 in the market)Pharmacy (Ascribe) - Pharmacy & Medicines Management market (30.6% penetration - #2 in the market)CCMH (EMIS) - Growing penetration in Community & Child Health marketCCMH (Ascribe) - Mental Health market (11.1% penetration - #3 in the marketGP
24 Digital Healthcare80% of the UK diabetic retinopathy screening programmes use Digital Healthcare softwareGlobal coverage - world’s largest supplierBased in Cambridge2.8m patients43m imagesNEILAverage size of images = 1MB43 Terrabytes of data
25 Integrated care across EMIS Group CCMHSHAUNGP (EMIS) - 5,170 of 9,858 GP Practices in the Primary Care market (52% penetration - #1 in the market)Pharmacy (EMIS Group) - 4,727 of 13,549 High Street Pharmacies) in Community Pharmacy market (35% penetration - #2 in the market)Pharmacy (Ascribe) - Pharmacy & Medicines Management market (30.6% penetration - #2 in the market)CCMH (EMIS) - Growing penetration in Community & Child Health marketCCMH (Ascribe) - Mental Health market (11.1% penetration - #3 in the marketGP
26 Ascribe products Acute care Unscheduled care Mental health A&E system (Symphony)PAS / EPRPharmacy / ePrescribingOrder commsDepartmental systemseDischargeeHandoverDigital dictationUnscheduled careMental healthePEX / JadeBusiness intelligenceDoc. managementImplementation
27 EMIS Group Integrated care Record sharing - Unscheduled care, Acute, CC, MH, Pharmacy, GPIntegration - Medicines manager, Discharge & admission, tasks, schedulingManaged care pathways - LTC’s, referral management, diversion programsPatient Access - Patient empowerment, PHRWhole systems reporting and BIResearchSEGWAY – where have we successfully done this before?
28 Pharmacy integrationWith help from Shanel Raichura, Professional Services Manager and Clinical Safety Officer, Rx Systems
29 With help from Tim Hill, EMIS Product Manager EMIS MobileWith help from Tim Hill, EMIS Product Manager
30 A special offer for NUG delegates FIRST SIX MONTHS FREE When you take a 3yr contract FIRST YEAR FREE When you take a 5yr contractSHAUNBig finish – special offer for everyone at the NUG conference todayIf want to see more on EMIS Mobile – Tim Hill running a session on Friday