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Informing Healthcare An Overview David Ll. Davies – Programme Manager Deborah El Sayed – Single Record Project Manager.

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Presentation on theme: "Informing Healthcare An Overview David Ll. Davies – Programme Manager Deborah El Sayed – Single Record Project Manager."— Presentation transcript:

1 Informing Healthcare An Overview David Ll. Davies – Programme Manager Deborah El Sayed – Single Record Project Manager

2 What is it? A strategy and an implementation programme In summary: …………..It is a significant and strategic approach to investing in information and communications technologies infrastructure and to modernising service delivery by supporting new ways of working…………………..

3 Principles (whats different?) Ministerial support Corporate and All Wales Comprehensive scope Long term Investment (£91 m first 3 years) User led Incremental implementation Evidence based development –F,D,I,E Concept of dependencies & readiness

4 Benefit Areas Single integrated electronic health record for every patient Service improvement supported by technology Empowerment of the workforce through information literacy and tools Empowerment of patients through shared decision making High quality knowledge and information management

5 Health Services Informing Healthcare Strategy Implementation Programme Board UsersExecutiveResources Projects Benefit Groups Chair & Director Design & Support Offices Staff/second Stakeholders Products Programme Organisation

6 Progress – Setup and Personnel Year 1 Programme Plan approved by Programme Board Support Office Commissioned in Bro Morgannwg Trust (Glanrhyd) Ian Kelsall appointed as Chair Bob Grindrod, Interim Director last 12 months Substantive Director appointment in progress 2 of 5 Benefit Directors appointed – Drs Rhodri Evans & Adrian Edwards Programme Manager, Deputy PMs and PSO Director in place. Other key appointments being made

7 Progress - Activity Technical Proof of Concept Project completed Projects moving forward from programme plan in areas of: –Single record development phase 1 –Training and development –Knowledge management –Infrastructure and access devices –Confidentiality and s ecurity –Research and development Readiness planning progressing in Trusts and LHBS £18m + invested in 2004/5

8 Progress – Activity (2) Engagement of users/stakeholders Developing relationships with related areas e.g. –England –Diagnostic Services Review –Social Care –Wanless –Innovations in Care –ESR Three year Programme Route Map in preparation

9 So whats in it for nursing staff? Recognition – nurses run the show! Electronic support for day to day work: –structured intelligent records nursing record and access to all other relevant records –new electronically supported processes orders and results medicines management referrals, admissions, transfers and discharges bed management scheduling alerts and reminders pathways/decision support

10 So whats in it for nursing staff (2)? Training and skills to maximise benefit from electronic systems Skills as informaticians – evidence based professionals Benefits: –actions supported by timely accurate information –automation of routine tasks –reduced possibility of error –reduced wasted effort –improved and safer services for patients –less stressful more rewarding working conditions for staff

11 Strategy to delivery ( Single Record) Structure and objectives of the Single Record Phase 1 Development Project How we plan to deliver this Progress Made to date Next steps

12 Overview of Work-Streams –Core: Functionality Presentation Usability Record structure Process Redesign –Dependency Network Patient Identification Staff Identification Service Management

13 Overview of Work-Streams –Dependency Objective Network The ability of the network to Support the Single Record –Dependency Network Patient Identification Staff Identification Service Management

14 Overview of Work-Streams –Dependency Objective Patient Identification The ability to uniquely identify patients in electronic systems –Dependency Network Patient Identification Staff Identification Service Management

15 Overview of Work-Streams –Dependency Objective Staff Identification The ability to uniquely identify staff accessing Single Record access –Dependency Network Patient Identification Staff Identification Service Management

16 Overview of Work-Streams –Dependency Objective Service Management The ability to deliver a co- ordinated service management function to manage the services to be provided within SR:P1 Dev Project –Dependency Network Patient Identification Staff Identification Service Management

17 Overview of Work-Streams –Core: Functionality Presentation Usability Record structure Process Redesign Functionality What will the system actually do? Which clinical processes will it support?

18 Overview of Work-Streams –Core: Functionality Presentation Usability Record structure Process Redesign Presentation What will the system look like? How will it differ to support the range of professional groups?

19 Overview of Work-Streams –Core: Functionality Presentation Usability Record structure Process Redesign Usability How easy is the system to use? How intuitive is it? How ergonomic is it?

20 Overview of Work-Streams –Core: Functionality Presentation Usability Record structure Process Redesign/Change Management Record structure How should patient data be structured within the record?

21 Overview of work-Streams –Core: Functionality Presentation Usability Record structure Process Redesign/Change Management Process Redesign/ Change Management The largest and most complex part of this project is the change management aspect. A good technical system overlaid onto an inefficient process will not deliver improved patient care

22 Development of Outline Business Case An Outline Business Case in five case model form is being developed for Single Record The Programme is also subject to the Office of Government Commerce (OGC) Gateway process Purpose –To provide external/independent assurance –Review at key decision points to ensure that the project is ready to progress to the next stage. Dates for Gateway Reviews to be agreed

23 Methodology for getting it right The services and functionality delivered MUST be guided by NHS stakeholders across NHS Wales All Wales stakeholder events Design Teams established Reference Groups established Clinically focused Project Board Constant engagement process to maximise numbers of clinicians and NHS staff involved in design, decision making, consultation and validation.

24 Stakeholder Events and Clinical Representation Three stakeholder workshops were held during September and early October for all stakeholders. In excess of 200 people attended to provide views on the approach to Single Record across Wales. This included clinicians from various disciplines and accounted for 20% of the attendees Further development of the options has taken place through a further six OBC options meetings involved over 60 stakeholders. Design Team and Reference Group meetings initiated

25 Stakeholder Prioritisation of Scope for Phase 1 Result of the workshops to date have prioritised the following* 1.Access to accurate, consistent corporate patient demographic information 2.Access to basic clinical information for all Welsh patients 3.Enhanced demographics 4.Requests and results reporting 5.Referrals (1°care to 2°care and tertiary referrals) 6.Discharge summaries from 2°care (including death notification) *shown in rank order

26 Design Team and Reference Group dates for 2004 Design Team: 23 rd November30 th November 7 th December14 th December 21 st December Reference Group: 9 th December 25 people register for Design Team 54 registered for Reference group

27 Other issues for consideration The current requirements of each organisation are likely to be different – Need a corporate approach to deliver benefits to patients across Wales The Requirements of different professional groups will be different need to ensure we have an approach that ensures representation of all of the key professional groups to ensure that we deliver a cohesive service to patients The current experience for patients is difference based upon where they live and the approach taken by their local hospital or the pace of development – Need to develop an approach that gives equity of patient experience wherever possible.

28 Next steps: Scope Focus for Design Teams and Reference Group –Outline Business Case ( defines and approves the options and high level scope) –Develop Clinical (business) Processes for each area of functionality (defines the detailed scope) –Develop the requirements of systems to support these processes ( refines detailed scope) –Develop a specification to drive forward procurement activity


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