Presentation on theme: "Informing Healthcare An Overview David Ll. Davies – Programme Manager"— Presentation transcript:
1Informing Healthcare An Overview David Ll. Davies – Programme Manager Deborah El Sayed – Single Record Project Manager
2What 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…………………..’
3Principles (what’s different?) Ministerial supportCorporate and All WalesComprehensive scopeLong term Investment (£91 m first 3 years)User ledIncremental implementationEvidence based developmentF,D,I,EConcept of ‘dependencies’ & ‘readiness’
4Benefit AreasSingle integrated electronic health record for every patientService improvement supported by technologyEmpowerment of the workforce through information literacy and toolsEmpowerment of patients through shared decision makingHigh quality knowledge and information management
6Progress – Setup and Personnel Year 1 Programme Plan approved by Programme BoardSupport Office Commissioned in Bro Morgannwg Trust (Glanrhyd)Ian Kelsall appointed as ChairBob Grindrod, Interim Director last 12 monthsSubstantive Director appointment in progress2 of 5 Benefit Directors appointed – Drs Rhodri Evans & Adrian EdwardsProgramme Manager, Deputy PM’s and PSO Director in place.Other key appointments being made
7Progress - Activity Technical Proof of Concept Project completed Projects moving forward from programme plan in areas of:Single record development phase 1Training and developmentKnowledge managementInfrastructure and access devicesConfidentiality and securityResearch and developmentReadiness planning progressing in Trusts and LHBS£18m + invested in 2004/5
8Progress – Activity (2) Engagement of users/stakeholders Developing relationships with related areas e.g.EnglandDiagnostic Services ReviewSocial CareWanlessInnovations in CareESRThree year Programme ‘Route Map’ in preparation
9So what’s in it for nursing staff? Recognition – nurses run the show!Electronic support for day to day work:structured ‘intelligent’ recordsnursing record and access to all other relevant recordsnew electronically supported processesorders and resultsmedicines managementreferrals, admissions, transfers and dischargesbed managementschedulingalerts and reminderspathways/decision support
10So what’s in it for nursing staff (2)? Training and skills to maximise benefit from electronic systemsSkills as informaticians – evidence based professionalsBenefits:actions supported by timely accurate informationautomation of routine tasksreduced possibility of errorreduced wasted effortimproved and safer services for patientsless stressful more rewarding working conditions for staff
11Strategy to delivery ( Single Record) Structure and objectives of the Single Record Phase 1 Development ProjectHow we plan to deliver thisProgress Made to dateNext steps
12Overview of Work-Streams Core:FunctionalityPresentationUsabilityRecord structureProcess RedesignDependencyNetworkPatient IdentificationStaff IdentificationService Management
13Overview of Work-Streams Dependency ObjectiveNetworkThe ability of the network to Support the Single RecordDependencyNetworkPatient IdentificationStaff IdentificationService Management
14Overview of Work-Streams Dependency ObjectivePatient IdentificationThe ability to uniquely identify patients in electronic systemsDependencyNetworkPatient IdentificationStaff IdentificationService Management
15Overview of Work-Streams Dependency ObjectiveStaff IdentificationThe ability to uniquely identify staff accessing Single Record accessDependencyNetworkPatient IdentificationStaff IdentificationService Management
16Overview of Work-Streams Dependency ObjectiveService ManagementThe ability to deliver a co-ordinated service management function to manage the services to be provided within SR:P1 Dev ProjectDependencyNetworkPatient IdentificationStaff IdentificationService Management
17Overview of Work-Streams Core:FunctionalityPresentationUsabilityRecord structureProcess RedesignFunctionalityWhat will the systemactually do?Which clinicalprocesseswill it support?
18Overview of Work-Streams Core:FunctionalityPresentationUsabilityRecord structureProcess RedesignPresentationWhat will the systemlook like?How will it differ tosupport the range ofprofessional groups?
19Overview of Work-Streams Core:FunctionalityPresentationUsabilityRecord structureProcess RedesignUsabilityHow easy is the system to use?How intuitive is it?How ergonomic is it?
20Overview of Work-Streams Core:FunctionalityPresentationUsabilityRecord structureProcess Redesign/Change ManagementRecord structureHow should patient data bestructured within the record?
21Overview of work-Streams Core:FunctionalityPresentationUsabilityRecord structureProcess Redesign/Change ManagementProcess Redesign/Change ManagementThe largest and most complexpart of this project is thechange management aspect.A good technical systemoverlaid onto an inefficientprocess will not deliverimproved patient care
22Development of Outline Business Case An Outline Business Case in five case model form is being developed for Single RecordThe Programme is also subject to the Office of Government Commerce (OGC) Gateway processPurposeTo provide external/independent assuranceReview at key decision points to ensure that the project is ‘ready’ to progress to the next stage.Dates for Gateway Reviews to be agreed
23Methodology for getting it right The services and functionality delivered MUST be guided by NHS stakeholders across NHS WalesAll Wales stakeholder eventsDesign Teams establishedReference Groups establishedClinically focused Project BoardConstant engagement process to maximise numbers of clinicians and NHS staff involved in design, decision making, consultation and validation.
24Stakeholder 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 attendeesFurther 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
25Stakeholder Prioritisation of Scope for Phase 1 Result of the workshops to date have prioritised the following*Access to accurate, consistent corporate patient demographic informationAccess to basic clinical information for all Welsh patientsEnhanced demographicsRequests and results reportingReferrals (1°care to 2°care and tertiary referrals)Discharge summaries from 2°care (including death notification)*shown in rank order
26Design Team and Reference Group dates for 2004 23rd November 30th November7th December 14th December21st DecemberReference Group: 9th December25 people register for Design Team54 registered for Reference group
27Other issues for consideration The current requirements of each organisation are likely to be different – Need a corporate approach to deliver benefits to patients across WalesThe 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 patientsThe 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.
28Next 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