1. Northern Ireland Electronic Care Record #NIECR #NIPECICT13 Innovation + Commitment = Transformation NIPEC Annual Conference Gary Loughran Nicky Brown Margaret Fogarty Linen Suite, Mossley Mill 9 th October 2013

2. Linen Suite, Mossley Mill Northern Ireland Electronic Care Record Challenges and Strategic vision What is an Electronic Care Record Short Film NIECR in Practice – Nicky Brown, Virtual Ward Co-Ordinator SET – Margaret Fogarty, Sister Belfast Trust User Feedback #NIECR #NIPECICT13

3. 9 th October 2013 Linen Suite, Mossley Mill The challenge; Fragmented Electronic and Paper Records... #NIECR #NIPECICT13

4. 9 th October 2013 Linen Suite, Mossley Mill The Aim; One virtual Electronic Care Record #NIECR #NIPECICT13

5. 9 th October 2013 Linen Suite, Mossley Mill NIECR “Core” Data Items Alerts & Allergies Alerts & Allergies Lab Results Rad reports & results Rad reports & results Special Factors & Problem List Special Factors & Problem List Meds & Med History Meds & Med History Clinical Documents GP Practice Detail GP Practice Detail Demographics & ID’s Diagnosis Encounters

6. 9 th October 2013 Linen Suite, Mossley Mill Benefits & Savings Reducing delays at every stage of patient journey Reduction in Inpatient length of stay (4.5%) Increased Outpatient clinic capacity (5%) Reduction in Outpatient review appointments (8%) Decrease in number of bed days used by patients with long term chronic conditions (5%) Avoidance of acute admissions Volume of patient testing reduced (£5) Avoidance of potential adverse clinical incidents Reduction in Inpatient drug reconciliation time #NIECR #NIPECICT13

7. 9 th October 2013 Linen Suite, Mossley Mill NIECR in Practice Nicky Brown Virtual Ward Co-Ordinator South Eastern Trust #NIECR #NIPECICT13

8. 9 th October 2013 Linen Suite, Mossley Mill NIECR in Practice  Virtual Ward evolving into Community ward  Current 5 day service progress to 7 day service  To provide timely assessment / diagnosis / treatment for service users with LTC’s who experience an exacerbation  Improved patient care  Avoidance of unplanned hospital admissions #NIECR #NIPECICT13

9. 9 th October 2013 Linen Suite, Mossley Mill NIECR in Practice  Single system for all information  Ease of access to ECR  Speedy access to blood results / Xrays enabling timely treatment / prescribing  Simple to navigate  Information accurate and up to date  Better communication between primary / secondary care  Patient choice - consent #NIECR #NIPECICT13

10. 9 th October 2013 Linen Suite, Mossley Mill NIECR in Practice Margaret Fogarty Sister Day Of Surgery/Pre-Assessment Unit Belfast City Hospital #NIECR #NIPECICT13

11. 9 th October 2013 Linen Suite, Mossley Mill NIECR in Practice Before Phoning GPs to get Medication list/ Allergies Phoning other hospitals to get more information on patients e.g. attending other clinics in other hospitals, blood results, x-ray results, discharge letters, etc. Ordering notes from other hospitals Printing out several blood results for anaesthetist Bringing patients back to get repeat bloods After No need to phone GP All current letters from other hospitals is available from ECR Bloods results from all GP/hospital sources are available – several results are available to view at one time Bloods can be repeated in GP practice – results are then available on ECR No need to order notes to see clinic letters – only if anaesthetist requires to see past anaesthetic notes #NIECR #NIPECICT13

12. 9 th October 2013 Linen Suite, Mossley Mill NIECR in Practice Better prepared More informed Information available at finger tips. #NIECR #NIPECICT13

13. 9 th October 2013 Linen Suite, Mossley Mill What do Users Think of NIECR “Used for the first time today in ED,Brilliant!, this will improve quality of care” - ED Consultant Southern Trust “Best IT spend in NI ever. Expect hospital secretaries’ phones will be quieter now’.” - GP “The NIECR system is excellent. The best thing to happen to NI NHS in years! I think within a few weeks everyone I speak to will want to get on it.” - Cardiologist Western Trust “I really appreciate it and use if regularly on a daily basis. In fact I would be lost without it now. - Specialist Nurse Lagan Valley