1. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Walsall Health Partnership Improving Care with e- technology “Making IT Real” Evidence in Practice Conference

2. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Agenda Background Vision Challenge Solution Implementation Benefits Summary

3. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Problem Silo approach to services Capacity of health care professionals to deliver services from disparate systems Cost/disruption of replacing existing system Time cost of chasing information

4. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Current Patient-Provider Interactions Patient Community Care Primary care GP’s & practice nurses Social Services TOREX EMIS HIS Hospital Laboratories Results

5. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Vision Our Electronic Record must :- “Focus firstly on the patients themselves, and second the providers of care to them. The prime intention must be on delivering clinical services which achieve greater integrity and continuity of care, are more responsive to patient preferences, concerns and convenience, and with improved quality assurance and safety. Supporting the Networked NHS.”

6. Walsall Health Economy “ Using LIVE data to improve the patient journey ” The Challenge

7. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Driving Forces Information for Health Modernisation Agenda GP Contract Clinical Governance National Service Frameworks VFM Local Needs Politics (waiting lists) Information for Patient Care

8. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Clinical Portal PAS Child Health GP Systems NSF’s e.g. CHD Health Career Event Log Learning Disabilities Community Order Comms Information Distribution

9. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Approach

10. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Presentation Layer Integration layer The portal provides the ability to deliver personalised information to the user, anywhere, anytime, anyplace, from any source. PhysicianNursePatientAdmin New Applications Integrated Pathways Acute HIS Primary Care Application SocialServices Content Commerce NHS Net Internet Web based technology Community

11. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Solution

12. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Instant information at point of care Single point of access to multiple clinical information sources

13. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Integrated Disease Management Community Care GP’s Social Services Laboratories TOREX Results EMIS Clinical Protocol Group Tasks Work Done Results Work Done Rules Soprano Disease Management Work Done HIS Hospital Education Tasks Work Done

14. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Implementation How we made it happen……

15. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Initial Projects Dynamic Patient Summary DiabetesPost MI CHFStroke Discharge Summaries Cancer Wait Times Endoscopy Clinical Correspondence

16. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Inspiration to Implementation Creating an electronic care pathway

17. Walsall Health Economy “ Using LIVE data to improve the patient journey ” What you get… Dynamic Patient Summary Clinical Pathway Clinical Correspondence Clinical Summary Audit / reporting

18. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Clinical Benefits Easier access to information; More informed clinical decision making; Work flow and care pathway across multi organisations; Improved clinical processes; Reduction in repeated questioning; Highlighting duplication in care; Improved consistency in care provision; Reducing unnecessary clinic appointments; Reducing patient anxiety; Improved collection of clinical information.

19. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Benefits Knowledge for clinicians at point of care; Diagnostics results available on line :- pathology,ECG,X-ray; Integration of paper to electronic record. Supports clinical data capture across multiple organisations; Improved ease of reporting for national targets; Enables cradle to grave view and can highlight point on ICP;

20. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Lessons learnt Clinical Reference Group Clinical consulting Time Network & support Training Confidentiality Managing demand!!

21. Walsall Health Economy “ Using LIVE data to improve the patient journey ” Summary In summary, Walsall has delivered a flexible toolkit that can be configured to support emerging NSF information strategies across multiple organisations. It supports clinicians to deliver improved patient care, the benefits of which are now being seen.