dr jack barker & colin sweeney - 'war and peace a ccio and ict director working together
TRANSCRIPT
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War and PeaceA CCIO and ICT Director
working togetherDr Jack Barker and Colin Sweeney
CCIO and Director of ICTKing’s College Hospital
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• Who are we?• What have we done?• Different projects different
perspectives• Some statistics
Agenda
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King’s EPR Milestones
• 1999 EPR Pilot with i.CM• 2002 Completed roll out of orders and results• 2000-2 Electronic discharge notifications and TTA drugs• 2003 Replaced IRC PAS with i.PM• 2004/5 PACS integrated with EPR• 2005 First attempt at inpatient ePrescribing• 2007 Moved i.PM to CSC as part of iSOFT7• 2009-10 Inpatient bedside noting using King’s Documentation
Framework• 2008-2010 2nd attempt at Inpatient ePrescribing• 2010 to date – development of King’s Specialty System
Framework as adjunct to help move to paperless/light hospital• 2011 WardWare to capture vital signs and calculate Early
WarningScores
• 2012 - HIMMS Analytics score us 5.386 on their European EMR Model
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Clinical input has always been important
• Clinical Champions : original EPR product research team had: – A medical and a surgical consultant,– A nurse and change leader– Representatives from diagnostic departments
• Implementation team had technical and clinical members– Clinical Analysts – what are they?– Clinical trainer?
• Original Project Board chaired by A&E consultant and membership included 2 doctors from the pilot area as well as nursing and diagnostic representatives
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Jack is not alone
• Current IT Strategy Group has 3 consultants including Medical Director and Jack as well as nursing representation
• Current EPR Support/implementation team includes 9 members who are either still registered and practice or were nurses previously
• Deputy IT Director is a microbiologist by background
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Managing the Executive• Key players
– Medical Director – Chief Executive – Director of
Finance – Director of
Operations
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Electronic Prescribing
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Electronic bedside Clinical Notes
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Vital Signs – WardWare
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eClerking
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Managing priorities
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Develop or Buy?
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King’s Health Partners
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In summary
• Strengths of the CCIO– Knowledge of clinical processes– Active use of the IT
• Strengths of the Director of IT– Knowledge of his staff– Management of contracts
• Together – A united front– Shared problem solving
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I was so much older then
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I’m younger than that now
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S1: Number of orders placed each year
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S2: Number of results placed in each year
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S3: Number of inpatient prescriptions placed in each year