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Informing Healthcare. An Overview David Ll. Davies – Programme Manager Deborah El Sayed – Single Record Project Manager. What is it?. A strategy and an implementation programme In summary: - PowerPoint PPT Presentation

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  • Informing HealthcareAn Overview

    David Ll. Davies Programme ManagerDeborah El Sayed Single Record Project Manager

  • 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..

  • Principles (whats 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

  • Benefit 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

  • Programme Organisation

  • Progress Setup and PersonnelYear 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 PMs and PSO Director in place.Other key appointments being made

  • Progress - ActivityTechnical Proof of Concept Project completedProjects 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 LHBS18m + invested in 2004/5

  • Progress Activity (2)Engagement of users/stakeholdersDeveloping relationships with related areas e.g.EnglandDiagnostic Services ReviewSocial CareWanlessInnovations in CareESRThree year Programme Route Map in preparation

  • So whats 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

  • So whats 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

  • 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

  • Overview of Work-StreamsCore: Functionality Presentation Usability Record structure Process Redesign

    Dependency

    Network Patient IdentificationStaff Identification Service Management

  • Overview of Work-StreamsDependency Objective

    NetworkThe ability of the network to Support the Single Record

    Dependency

    Network Patient IdentificationStaff Identification Service Management

  • Overview of Work-StreamsDependency Objective

    Patient IdentificationThe ability to uniquely identify patients in electronic systems

    Dependency

    Network Patient IdentificationStaff Identification Service Management

  • Overview of Work-StreamsDependency Objective

    Staff IdentificationThe ability to uniquely identify staff accessing Single Record access

    Dependency

    Network Patient IdentificationStaff Identification Service Management

  • Overview of Work-StreamsDependency Objective

    Service ManagementThe ability to deliver a co-ordinated service management function to manage the services to be provided within SR:P1 Dev ProjectDependency

    Network Patient IdentificationStaff Identification Service Management

  • Overview of Work-StreamsCore: Functionality Presentation Usability Record structure Process Redesign

    FunctionalityWhat will the systemactually do? Which clinicalprocesseswill it support?

  • Overview of Work-StreamsCore: Functionality Presentation Usability Record structure Process Redesign

    Presentation What will the systemlook like? How will it differ tosupport the range ofprofessional groups?

  • Overview of Work-StreamsCore: Functionality Presentation Usability Record structure Process Redesign

    Usability How easy is the system to use?How intuitive is it?How ergonomic is it?

    R Grindrod - I have inserted text here as it was duplicated from presentation.

  • Overview of Work-StreamsCore: Functionality Presentation Usability Record structure Process Redesign/Change Management

    Record structureHow should patient data bestructured within the record?

    R Grindrod - Some text removed as it related to Presentation not underlying structure of record. Best to just stick to the basics for now presentationally!

  • Overview of work-StreamsCore: Functionality Presentation Usability Record structure Process Redesign/Change Management

    Process Redesign/Change Management

    The largest and most complexpart of this project is thechange management aspect.

    A good technical systemoverlaid onto an inefficientprocess will not deliverimproved patient care

  • 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

  • Methodology for getting it rightThe services and functionality delivered MUST be guided by NHS stakeholders across NHS Wales

    All Wales stakeholder eventsDesign Teams establishedReference 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.

  • 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

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

  • Design Team and Reference Group dates for 2004

    Design Team: 23rd November30th November 7th December14th December21st December

    Reference Group:9th December

    25 people register for Design Team 54 registered for Reference group

  • 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.

  • 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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