LORENZO
AKA
Come On In The Waters Lovely;
What’s The Worst That Can Happen?
MARK NORWOOD
Associate Director of IM&T
Derby Hospitals Foundation Trust
MARTYN SMITH
Director of IT & Innovation
Hull & East Yorkshire Hospitals
DERBY Hospitals FT
• Turnover of £442m; 1150* beds; circa 8000 staff
• One main site (PFI) serving population of over 600,000
• Derby Medical School run in partnership with Nottingham
University
• Large DGH with Cancer Centre – FT since 2004
• Funded budget for IT & Programme for 3 years
• Mature user of clinical IT – OCRR for Rad, Path, Cardio
and IP and OP ePMA with high level of integration and
penetration
• Managed Service Contract for core clinical systems - ends
2014
*Subject to regular variation
HULL & EAST YORKSHIRE HOSPITALS
• Turnover of £485m; 1300 beds; 8700 staff
• Two main sites; 1.25m Catchment
• Major Centre for:
Cancer; Trauma; Cardiac; Vascular
• Partner in the Hull & York Medical School
• Funded budget for IT & Programme for 3 years
• Mature user of clinical IT: High level of integration and
penetration
• PFI EPR Managed Service Contract: ends Sept 2014
LORENZO THEMES
• ‘Full Fat’ Clinically Centric EPR
• Tailored and customisable
• Focus on ‘Up-Front’ structured Clinical data
recording
• Less retrospective ‘Back-End’ Chasing
• Clinical Handover Triggers
• Enabler For Resource Scheduling
• Supports Paper-Light to Paper-Less Processes
LORENZO THEMES
• End-to-End Pathway Management across
Hospital Teams & Care Partners
• Comes with the following in-built functionality:
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PAS Care Management
Emergency Care
Clinical Documents / Noting
TTO Prescribing
Care Plans
Maternity
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Results Requesting
Results Reporting
‘Advanced’ Bed Management
IP Prescribing & Drug
Administration
The Good
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Solid product designed for uptime with thin client
Comparable to others in the market
Value added product
Change is possible – not always expensive
Structured development with user input
Visible roadmap – looks fundamentally alright
Clear loosening of the reigns by HSCIC
Funding is helpful
THE BAD
• Some core parts of the product still being built:
– e.g. IPPMA
• Some lack of clarity on what’s included in the
funded product?
• Still ‘Clunky’ in parts
• Standard Deployment Approach
• ‘Working as Designed’ still rears its ugly head
• Who is the customer?
• Elements of the contract still opaque
THE UGLY
The process – you will be put through the mill
Being tested and graded – can you pass
their test ?
Risk avoidance drives everything
What didn’t they tell us?
WHY WOULD YOU DO IT THEN?
DERBY
• End of Life PAS – March 2014
• Aging set of core clinical applications
• Large existing managed service contract with
CSC
• Allows to replace our PAS and our core clinical
product set with one product
• Current product set/ technology can’t deliver
a paper-lite hospital
• Current financial position!
HULL
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End of Life EPR
Strategic fit
Built on existing CSC partnership
Integrated solution
Functionality met our requirements
Good clinical buy-in
It’s not about the money
Deployment Approach
Derby
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Care Management (PAS) / Day Care – Feb 2014
Clinicals Late 2014/ Early 2015 – hopefully staged
Very little data migration on clinicals – ‘click thru’ to legacy
Use of UHMB extensions
Hull
• ‘Big Bang’ - Full Clinicals – Sept 2014
• Very little data migration on clinicals – ‘click thru’ to legacy
• Use of UHMB extensions
HOW TO SUCCEED WITH LORENZO
• Don’t let the process manage you; you
manage the process
• Own the plan
• Use HSIC when you need them, but own the
project and don’t let CSC off the hook
• Don’t assume that everything is as it appears
to be
• Share information and experiences
HOW TO SUCCEED WITH LORENZO
Mobilise resources; don’t
scrimp
Create momentum with a
publicity campaign
Stay Calm!!