From “Treat as Seen” to “Treat with
information”
John Thornbury – Director of IM & T, Worcestershire ICT Services
Worcestershire ICT
Services
Agenda

Introducing the NHS in Worcestershire

Our ICT Vision/Strategy

The Clinical Portal in Worcestershire

Demonstration

Benefits

Future Steps in the Strategy
Worcestershire ICT
Services
Introducing the NHS in Worcestershire



Worcestershire: county in West Midlands of England
 Population: 557,000 (2010)
Worcestershire ICT Services provides ICT services, training &
strategy to NHS acute, mental health and primary care, across
Worcestershire:
 Worcestershire Acute Hospitals (3 hospital sites)
 Worcestershire Health & Care Trust (services including
Acute Mental Health, Community Hospitals, Minor
Injuries Unit)
 Worcestershire Primary Care Trust (contracts with 67 GP
practices, 91 pharmacies, 65 dental practices, and 88
opticians premises)
Mission: To provide a timely, relevant and reliable
Information & Communication Technology service to
clinicians, managers and operational staff
Worcestershire ICT
Services
Challenges for ICT in Worcestershire
 Ensuring Local Control of ICT destiny – at reasonable cost
 Need to support real, collaborative clinical practice - not a
‘bean counting’ tool for managers
 Ability to support constantly changing service needs
 Business continuity
 Staffing – development recruitment & retention
 White paper review and changing service requirements
 QIPP
 Operational Support
 Innovation and embracing change
Worcestershire ICT
Services
Knowledge-Driven Strategy
Supporting business and clinical objectives
Business
Enabling Architecture
Infrastructure
Connect
Clinical
Supporting Care
Delivery
Facilitating Improved
Communications
Corporate Business
support
Collaborate
Enabling
Processes
Inform
Quality and
Management
Information
Worcestershire ICT
Services
Redesign processes and then apply
technology…..
• “The first rule of any technology used in a business
is that automation applied to an efficient operation
will magnify the efficiency
• The second is that automation applied to an
inefficient operation will magnify the inefficiency.”
Bill Gates
Worcestershire ICT
Services
6
Driving Improvement with - Six
Sigma and Lean
S ix S ig m a
After
L ea n
Reduce
Variation
After
Before
Before
Six Sigma focuses primarily on
• process effectiveness
• understanding and reducing
variation
• reducing and eliminating defects.
• improving performance on Customer
CTQs
Quality
Accuracy
Zero Defects
Reduced Variation
Lean focuses on
• process efficiency
• identifying non value added steps
and reducing waste
• reducing bottlenecks
• Increase speed and cycle time
Quantity
Timeliness/Speed
Zero Bottlenecks
Reduced Non-Value Added Steps
Worcestershire ICT
Services
7
Mean
S hift
Our strategy, put simply:
Getting information to the right
place, at the right time
Engaging clinicians – making sure we get it right for them
“Clinicians want a fast dog”
Worcestershire ICT
Services
The Clinical Portal in Worcestershire – Overview
Hospital
Clinical Staff
Community
Health Workers
Clinical Portal
General
Practitioners
Outpatient Lists
Theatre Lists
Patient Demographics
Results
Images
Encounter History
Medication
Documents… etc
Integration Engine – Orion Health Rhapsody
Ascribe
Rx
Oasis
PAS ADT
Bluespier
AGFA
Sunquest
PCTI
PatientFirst
CIS
Cardiology
LAB
Documents
A&E
Worcestershire ICT
Services
…etc
Benefits to Clinical Staff
Clinical Benefits:
 Single view for clinicians
 Reduction in administrative burden
 Improves patient safety
 More responsive clinical decisions
 Holistic approach - remove islands
 eg. stroke, COPD
 Streamlines care pathway – assessment on line
 eg. anaesthetics
 Frees up appointment slots
Worcestershire ICT
Services
Benefits to individual patients
Individual benefits:
 prevent unnecessary hospital admissions
 have better planned and co-ordinated care
 have greater confidence and a sense of control
Worcestershire ICT
Services
Benefits to healthcare business
Corporate benefits:
 Less duplication of effort
 Improved patient satisfaction
 Reduced visits to GPs
 Reduced hospital admissions
 Decreased number of days in hospital
 Reduced outpatient visits
 Reduced A&E visits
 Reduced medication expenditure
 Improved medicine utilisation
Worcestershire ICT
Services
Next steps: future plans
 Bi directional data entry
 Patient portal (significant development) – enables
patient to entry own assessments
 eg. Preoperative assessments & maternity
 Linkage with social care and voluntary sectors
 Other systems to be integrated include cardiology,
endoscopy, theatres
Worcestershire ICT
Services
THANK YOU
Worcestershire ICT
Services