ePJS SLaM’s Electronic Clinical Record Jane Stewart – Clinical Systems Implementation and Support Manager Patient Journey System – A brief history • • • • • • • 3 Separate mental health trusts Multiple unconnected systems Multiple system providers Limited IT infrastructure Paper based Clinical Records Reporting limited to central returns Poor Information culture 1990 1993 1995 1997 Patient Journey System – A brief history • • • • • • • • 1999 Welcome to SLAM Rationalisation of admin systems Care Programme Approach (CPA) CCS – Supporting CPA Implementation of SLAM Patient Journey process National Programme for IT Collaboration with Technical Partners ePJS Introduced 2006 (Lotus/Domino) 1998 2000 2003 2006 ePJS– Today • • • • • • • • • • 2009 ePJS Ver 4 (SQL / ASP .net) Implemented 5,200 Users 20 Million + Docs Over 70% of all Documents created by Clinicians 190,000 Patient records 35,000 Active patients 195 locations across South London 4 Main Hospital Sites (1000 inpatient beds) ePJS Platform for other Web services (CDR, Audit etc) Anonymised Research Repositories (CRIS) 2009 2010 2011 ePJS Benefit Realisation • • • • • • • • • • One unified electronic Clinical Record System Primary data source for Trust reporting and submissions Data source for clinical research tools (CRiS) Community Prescribing – Prescription Generation Care Pathways Support (PJS Assist) PbR compliance Automated Discharge Summaries Real time bed management Patient experience and empowerment (MyHealthBox) Real-time pathology & microbiology results direct into ePJS ePJS – Sample Screens Web Service Apps Form customisation Quick Reports Medication Scripts ePJS – 2012+ • • • • Inpatient ePrescribing Electronic Test Ordering Decision Support for Clinicians Full Integration with Personal Health Records ‘MyHealthBox’ • Mobile Working ‘ePJS on the Move’ • Enhanced Usability Finally – Why ePJS works in SLaM • Single, integrated record for all services • Flexible, rapid development. • In-house development and control (e.g. UDF, CDR, Bedstate) • Clinicians at the heart of design • Designed to support and underpin our Clinical Practices and Polices and not to inform them