Digital Health and Care in Practice Introduction Services provided at all NHS locations in the local health community, including: • • • • 3 acute hospital sites 6 primary care resource centres 3 primary care walk in centres 89 GP practices Drivers Computerise healthcare and IT services become “mission critical” • Construction of two new hospitals (2008-2010) • Access to clinical records is available throughout the health economy • More users using IT to directly support care • requiring greater mobility/flexibility in IT access • accessing greater volumes of information faster • Information of an increasingly sensitive nature • from both internal and external sources • With little tolerance for downtime Starting the Journey - EDMS • A pioneering project which enables the delivery of electronic health records to the point of care in every setting to every patient, every time. • This landmark innovation is first of type in eliminating the use of the paper health records in clinical practice. Revolutionary • Independently accredited award winning solution • A bespoke design with significant clinical input • Transformed delivery of clinical services and changed organisational culture • C-Cube IHR Software from OIT UK Ltd • Significant interest from other organisations The Patients Journey Clinical System Interaction Referral Management Product Principles PAS Patient Outpatients Safety PAS Maxims ADT Accident & Emergency Maxims A&E Waiting List Management PAS MAXIMS Inpatients EDM ADT eDischarge e-VTE Implementation – Starting the Journey Infrastructure • A process driven IM&T service within a strong governance framework • Robust, high capacity, Infrastructure to meet the needs of 24*7 healthcare organizations Customer facing services that deliver added value • Skilled, target driven, support service Design • Safe and secure system which is easy to use • A clinically led intuitive design • Records are quick to find and access is fast and flexible • Works well in all areas and with all users • Complete record available in primary care Medical Secretary Offices Health Records Library EDM- Benefits • Improvement in Patient Safety • Concurrent access of a record • Reduction in estate requirements for Health records • Records are quick to find and access is fast and flexible • Highly available, high quality records • Improve patient experience PORTAL E-MEWS E-prescribing Theatre Apps Maternity EDMS PACS eDischarge Maxims OPENSOURCE PAS (Hearts) 1992 2014 2020 Radiology Letters & Discharge Requests &Results Case notes Capability & Readiness Success Story – Order Communications Thank You Questions? Rowan Pritchard-Jones Rowan.Jones@sthk.nhs.uk