Executive Summary for Submission of Paper to the Trust Board Paper No. NHST(13)005 Subject: Informatics Report Purpose: To update the Board Summary: The Report covers: Items to be covered in the report: Single Sign-On Maternity Medway Phase 1 Ward Order Comms E-Discharge Summary CQUIN Outpatient Attendance Letter CQUIN A&E Cascard CQUIN Operational Performance Corporate Objectives met: Financial Implications: Stakeholders: St Helens and Knowsley Teaching Hospitals NHS Trust Board Recommendation(s): The Board is asked to receive the Informatics Update Review Date: N/A Author: Ms J Nicholson, Assistant Director of Informatics (Business Transformation) Presenting Director: Mr N. Darvill, Director of Informatics Page 1 of 7 Project Single Sign On Summary Maternity Medway – Phase One Project Sponsor – Tennyson Idama Ward Order Comms Project Sponsor – Francis Andrews E-Discharge (CQUIN) Project Sponsor – Ragit Varia Outpatient attendance letters (CQUIN) Project Sponsors – Julie Hendry/Mike Manning A&E CASCARD electronic distribution (CQUIN) Project Sponsor – Andy Ashton Project completed to timescales A&E, on-call doctors, all 27 ward areas (including AMU, GPAU and SAU) now have access to red screen SSO technology. Good feedback from clinicians. Project completed to timescales. Maternity Medway system ‘live’ for booking and ante-natal appointments 04/12/12 No major issues reported Phase 2 go live scheduled for 26/02/13. On track to plan. New upgrade (removal of enable exit function) has been installed. All wards still using OCS for Radiology ordering and resulting 6 ward areas commenced use of enhanced specification OCS for ordering and resulting Pathology 09/01/13. Roll out plan in place and being enacted. All inpatient areas will be live by the end of March 2013 Monitoring Process in place Plan in place to deliver e-discharge summaries to GP practices in line with CQUIN requirements. Q3 CQUIN target met. Project on track to send E-Discharge Summaries in Q4 to GP practices. Monitoring processes in place. Working closely with the clinical teams on escalation processes. Good feedback from clinicians regarding the ICE system. Outpatient letters are now being sent electronically to GP Practices as per CQUIN requirements. Monitoring process in place Current Performance is 78% and there is a detailed plan in place to resolve all outstanding issues. A&E CASCARDS are now being sent electronically to GP Practices as per CQUIN requirements. Current Performance stable and maintained at 97% Page 2 of 7 Single Sign On This project was completed to timescales in December 2012 and has had good feedback from inpatient areas within the Trust. Maternity Medway – Phase 1 Phase 1 of the Maternity Medway system was successfully deployed on track and to plan in December 2012 for booking and ante-natal appointments. Phase 2 is on track to go live on 26 February 2013. This phase contains birth and postnatal records. Ward Order Communications The new specification upgrade to the Order Communication System (OCS) has been introduced in the existing six ward areas that have been using the OCS system from 13 August 2012 for ordering and resulting on both Pathology and Radiology. A&E and Preop continue to use the system. A roll out plan is in place for the remaining in-patient areas. A monitoring mechanism is in place to check compliance with using the system. A ‘Best Practice Guide’ written by Francis Andrews (OCS clinical sponsor) has been issued to all ward areas. There have been no further system reliability issues. An intensive training package on wards is in place. E-Discharge Deployment of Discharge Summaries via the ICE system across all wards in the Trust is on track to plan. A plan is in place and on track to deliver the e-discharge summaries electronically to GP practices by end March 2013. The ICE system provides the opportunity to deliver internally built, specialty specific templates in line with the requirements of the CQUIN. The initial cohort of wards has gone live and met the CQUIN target for Q3. Outpatient Letters Outpatient attendance letters are now sent electronically to GP practices in line with the CQUIN requirements. Support training package in place for administrative support to create letters on EDMS. Page 3 of 7 Reporting is in place to monitor numbers of letters sent within the CQUIN timescales (14 days from attendance at clinic). This includes a real time report for operational teams to allow active chasing of letters that may breach the timescales. Detailed action plans are in place to meet the CQUIN target. A&E CASCARDS A&E CASCARDS are now being sent electronically to GP practices in line with the CQUIN requirements. Reporting mechanisms are in place to monitor performance. CQUIN target has been met and sustained. Operational Performance Please refer to below charts, January ‘12 to December ‘12:Chart 1 Chart 2 Chart 3 Total number of faults logged Average fix time Average time to answer calls Page 4 of 7 Page 5 of 7 Page 6 of 7 Page 7 of 7