Case Study of Knockbracken Health Care Centre Computer System By Sarah Jane Phillips and Deborah Smith

Background Part of the South & East Belfast Health and Social Services Trust (SEBT) Part of the South & East Belfast Health and Social Services Trust (SEBT) Provides a service for 205,000 patients in this catchment area. Provides a service for 205,000 patients in this catchment area. In 2000 the trust replaced all its speciality- based applications with PARIS In 2000 the trust replaced all its speciality- based applications with PARIS

SEBT Catchment Area SEBT Catchment Area

What is PARIS Patient Centred Information System created by In4tek using EU funds. Patient Centred Information System created by In4tek using EU funds. Creates a single, lifelong patient record incorporating information from all healthcare organisations e.g. Mental Health Services and General Practice (GP). Creates a single, lifelong patient record incorporating information from all healthcare organisations e.g. Mental Health Services and General Practice (GP).

Healthcare Groups Care Management District Nursing Podiatry Meals Provision Indirect Health Visiting Occupational Therapy Trust Line Speech & Language Therapy Tissue Viability Continence Provision Physio- therapy Mental Health Services

Why was PARIS created? So healthcare workers can avail of timely information. So healthcare workers can avail of timely information. Reduce administration costs. Reduce administration costs. Cut patient waiting times. Cut patient waiting times.

Benefits to date Staff having access to core information about the user and easily identifying other staff involvement. Staff having access to core information about the user and easily identifying other staff involvement. Preventing the duplication of information Preventing the duplication of information Shared assessment information used by staff across the trust. Shared assessment information used by staff across the trust. Real time access to relevant information. Real time access to relevant information.

The ability to share caseload information, particularly at evening and night. The ability to share caseload information, particularly at evening and night. Faster patient referrals. Faster patient referrals. Reduced administration and stationary costs. Reduced administration and stationary costs. Improved staff productivity. Improved staff productivity.

Example of referral If an vulnerable elderly person is discharged from hospital and requires home care the hospital can instantly alert the call management centre (CMC) who can then dispatch a care professional within minutes. If an vulnerable elderly person is discharged from hospital and requires home care the hospital can instantly alert the call management centre (CMC) who can then dispatch a care professional within minutes.

What is Paris used for? Registration Registration Referral Referral Assessment Assessment Care Planning Care Planning Activity Activity Review Review Discharge Discharge Diary Scheduling Diary Scheduling Stock Stock Consumable Ordering Consumable Ordering

How Paris Works A call management centre at Knockbracken deals with telephone referrals within SEBT from both hospital and general practice. A call management centre at Knockbracken deals with telephone referrals within SEBT from both hospital and general practice. The patient file is uploaded or newly registered onto the central index (PARIS). The patient file is uploaded or newly registered onto the central index (PARIS). Patient is referred to appropriate professional. Patient is referred to appropriate professional.

Knockbracken Call Management Centre During the financial year April 04-Mar referrals were made. During the financial year April 04-Mar referrals were made. 99.8% of referrals were correctly allocated. 99.8% of referrals were correctly allocated. In January this year 6,218 referrals were made. In January this year 6,218 referrals were made.

Security Staff members allocated a password, defining their access. Staff members allocated a password, defining their access. Further passwords required to access discrete functional areas. Further passwords required to access discrete functional areas. Automatically logs out after a period of idle time. Automatically logs out after a period of idle time. Backed up every night. Backed up every night. All actions recorded into “background” to monitor staff conduct. All actions recorded into “background” to monitor staff conduct.

Looking after PARIS The systems analysts are located on the Knockbracken site in close proximity to the CMC. The systems analysts are located on the Knockbracken site in close proximity to the CMC. The systems analysts train new staff and offer subsequent support. The systems analysts train new staff and offer subsequent support. Analysts maintain PARIS by debugging and inputing /updating new software. Analysts maintain PARIS by debugging and inputing /updating new software.

Negative Aspects of PARIS Lack of integration with other health trusts as only in the SEBT. Lack of integration with other health trusts as only in the SEBT. May have to change in the future if other trusts implement computer systems other than PARIS. May have to change in the future if other trusts implement computer systems other than PARIS. Staff training required and costs may be extensive initially. Staff training required and costs may be extensive initially.

Future Plans The SEBT plans to give local judiciary systems, police, schools and probation services access to relevant information in PARIS. The SEBT plans to give local judiciary systems, police, schools and probation services access to relevant information in PARIS. To allow healthcare professionals real time access to patient data via remote laptops. To allow healthcare professionals real time access to patient data via remote laptops.

Conclusion Paris supports the entire care delivery process including assessment, planning, implementation and evaluation of care across all disciplines. Paris supports the entire care delivery process including assessment, planning, implementation and evaluation of care across all disciplines. It reduces the workload across the trust. It reduces the workload across the trust. Patients receive a high quality of care! Patients receive a high quality of care!

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