Data Driven Clinical Engagement

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. The Journey Automate workflows & reduce variation Performance measurement framework Performance improvement Advance performance improvement Value partnership Acute hospital Community Performance analytics KPIs Benchmarking Quality reporting Operational efficiency Sepsis VTE Readmissions Pressure ulcers Falls AKI Rapid Response Team Infection control Improved ED patient flow Outpatient clinic optimisation Inpatient discharge before noon Theatre optimisation Reduction in preventable ADEs Reduction in ‘Wrong Blood in Tube’ (WBIT) Focus on CIPs, SIPs, CQUINs Population Health Management Value Creation Office (VCO) Strategic alignment

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. Patient Centric

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. The Aims Obtain baseline measurements of the ‘current state’ workflows, in order to – ‒Identify opportunities for improvement ‒Update the Baseline Benefits Plan with the planned improvements ‒Inform the system design process for any improvements that the configuration of the system can help to enable ‒Inform the Transition Plan which will contain all aspects of the planned change, (people, process, technology and environment). Capture post-live measurements in order to evaluate and calculate the improvement & assign governance.

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. The Scope

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. Sources

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. The Tools Transformation

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. The Approach - Measure current state: 1. System data & Trust audits 2. Observations & measurements 3. Detailed measurements - Plan & Deliver the Improvements - Measure the Improvements - Control the Improvements Monitoring Trust intervention audits Datix Pharmacy Intervention Study Pharmacy Observation Study High risk medications Intervention severity SOP analysis Prescribing process - Identify Opportunities - Define the scope

Pharmacy Workflow Optimise pharmacy workflow Improve ability to make interventions Reduce the need for interventions

Legacy Data Previous Audits Key Performance Indicators Standard Operation Procedures Checklists Data from current systems

Intervention Study Frequency Types Severities Outcomes Medications Observation Study Task types Value added Variance/Waste

RecommendationRationaleGovernance investigate reasons for poor history documentation Highest reported pharmacy were due to medication history omissions Clinical Directors Utilise clinical decision support within the system and promote and educate users on it’s purpose Literature highlighting CDS can reduce the requirement for certain pharmacy interventions. Understanding can limit user ‘ignorance’ ePrescribing Pharmacist Revise pharmacy intervention standard operating procedure Baseline data showed multiple documentation areas for interventions and slow response time/repeated follow up of interventions. Improve data capture within system Clinical Services Lead Repeat audits at a specified time after system go live. Feedback results of audit to pharmacy department Assign governance to system intervention report To calculate change in intervention types and pharmacy tasks with the implementation of ePrescribing To provide Pharmacy staff with feedback of current work To drive continuous performance improvement Director of Pharmacy Identified Opportunities

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. Post-Measures & Controls Summary Views

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. Post-Measures & Controls Prescribing Reports

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. Post-Measures & Controls User Experience

© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent. Post-Measures & Controls Real-time Dashboards