1. The Digital Switchover One Trusts plans to eliminate paper
Dave Lang – Programme Director
THIS

2. A brief history of CHFT….
An in-house PAS and a series of connected systems
Reasonable levels of integration
Patient centric clinical viewer
Some financial investment
User experience variable
The national programme for IT

3. The why……

4. Patient benefits… Reduction in the number of unnecessary tests
Reduction in length of stay (LOS)
Increase in patient safety, reduction in medical errors
Reduce repeat admissions
Reduction in paper based transactions
Reduction in adverse drug events

5. Main benefits…..
Overall increase in patient satisfaction and outcome….
Overall increase in staff satisfaction and well being….

6. The What - 6 underlying principles
Your Care, Our Concern will be our mission and our values will be built around People, Patients, Partnerships and Pride (which is at the heart of the approach)
We will be clinically led and treat patients, staff and partners as we would expect to be treated ourselves
Collaboration in the interests of patient care will be central to how we work both within and outside CHFT
Real time patient information will always be at hand for us and our partners to provide the best seamless care
We will ensure regulatory compliance by improving our access to care for patients and prioritising their safety
We will meet the financial circumstances and use this challenge as a driver for change and not solely as a constraint

7. data continuity & full HIE
EMR Adoption Model
“Paperless” patient record environment for highest quality of care,
data continuity & full HIE
Full electronic clinical decision support, and highest medication safety
Completely electronic diagnostic image management
Electronic order entry with decision support and result reporting
Clinical ordering and documentation – especially nursing care
Example CHU Liege:
A specific module is developed in the ERP of the University Hospital (CHU) of Liège: the dialysis’ module.
It covers patients’ dialysis treatment in the institution.
The digitalization of this type of patients’ file allows the CHU to decentralize the treatments in various locations as the ERP is accessible through the CHU network.
Such a system is also available for Radiotherapy’s treatments.
Furthermore, the reports can easily be sent to the general practitioner.
A patient-centered electronic data repository
Electronic diagnostic and pharmacy department information

8. Level of investment
2011 HIMSS Analytics based on yearly averages from 2007 through 2011 from HIMSS AnalyticsTM Database (U.S.A.)

9. The how….. Three key strands to the Programme
Infrastructure
Tactical & New Systems
Electronic Patient Record
Developed a strategy for our EPR/Clinical Systems
This is supported by a SOC

10. Developing our strategy

11. System Architecture Hybrid Solution
Still will have an IE (Ensemble) at its core
Decisions about portal to be made
Some functionality may be developed

12. THE SOC Investment model
Initial cost
Annual ongoing
Deployment
Mid point
6 Year cost
Full EPR Programme
£4m - £10m
£1m - £2.2m
£5m-£7m
£22.6m
Of which:
Core EPR
£16.5m
Vital Pack
£1.8m
E-prescribing
£300k - £800k
£75k - £200k
£200k – £300k
£1.6m

13. These have been taken from a handful of other EPR Business Cases
Benefits
These have been taken from a handful of other EPR Business Cases
They have been adjusted for the size of CHFT
They have been further reduced to take into account some tangible benefits CHFT have already accrued through good practice and the LEAN work in place at CHFT
The table shows some preliminary work forecasting benefits accrual over years
Year 1 2 3 4 5 6 7
Early Clinical quick wins
569
1516
651
488
5389
EPR main
273
6557
9971
12613
14329
14572
58316
EPR additional
223
562
832
994
1098
3709
Total
842
8296
12049
14095
15974
16159
67414

14. So what have we been doing
Developing Governance model and designing Structure
Getting clinical buy-in
Engaging with the organisation
Deploying Infrastructure & Tacticals
Market Research including site visits, demo’s and conferences

15. So what next Continue to explore the market Develop OBS
Consider our procurement options
Develop the FBC
Procure a solution

16. ID
Description
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Pre-Procurement 1
Organisational Readiness 2
Patient Involvement 3
Develop FBC 4
Demos & Do See 5
Develop Vision 6
Board Sign off Vision 7
Workshops 8
Develop OBS 9
Board Sign off OBS 10
Agree Shortlist 11
Understand Procurement Options 12
Board sign off FBC 13
Procurement 14
Trust signs contract with EPR Supplier 15
EDMS (Document Management)
Tactical's 16
Maternity 17
Theatres 18
eWhiteboards (Bed Management) 19
Digital Dictation and Voice Recognition DD VR 20
Vital signs 21
eRostering 22
Self service ESR 23
Wireless Projects 24
eHealth
Infrastructure 25
Video Conferencing 26
Community Agile Working Pilot 27
Wireless Network - CRH
EPR Enabler 28
Wireless Network - HRI 29
Single sign-On 30
Core IT Infrastructure 31
Acre Mills 32
Unified Comms 33
Replacement PC's

17. So why am I here today..
We recognise this as the biggest programme ever for CHFT
Not trying to do anything new (reinvent wheel)
We want to learn from what other people are doing
Test our thinking
Maybe we can help each other

18. The IM&T modernisation programme…
Dave Lang
THIS