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Integration Strategy Newcastle Robert Shaw The Newcastle Upon Tyne Hospitals NHS Trust
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Agenda About the Trust Why Integration and messaging approach Network support Architecture Examples of projects with benefits –Electronic Referrals –PACS National Programme Future ……..
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Who are we Dr Foster Hospital of the Year Large Teaching, Tertiary Acute Trust –£0.5 Billion turn over –12,000 employees –Over 2,000 beds, 58 theatres –120 specialities and sub specialties –Local, Regional and National services
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Why integration Delivery of business critical information Uncertainty of future Volume of Multiple specialties Interoperability with other Health and Social Care Put Trust in control of which systems are changed
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Network infrastructure …….
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Summary Architecture P.A.S. Pathology PACS/RIS Casemix Order CommsTheatre Audit Web ClinicalMgt Middleware Primary Care Pharmacy MPI Integration Engine LANTIS
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Master Patient Index PAS MPI (SQL Server) Biz Talk Server 30 + systems Patient Identification NHS Number Hospital Number System Number Migration “Back room” system but the most system critical 40,000 per day 1.8 million records in MPI
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Delivering the benefits ….. Patient –There details follow them across the Trust Business –Reduced CNST payments –Clean set of patient demographics
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Praxis example
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Draw architecture of PRAXIS
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Delivering the benefits ….. Patient –Know what is happening –Information Clinician –Speed of access of referral –Integrated into record Administration –Rich source of data
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Integrated PACS/RIS project
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Architecture of PACS Switch Fabric SAN Temporal Web viewer DICOM Message Handling Validation and Integration Multiple Modalities and Manufactures
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DICOM / Integration of all existing modalities DICOM Conformance “Compliance” or “Conformance” to a standard doesn’t always mean that it will work
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Metrics 5.4 Million images since May 04 Estimate 8.5 Million Radiology p.a. 3,582 users, approx 1,400 concurrent Hardware –48 Tb stretch SAN - HP –Fx Channel Disks –2 Gbps average access rate from SAN
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Delivering the benefits …… Patient –Quicker access to diagnosis –Quicker through the system Clinician –More than one clinician can access the same picture –Delivery in all clinical environments Business –Financial
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Mermaid …….
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Integrated into Pathology Radiology Clinical Notation Becoming the clinical front end 3,000 letters per day Future Link to clinical document archive Integrate Digital Dictation with Telecoms switch
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National Programme …… Vision & Values Delivery …… ? Only 40% of Trust systems –Version 2.x ………. Not going away !!! Inter operability …….
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The Future ………
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