1. Map of Medicine Release 3

2. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved COMMERCIAL IN CONFIDENCE In preparing this document, Accenture have included certain proprietary information containing certain business and trade secret information. By creating this document, Accenture does not waive any of its rights to maintain confidentiality of such information and Accenture requests that the Authority maintain confidentiality of this document and the information contained therein. Accenture acknowledges that the Authority may be bound by the Freedom of Information Act 2000 (FOIA). Accenture considers that the contents of this document are confidential and exempt from disclosure pursuant to section 41 of the FOIA. The Authority should consult Accenture before making any disclosure of information relating to Accenture under the FOIA. Accenture pricing information, methodologies, any solution or solution approach, as well as reference to Accenture clients and their projects are always considered by Accenture to be exempt from disclosure by virtue of section 41 and 43 of the FOIA, whether indicated or not.

3. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map of Medicine is an online resource that provides health care professionals quick access to up to date, evidence-based clinical pathways, which reflect the way clinicians work Introduction

4. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map of Medicine Release 3

5. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map of Medicine R3 – Key components Map of Medicine R3 consists of the following components: Web-based application serving clinical pathways to end users. An enhanced version of MoM R2. Map Manager Web-based application for creation and management of pathways Map Editor.NET based fat client to edit the content in specific pathways Map Management Suite: Map Display:

6. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved The enhanced Map Display functionality for R3 includes: Updated home page, with improved navigation to pathways Enhanced search facilities allowing misspellings, synonyms and Boolean searching Additional external search functionality to return more relevant hits from free text searches Improved display of information in pathways Enhanced provision of information - e.g. iLinks and references Ability to add links to local websites and local referral forms Map Display

7. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display - Homepage

8. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display - Pathways

9. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display (enhanced navigation - Breadcrumb location)

10. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – Enhanced search functionality (misspellings)

11. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – Enhanced search functionality (synonyms)

12. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – Links to external databases from searches

13. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – Links to external databases from pathways

14. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – Add Personal notes to nodes

15. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – Print PDF of pathways

16. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – Give Feedback

17. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – Help files

18. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display - Accreditation

19. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – Other variants

20. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – Other variants

21. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – National – no local information

22. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display - Variant – local information

23. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display - Variant – local information

24. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display - Local customisation

25. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Display – National pathway - Generic referral form

26. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Variant - Local referral form

27. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Management Suite – Map Manager Map Manager enables end users to: Create/ update departments Create/ update specialities Create/update pathways Edit pathways Review pathways Approve pathways

28. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Manager - Homepage

29. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Management Suite - Map Editor Map Editor provides the end users to: Add, edit, update and delete pathways Add, edit, update and delete pathway nodes Update “Quick Info” details Upload and add attachments (pdf format files only) Update page information such as Accreditation or Evidence details Add References to pathways Attach SNOMED CT codes to pathway content

30. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Map Editor

31. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved Localisation of Pathway Pages Process To the right is the high level process for making changes to pathway pages 1.Users localise an existing page or create a new page. The page status goes to “In-Edit” 2.Changes can be undone and the page checked back in at any stage 3.Once editing is completed they submit the page for approval. The page status changes to “In Review” 4.The page is reviewed 5.The page can be recalled for editing if required 6.The page is approved by two different users and moves to a status of “Ready to Publish” 7.The page can be recalled for editing if required 8.Users with the publisher role can further review the page and when satisfied with the content, request for it to be published. A page cannot be published if it has errors with it 9.A published page can be recalled for editing if required

32. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved MoM R3 RBAC Map Display Feedback Reviewer (Business function) Admin Editor (Business function) All existing NHS Roles will, by default, have access to the R2 Clinician role of MoM: - All users are able to view pathways - All users can add personal notes to the pathways - All users can create and submit feedback Map Management Suite Content Reviewer (Business function) Content Editor (Business function) Content Approver (Business function) Content Publisher (Business function) Once a community variant has been established, the following roles will also be required:

33. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved MoM Communities

34. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved MoM Communities - Introduction What are MoM Communities? It is suggested that a MoM Community should comprise a cohesive group of primary and secondary care organisations who individually provide care to the same group of patients. The MoM Community will most probably, but not necessarily be identical with the Local Health Community. The Community is able to customise and annotate their ‘variant’ of MoM to reflect their specific local processes and practices thereby enhancing the value and usability of the pathways to their healthcare providers. What are the Benefits to users of joining a Community? Functionality of MoM Release 3 –Allows sharing of local information such as clinic times and local support group contact details available across the Community –Ability for individuals to submit comments or suggestions to enhance their local variant of MoM –Ability to add, delete and customise all content including nodes, pathways and departments to best reflect the local services and practices of the community –Option to accept or reject changes to the NHS Standard Pathways

35. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved What should be considered when setting up a MoM Community? To setup and manage a successful MoM Community a number of points should be taken into consideration: 1.Who are the stakeholders? 2.What is the overall objective of a Community review board? 3.What is a LHC – is this a practical boundary for a MoM Community? 4.What process will be used to manage changes to the Variant? 5.How is the Community going to be implemented across a number of varied organisations and in co-ordination with other deployments? 6.How is the Variant going to be maintained on an ongoing basis With respect to deciding which pathways to prioritise for local customisation, the following processes may be helpful: 1.Known problems for particular specialties (e.g. long waiting time for Neurology out-patient clinics) 2.Information from existing audits that have identified areas for improvement 3.Acknowledged national/international expertise 4.Local initiatives to tackle diseases

36. Accenture is the East & East Midlands and North East Local Service Provider for the National Program for IT. Accenture is the East of England & East Midlands and North East Local Service Provider for the NPfIT. Copyright © 2005 Accenture. All Rights Reserved What are the requirements of the Community? The community should be structured in such a way as to enable effective management of their MoM variant. Ideally the community should: –Take ownership of its MoM variant –Have specific people to fulfil essential business functions required to manage administrative note changes and their MoM variant: –Have a documented process for making controlled changes to the MoM variant: Resulting in an audit trail of signatories Including review of changes by a clinician with specialist knowledge of relevant pathways –Have a strategy for engaging clinicians to encourage their adoption of MoM. This could include: Direct engagement with organisations Demonstrations at existing meetings Additional Business Functions in R3 Map Display Users Feedback Reviewer Admin Editor Map Manager Users Editors Approvers/Reviewers Publishers