1. HIMSS at Croydon Health Services Charlie Stockman. Clinical Nurse Lead for Informatics Tony Newman-Sanders. CCIO

2. About us Inpatient Facilities: 1 Beds: 596 ICU Beds: 15 Operating Rooms: 14 Admissions: 45,381 Day cases: 23,825 Surgical Procedures 14,468 Births: 5,200 Outpatient Facilities: 3 Outpatient Visits: 342,267 ED Visits: 128,698 Consultants: 122, SHOs: 17, Medical Juniors: 306, Nurses: 802 (Qualified), Health Care Assistants: 247 Health Centres: 4 Clinics: 12 Patient Contacts: 553,874 Adult Services 323 Nurses, 123 District Nurses, 52 Specialist Nurses, 133 AHPs Paediatric Services 112 Health Visitors, 22 Specialist Nurses, 54 AHPs, 10 Consultants Community Staff Inpatients Outpatient Annual Turnover £220m

3. BIG BANG…large and complex Emergency Dept including Virgin Care Urgent Care Centre OutpatientsInpatient Laboratory Microbiology General Laboratory Specimen Management Cellular Pathology GP communication GP Ordering, Results Reporting and Electronic Discharges Order Communications Nursing Staff Task management NAP (Waterlow, Nutrition, Activities of Daily Living etc.) RAP (Risk Assessment Performa, Manual Handling, Infection Control) etc. Medical Staff Admissions Clinical Clerking VTE Discharge including TTAs etc. Hospital at NightClinical Analytics Community (7 th Oct) – 12 services Outpatient Prescribing roll out (14 th Oct)

4. Where we started at Go-Live Ward rounds paperlite Nursing rounds ED CPOE (Ordercomms) Clinical modules not completely integrated Cardiology Endoscopy Cancer Maternity

5. Two major steps to Level 6 E-prescribing Engagement opportunity Gateway process Pilot Observation ward as a way into ED hearts and minds Patient feedback in OP Clinical Decision support BMJ action sets Stroke pathway Others to be developed Nursing Care plans Sepsis alerts

6. A view from the coalface

7. Striving for Level 7 2015 Maternity Theatre Critical Care IV fluids Careplans Research Vendor neutral archive; integrating images within the EPR. 2016 and beyond? Upgrade Cancer and Endoscopy systems Single Sign On ‘Tap and Go’ technology Telemedicine Integrated care Community. Nursing Tech fund bid; Digipens in the community. Wider Health and Social Care via enterprise portal.

8. So what do you think?