1. Working to Improve Access and Patient Pathways The Electronic Patient Record Paul Sherry Chief Clinical Information Officer Consultant – Trauma and Orthopaedics

2. Why am I here … Joined the hospital team in 1995 Now have 33 years experience of NHS Have seen various IT systems come ……and go ! Always had a feeling that we can do better and safer for our patients Hold a commercial pilot qualification Aware of the enviable safety record of the aviation industry Have undergone human factors/team resource management training

3. Audience participation … Who in the room has ….?

4. Primary Care – well ahead of hospitals

5. So what’s the problem for hospitals….? It’s complicatedTrust me … it really is

6. Finding the relevant piece of information…

7. Two examples…. Probably never been to hospital One visit to Emergency Department One visit to Fracture Clinic That’s it Multiple previous visits to hospital Very likely to have many different medical problems - interacting Very likely to need help from different teams – in and out of hospital

8. People are becoming more complicated….

9. 21 st November 2015

10. This is not about computers, it’s about patients…. Benefits

11. Patient Safety and Communication e-Whiteboard Alerts Allergies Care planning Patient Flow

12. Patient Documentation and Co-ordination

13. Palliative Care Can maintain their own patient lists Can view clinical notes remotely Can better communicate with primary care

14. Patient Documentation and Co-ordination Community Midwifery Mobile devices in patient homes Can upload clinical notes remotely Care better co-ordinated with hub

15. Are all our staff and patients deliriously happy…? Work in progress…….but we have made a start