IM&T Programmes

Report
IM&T Enabled Clinical Change
Overview
….give an overview of how Informatics Merseyside has
strengthened the Merseyside QIPP Programme.
….give an taster of how IM&T Programmes and projects
across Merseyside are releasing QIPP Benefits.
….bring to life an example of an IM&T enabled
transformation of a care pathway through the use of a
patient journey.
Our Services
•
•
•
•
•
•
Application Support
Business Change
Business Management
Desktop Support
Information Security
IM&T Commissioning
Service
• IT Training
• Network
Infrastructure
• Secondary &
Care Informatics
• Primary Care Informatics
• Programme and Project
Management
• Relationship Management
• Service Desk
• Technical Services
• Web and Software
Development
• Research and
Development
Who do we work with?
Merseyside
1.25 Million
Population
Over 15 Provider
Trusts & 5 Local
Authorities
291 General
Practices
6 CCGs
Merseyside
The advances we have made in improving life-expectancy in recent years are likely to be wiped out
of the current trends for excessive drinking and unhealthy weight continue.
A boy born in the North West today might expect to live 10 years fewer than one born in the
south of the country.
Eight out of the top 10 local authority areas with highest rates of harmful drinking levels in
people aged 16 or over are in the North West.
Nine out of the top 20 PCTs with the highest rates of alcohol-related hospital admissions
are in the North West.
There is an increasing trend of 11% per year in the rate of alcohol-related hospital
admissions per 100,000 population in the region.
Mortality rates for all cancers are 40% higher than in England and Wales and the mortality
rate for lung cancer is 90% higher than the national average.
Merseyside has some of the highest rates of long term conditions, and its increasing.
What the challenge?
£20 Billion
All NHS Trusts
taking part
North Mersey
£400 Million
2014/15
A preventative,
people-centered,
productive NHS
IM&T
Good Corporate
Citizenship
Commissioning
Finance
Estates
Enabling
Work streams
Finance
Prevention
Medicines
Management
HR
QIPP Clinical Pathways
Urgent
Care
COPD
CVD
Heart
Failure
Diabetes
Children's
Vascular
Mental
Health
Cancer
Tailored
Care
Rehab
Dementia
Trauma
Dr. Simon Bowers, GP lead for the
QIPP IT Programme
“….Information Technology has the potential to
revolutionise the way we care for our patients in the
NHS. By improving communication between clinicians,
care can be delivered safely, efficiently and to the
highest standards, ensuring patients are seen by the
right person, in the right place, at the right time….”
Clinical Pathways
Transformation
Programme
BUoI
Programme
ICT Innovations
Programme
ICT Innovations Programme
.…harnesses innovation and new technologies across
local Trusts and the wider health community to reduce
cost, increase efficiencies and most importantly to
improve patient care; delivering a visible return on
investment in terms of QIPP….
Furtherhpathway
interoperability
NHS aOffice
BYOD &
Shared
g
Purchasing
b Apps
Mobile
ICT
Programme
Spreading
f
innovation
&
best practice
Video
Enabled
e
Healthcare
Webc 2.0
Digital
Image
d
Sharing
Telecoms
Mobile Working
IT Ops Efficiencies
Printing
ICT Innovations
Programme Contract Management
Electronic Document
Management System
(EDMS)
Green Computing and
Power Management
Increasing Productivity
through an Agile Workforce
….work is something we do, not somewhere we go….
Agile Working Programme
BusinesshProcess
Redesign
a
Laptops
Digital
b
Pens
g
IT Support
NMHIS
f
Estates Strategy
Video e
conferencing
Digital
c
Dictation
Mobile
d Apps
Mobilising Information
• Laptop solution
•
•
•
Clinic environments
Working from other desk environments/home
Access to whole systems
• Mobile Apps Programme
•
•
•
•
•
•
NMHIS Developed mobile apps
Smart phones / Tablets / Laptops
Scales down the EPR
Allows viewing and updating of record
Disconnected working
Automation / Integration
Derek Campbell, Chief Executive of NHS
Merseyside
“….Our experiences show how technology
can be used to enhance and improve healthcare
systems. The QIPP IT programme will build on that
success, offering more opportunities for greater
efficiency and, most importantly, resulting in
improved care for patients….”
Clinical Pathways Transformation
Programme
….delivering modern IM&T technologies and systems to
enable Clinical Pathways to operate seamlessly and
effectively, supporting the delivery of integrated patient
care….
QIPP Clinical Pathways
Urgent
Care
COPD
CVD
Heart
Failure
Diabetes
Children's
Vascular
Mental
Health
Cancer
Tailored
Care
Rehab
Dementia
Trauma
Jay Wright, Consultant Cardiologist,
Liverpool Heart and Chest Hospital
“…. The Heart Failure programme is an integral part of
delivering a streamlined service to patients with Heart
Failure and providing equity of care to all. I am
delighted with the IM&T support I have received from
North Mersey Health Informatics Service. The staff
that are working on this Programme of work are
extremely knowledgeable and talented with a real can
do approach.….”
LHE
Shared EPR
Programme
LHE
Clinical Engagement
across the Best Use of
Informatics
Messaging Hub Medical
Interoperability
Gateway
Shared
Diagnostics
Clinical Pathways
Transformation
Programme
E - Prescribing
Tele-Health
Map of Medicine
IM&T enabled
Award Winning COPD Pathway
North West Respiratory Best Practice Award - Integrated Care Category
Name: Stanley Park
Age: 54
Diagnosis: COPD
Medical History: Generally in poor health,
heavy drinker, smoker, Liverpool fan
Stanley’s wife has noticed a decline in his general health and
books an appointment for Stanley to see his GP via an web
enabled booking service
Stanley arrives at his GP Practice and ‘arrives’ himself via touch
screen in reception
Stanley has a consultation with his GP, who views the North
Mersey COPD Pathway via the Map of Medicine. A spirometry
test is carried out along with a referral to the Community
Respiratory Team. GP updates his clinical system using digital
dictation / voice recognition technology
Later that evening Stanley presents at the local AED who are able
to view the GP Summary record through interoperability with
System C (Acute Clinical System). This includes details of his
earlier consultation and his spirometry test results. Stanley is
admitted to hospital.
Stanley is given prescribed a course of antibiotics and steroids
using the Trusts EPMA system. His extensive medical history is
reviewed by the respiratory team, accessing all 6 volumes
through the EDMS system. A range of devices are used at
Stanley’s bedside.
The electronic white board is able to flag Stanley as medically fit
for discharge after a 7 day stay in hospital, and show his referral
to the Community Respiratory Team is complete. On leaving,
Stanley completes his patient satisfaction survey using a tablet
device / APP where he says the food is awful
CRT Team visit Stanley the following morning and are able to view
the GP Summary and Stanley e-discharge via their agile working
equipment.
The GP OOH Service is triggered by CRT later that month who are
able to view Stanley’s patient record in Adastra and advise
appropriately. Stanley remains at home with increased care from
CRT & Community Matrons. Stanley is later enrolled onto the
local telehealth programme.
Telehealth equipment allows Stanley to record a series of self
care values on an easy to use system, making this information
available to Stanley’s care team. Should these values become
alarming or drop outside of a preset range then the care team can
intervene at the earliest opportunity, avoiding hospital admission
and increasing Stanley’s quality of life.
Bernie Cuthel, Chief Executive of
Liverpool Community Health
“…. NMHIS are exploring how Telehealth could play an
important role in delivering care for patients with long
term conditions. Telehealth has the potential to create
some really innovative and effective ways to provide
patient care, which will be ever more important as we
look towards growing future demand….”
IM&T enabled COPD Pathway Benefits
“….in the last twelve months the shared care record has been
accessed over 55,000 times across North Mersey ….”
“….community services seen a 70% reduction in time spent searching
for patient information….”
“….AMU Department seen increased productivity, enabling a further
two patients to be seen in a two hour clinical window….”
Paul King, Patient
“…. This service has changed my life….”
For further information,
please contact…
Stephen Appleton, Clinical Informatics Lead
Informatics Merseyside
[email protected]
Tel: 07792 955 017

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