Christine Walters

Safer Wards, Safe Hospitals
Technology Fund
A successful bid approach
Christine Walters
Director of IM&T, The Pennine Acute Hospitals NHS Trust
Bids Submitted
 Accelerate e-prescribing roll out
 Procurement of a EDRMS
 Integrated Care Clinical Portal – Joint bid with all
organisations in the North Sector
EPR Programme
PAS and
Patient Care
Clinical Portal
Supplier & Stakeholder Management
Clinical Engagement
Business Analysis
Project Deployment
Pre-Implementation Checking
Training & At Elbow Support
Systems Management (BAU)
Forms Configuration & Development
Testing & Clinical Sign Off
Change Management
Mobile Technology
Case notes
Orders and
Items Considered
 Governance
 Clear IM&T strategy
 Clinical engagement/leadership
 Procurement route/approach
 Organisational capability
 Track-record
Items Considered
 Realistic timescales
 Benefit identification – VFM
 Benefit realisation
 Potential supplier capability
 Change management – approach
 Support from the highest levels
Items Considered
 Matched funding – budgeted funds
 Finance Director’ support
 Clear milestones
 Organisational commitment
 Transformational
 Patient safety
 Safer wards, safer hospitals
First site in UK to go live on Medchart
£0.6 million award from Technology Fund to accelerate rollout
5000+ Users, 70 wards live, five sites
Largest Medchart deployment in UK/World
 Phase 1 - Medicine, Surgery, Critical Care ,Theatres - 92% complete
 North Surgical wards Completes Phase 1
 Phase 2 Complex Prescribing Clinical engagement with Maternity this
 Evaluation of current version for deployment in Paediatrics
 Next version has complex infusions for Oncology
 Phase 3 Pilots in Outpatients and A&E
Clinical Feedback
It’s been very exciting. Now we have the ward on ePMA, I think it is a real asset to
patient care and nurses have better control over meds. Ward Manager, F10 Pilot
Would never want to use a kardex again. It would put me off working anywhere that
used them Staff Nurse, G2 ROH
A good system once teething problems were resolved Staff Nurse, FGH ward 1
From a Junior Doctor’s point of view, the system is a good learning tool. The
interactions and legibility will help improve patient safety. It will save us time not
having to rewrite the paper kardexes when they run out, Junior Doctor, Ward A2
Clinical Feedback
I would take this opportunity to let you know how impressed I was with your team who
have recently assisted us in implementing epma. The help and support we have
received has been second to none and believe me they did not have an easy task
dealing with some of us oldies and technophobes! Not only did the implementation go
well but the after support has been equally impressive and we know that there is
always somebody at the end of the phone who will deal with any problems or
questions with the utmost respect and professionalism despite how silly these may
be. Having worked in the health service for some years I know how some changes
can be rushed through without very much support for staff this has not been the case
with epma and the team are to be commended for that. Ward Manager, F8 ROH
The change is working well on the ward. No real issues encountered
Junior Doctor (Discharge Summary Pilot), Ward G1
Apart from the initial teething problems, the system and process is working well
Junior Doctor (Discharge Summary Pilot), Ward G2
Electronic Casenote & Electronic Forms
£4.2 million award from Technology Fund
Model Clinics in July
Evolve goes live January 2015 in pilot specialty
Simultaneous rollout electronic forms from go live
Offline briefcase for Community use
Plan to start with nursing documentation
Financial/clinical drivers for forms schedule:
 Cost to scan, CQUIN, Risk (e.g. Fax),Clinical efficiency,

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