South Yorkshire Working Together Programme

Report
Working Together Programme
Informatics Workstream
Working
Together
Sponsors: Louise Barnett (CEO). Sewa Singh (MD)
Project Manager : Adam Drury / Robin Drummond-Hay
Working Together Programme – Organisations and History
Barnsley
Hospital NHS
Foundation
Trust
Chesterfield
Royal Hospital
NHS
Foundation
Trust
Doncaster and
Bassetlaw
Hospitals NHS
Foundation
Trust
The Mid
Yorkshire
Hospitals NHS
Trust
The Rotherham
NHS
Foundation
Trust
Feb 2013
Sept 2013
Programme Initiated
– Scoping Work
Business Cases for
Development
Approved
Jan 2014
Project Team /
Central PMO in place
Sheffield
Children’s NHS
Foundation
Trust
Sheffield
Teaching
Hospitals NHS
Foundation
Trust
Sept 2014
First projects begin to
deliver benefits
Working
Together
Page 2
Aims of the Working Together Programme
Meet commissioner
intentions to improve
the health and
wellbeing of the
people being served
in the most efficient
and effective way
Make collective
efficiencies where
the potential exists
Deliver safe,
sustainable and
local services to
people in the most
appropriate care
setting
Working
Together
Page 3
Structure of the Programme
CCG Collaborative
Working Together
Partnership
Working Together
Programme Executive
Clinical Reference
Group
Trust Chairs
PMO
Commissioners
Working Together
Programme Office
Trust PMO/Leads
Working Together
Workstreams
Sharing and
Adopting
Good Practice
Page 4
Sustainable Service
Configuration
Sustainable Care
Quality
Informatics
Working
Together
Programme Workstreams
Sharing and Adopting
Good Practice
• Procurement
• Medical Locums
• Shared Services
Creates new
opportunities
Creates
funds to
support
Working
Together
Programme
Informatics
• Data Sharing
• Paper light future
• Joint Procurement
• Supportive EPR Transition
Page 5
Sustainable Service
Configuration
• Smaller/Vulnerable Specialties
• Specialised Services
• Children's Services
Creates a
structure to
enable
Sustainable Care Quality
Creates a
Cross-Trust
Care
Environment
• Access to Diagnostics
• Access to specialist opinion
• 24/7 care
Working
Together
Informatics Workstream - Aims, Projects and Objectives
Aim
• To identify the potential areas where collaboration on informatics
systems, services or infrastructure between Trusts could take place
Core Projects and Cross-Cutting Activities
Orders and
Results
Cancer Waiting
Times
Document
Management
Sharing of
pathology tests
and results
between acute
Trust providers
Implement interTrust solution to
support 31/62 day
cancer waiting
time tracking
Joined up
procurement of
scanning service
and storage of
archived records
Wifi Access
Video
Conferencing
Easy to use
Replace existing
reciprocal Wifi
access across Trust room based facilities
and implementation
sites for NHS
of standardised
supplied devices
desktop solution
Good Practice ‘Information Sharing’ Events
Information Governance / Data Sharing Agreements
Workforce Development / Training / Culture Change
Collaborative Forums for Informatics Directors, IT Managers and BI Leads
Working
Together
Page 6
Overarching Timelines and Phases
Phase 3 –
Medium / Long
Term Strategy
Phase 1 –
‘Quick Wins’
Jan 2014
Oct 2014
Apr 2015
Phase 2 – Short
Term Strategy
Working
Together
Page 7
Phases and Projects / Activities
Jan – Sept 2014
Phase 1 – ‘Quick Wins’
• ICE OpenNet
deployment
• Information Sharing
Events
• Information
Governance
Agreements
• Access to low cost
training and
development
• Establish Collaborative
Working Forums
(Informatics Leads, BI
Leads, IT Managers
etc)
Oct 2014 – Mar 2015
Apr 2015 onwards
Phase 2 – Short Term
Strategy
Phase 3 – Medium /
Long Term Strategy
• Reciprocal Wifi
deployment
• Cancer Waiting Time
Tracking solution
• Standardised desktop
videoconferencing
(VC) solutions
• Improved room based
dedicated VC facilities
• In-patient minimum edischarge summary
implementation
• Development of
standards and
architecture for South
Yorkshire Shared Care
Record
• Specification and
implementation of
South Yorkshire
Shared Care Record
• Informatics solutions to
support service
redesign workstreams
• Cancer clinical
information sharing
solution (including
chemotherapy
medicines
management)
• PACS image and
radiology report
sharing
• Maximising the use of
Summary Care Record
Working
Together
Page 8
Working
Together
Phase 1 – ‘Quick Wins’
Sharing Pathology Tests and Results Project (ICE OpenNet)
Benefits
• Faster access to results from other
hospitals
• Reduced demand for duplicate tests
• Reduced clinical risks
• Quicker treatment and improved
outcomes
• Supports follow up care provided by GPs
/ local hospitals
• Supports delivery of care pathways
across multiple organisations
Milestones
• Pre-deployment technical
readiness assessment –
Completed (August 2014)
• System Training and Configuration
– Completed (August 2014)
• Complete pilot work in Trusts and
close deployment project – 12th
September
• Local clinical governance approval
and formal go-live at all Trusts –
30th September
• Reduces demand for direct access to
other hospital ICE systems.
Working
Together
Page 10
Information Sharing Events
12 formal Information Sharing Events completed – Information Sharing now
on-going within established collaborative working forums
Date
Event Title
Lead / Organisation
COMPLETED
7th February
Benefits Realisation Approaches
Jason Bradley (Barnsley)
25th February
‘Fit for Purpose’ Business Cases
Steve Parsons (Doncaster)
6th March
Sharing of Primary Care Data
Sally Soady (CSU)
11th March
Mobile Devices and Solutions
Steve Parsons (Doncaster)
18th March
Electronic Document Management Systems (EDMS) James Rawlinson (Mid Yorks)
27th March
PACS
EMRAD Consortium (external)
3rd April
GP Orders and Results Reporting
Eddie Lewis (Chesterfield)
10th April
Bedside Entertainment / Patient Wifi
Steve Parsons (Doncaster)
24th April
Project Governance
Paul Barrett (STH)
29th April
Clinical Coding
Jason Bradley (Barnsley)
14th May
Engagement for EPR
Trisha Bain (Rotherham)
13th June
Virtual Desktop Infrastructure (VDI)
James Dackombe (Doncaster)
Working
Together
Page 11
Collaborative Working Forums
• Informatics Leads, BI
Leads and IT Managers
meet monthly
Informatics
Leads
Group
IT
Managers
Group
Business
Intelligence
(BI) Leads
Maternity
Data Set
Group
Other Data
Set Groups
(TBC)
• Sub-Groups formed as
appropriate (e.g. Maternity
Data Set Group)
• Provides a productive
collaborative working
environment for project
delivery and information
sharing
Working
Together
Page 12
Information Governance Arrangements
• Tier 1 Information Sharing
Protocol, outlining the
principles and processes
for sharing agreed in
March 2014
• First specific Tier 2
Information Sharing
Agreement, for ICE
OpenNet project, agreed
in May 2014
• Further Tier 2 agreements
to be developed as
required
Working
Together
Page 13
Low Cost Access to Training and Development
• Partnership agreed with North West Informatics Skills Development Network
• Rotherham testing agreement until October 2014 – recommendations on
wider Trust membership to follow
Working
Together
Page 14
Working
Together
Phase 2 – Short Term Strategy
Cancer Waiting Time Tracking Project
Benefits
• Data transmitted
electronically to another
Trust as soon as it is
recorded in local systems
• Immediate access to data
on patients under specific
clinician care in other Trusts
• Reduced need for
duplication of data entry
Milestones
• Technical due diligence of
current InfoFlex systems –
Completed (July 2014)
• Requirements specification
for required solution from
Operations Sub- group of
Cancer Strategy Group
(South) – 17th September
• Business case for
investment in required
solution – 3rd November
Working
Together
Page 16
Reciprocal Wifi Access Project
Benefits
• Improves productivity of clinicians
and managers who work across
more than one Trust
• Supports re-design of pathway
based and integrated care models
• Reduces need for ad-hoc network
access requests across
organisations
Milestones
• Network Infrastructure Audit –
Completed (July 2014)
• Preferred technical option for
solution delivery agreed (‘NHS
Roam’) – Completed (August
2014(
• Proof of concept for technical
solution tested – 30th September
• Business case for investment
approved – 3rd November
• Complete implementation – 30th
January 2015
Working
Together
Page 17
Videoconferencing Projects
Benefits
• Improved quality and availability of
dedicated videoconferencing facilities
to support Cancer MDTs
• Reduced time lost travelling between
sites for meetings
• Reduced travel costs
• Improved participation levels in
meetings
Milestones
• Infrastructure Audit – Completed (July
2014)
• Requirements specification for required
room based solution from Operations
Sub- group of Cancer Strategy Group
(South) – 17th September
• Business case for investment in
required room based solution – 3rd
November
• Recommendations for desktop solution
from IT Managers Group – 30th
September
• Begin implementation of Desktop
Solution – 30th November
Working
Together
Page 18
In-patient minimum e-discharge summary standard
No.
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44
Information Item
Registered GP and Practice
Registered GP
GP Practice Name
GP Practice Address
Patient Details
Name
Address
Date of Birth
Gender
Hospital Number
NHS Number
Marital Status
Social Context
Special Requirements
Admission Details
Consultant
Specialty
Admission Date
Admission Time
Discharge Date
Discharge Time
Discharge Ward
Method of admission
Clinical Information
Reason for Admission
Primary Diagnosis
Other Active Problems / Diagnoses
Significant Inactive Problems / Diagnoses
Important procedures performed
Significant Hx Operations / Procedures
Allergies
Summary of the Admission
Important investigation and results
Medication Changes
TTO Medication
Management Plan and Follow up arrangement
GP Actions Requested
Measures of physical and cognitive function at discharge
VTE and other assessment scales
Discharge destination
Blood transfusion during admission?
Information given to patient/representative
Other Important Information
For deceased patients only
Suspected Cause of Death
Date of Death
Time of Death
Other underlying diseases
Procedures and operations
Mandatory
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Preferable
• Initial draft e-discharge
summary developed June
2014
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• Version for consultation by
Informatics Leads and
CRG released July 2014
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• CRG reviewed updated
final draft August 2014
• Awaiting clinical approval
to implement across
organisations
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Working
Together
Page 19
Working
Together
Phase 3 – Medium / Long Term Strategy
South Yorkshire Shared Care Record
Delivering the vision – South Yorkshire Shared Care Record (SYSCR)
STH
Clinical
Portal
TRHT
Clinical
Portal
BHT
Clinical
Portal
SCH
Clinical
Portal
SYSCR
CRHT
Clinical
Portal
Primary
Care
MIG
DBH
Clinical
Portal
MYHT
Clinical
Portal
• Vision is that clinicians will have
access to the information they
need for direct patient at the point
of care delivery, regardless of
source
• We will build on experiences of
similar projects nationally
(including Leeds Care Record)
• First phase would be unidirectional feed from local Trusts
and MIG in primary care to Shared
Care Record
• Second phase development would
add additional data feeds (Trusts,
systems etc) and enable bidirectional flow of data
Working
Together
Page 21
Delivering the Shared Care Record vision will require...
1. Clarity of what information will be shared between:
a. Different secondary care providers
b. Primary and secondary care
2. Priorities for information sharing, and timescales to support wider Working
Together programme
3. Standards for information sharing
4. Technical architecture / draft operating model of shared care record solution
5. Data quality and information governance arrangements
Working
Together
Page 22
Developing the South Yorkshire Shared Care Record (SYSCR)
Apr 2015 on
Mar 2015
Dec 2014
Sept 2014
Agreed vision
and outline
scope for
SYSCR
Agreed
standards for
information
sharing
Agreed API for
messaging
Agreed overall
technical
architecture
Priorities for
information
sharing agreed,
and roadmap
for deployment
Data sets for
sharing for
priority areas
agreed
Detailed
business case
and plan
developed for
SYSCR
Business Case
for SYSCR
approved
Project team
put in place
Priority projects
agreed
Execution of
detailed project
plan
Working
Together
Page 23
Any Questions?
Adam Drury
[email protected]
07834 711007
Robin Drummond-Hay
[email protected]
07703 719777
Working
Together
Page 24

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