A Dual View of Midwifery IT

12th June 2012

Patricia Reilly

IM&T Systems Support, Training and Development Manager

Background

Qualified Midwife 1997

IT Project Midwife 1999 – 2002

IT Development Manager 2002 – 2004

IT Training, Support and Development Manager 2004…..

Midwifery Data Collection – What? Hospital Episode Statistics (Maternity Tails) Payment by Results Clinical Negligence Scheme for Trusts Data Set Control Notices

Smoking Breastfeeding Screening

Key Performance Indicators Local Initiatives Research and Development Specialist Midwife Data Collection Patient Management Risk Management

Midwifery Data RequirementsThe Future….

Maternity & Children's Data Set

Over 1000 data item requirements – phased and incremental approach Phase 1 due May 2013 No scheduled plans for subsequent phases Will includes data relating to:

Maternity Care Plans Dating scan Antenatal Screening Tests Structural Fetal Anomaly screening Labour & delivery Postnatal Demographics New born Screening Maternal and Neonatal Death

Midwifery Data RequirementsThe Future….WHY?

Maternity & Children's Data Set

Record, compare and improve outcomes and safety Improve clinical quality and service efficiency Commission services in a way that reduces inequalities Improve accountability by providing comparative information to service usersProvide activity data for Payment by Results Support regulation Increase the understanding and dissemination of best practice Meet data set standardsAND……Enable midwives to care for their patients…maybe?

Midwifery Data CollectionThe Challenges

How can we find the time - we are looking after patients

How can we get access to systems - The majority of Midwifery care is in the community and midwives have to access a multitude of systems

How can we ensure easy data entry – we are not IT experts

How can we avoid duplication of data - it is a waste of time and frustrating

Midwifery Data CollectionThe Challenges

How can we ensure effective communication To women and their families Between Midwives To Diagnostic Services To Consultant Care To Primary Care To Social Care and Child Protection To Anyone else?

Countess Overall IT Strategy

Robust, highly integrated system with access to:-

• patients’ details

• clinicians’ notes

• treatments etc. Pathways guide doctors & nurses Electronic Documentation Electronic ordering & reporting Results and letters to GPs Over 2,000 networked PCs

Around 200 operating remotely

Developments for Midwives

Status Boards Patient Alerts Mobile Solution for Community

Status Board

Community Data Collection

Community Data Collection

Benefits for Community Midwives

Complete redesign of Infrastructure makes access via mobile devices quick, easy and secure

The ability to record Clinical Outcomes ensures key clinical information is shared between community staff and acute trust staff

Community staff no longer return to site to enter data saving time and money

Community midwifery activity is

now available for statistical analysis

Understand all the challenges

Challenge the one size fits all approach

Influence procurement

Understand the impact of change on system users

Ensure effective training and support is in place

Ensure clinicians understand the Why!

Ensure effective communication between IT and clinicians to minimise frustration!

Provide Translation services?

Midwifery Data CollectionHow can clinicians working in IT influence?

Midwifery Data CollectionHow can clinicians influence IT?

Engagement! Engagement! Engagement!

Midwifery Data CollectionWhat can IT do next?

Listen to requirementsUnderstand the challenges from the multitude of views

Clinician Information Services IT Infrastructure IT Applications team Supporting Services Primary care Social care

Work together to provide a solution National Solution?