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Digital Maturity Index

of Hospital Electronic

Prescribing

Medication

Administration System

Implementations A Developmental Report

Supported by

Academic Health Science Network West Midlands

NHS England

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Authors

Jamie J Coleman1,2

Ann Slee1

Adam Khimji2,1

Neil Watson3 1 College of Medical and Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK 2 University Hospitals Birmingham NHS Foundation Trust, Edgbaston, Birmingham, B15 2TH, UK 3 The Newcastle upon Tyne Hospitals NHS Foundation Trust, Freeman Hospital, Freeman Road, High Heaton, Newcastle upon Tyne, NE7 7DN, UK

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Outline

• EPMA

• Development

• Current digital Maturity Index

• Aims

• Outline of Methods

• Results

• Example Output

• Potential Benefits

• Next Steps

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Electronic Prescribing Medication Administration

(EPMA)

Clinical systems that utilize data from pharmacy, laboratory, radiology, and patient monitoring systems to

relay the physician’s or nurse practitioner’s diagnostic and therapeutic plans, and alert the provider to any

allergy or contraindication that the patient may have so that the order may be immediately revised at the

point of entry prior to being forwarded electronically for the targeted medical action. (Aspden, 2004)

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Adoption

ePrescribing toolkit

Patient Safety

NHS Technology Fund

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Current Digital Maturity Index

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Aim

To prepare a bespoke digital maturity index for

EPMA systems in hospital environment.

Objective

Provide a quantitative score of the digital maturity of

EPMA implementations for use as a benchmark.

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Outline of Methods

EXPERT CONSENSUS

• Initial proposal

• Wider stakeholders

LITERATURE REVIEW

SMALL SCALE PILOT

LARGE SCALE PILOT

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Method (Cont.)

• Functional Matrix

• Enabling capabilities

• Other categories Organisational readiness

Functional ePrescribing

Mature ePrescribing

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Method

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Results

• Developed these into more detail

• Definitions included

• Identified measures

• Capability available

• Capability in use

• Effective use/reach

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Results Fig.1- Raw table of questions

Fig.2-Formatted questions with macros

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Example Output

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Potential Benefits

• Comparative judgement of healthcare providers

• Identify gaps in current clinical configuration

• Digital heat map

• Beacon sites

• Sites needing help

• Realign user expectations

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Next Steps

• Pilot in the West Midlands

• Review responses and

scoring

• Benchmark

• Update model

• Rollout nationally 2015/16