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www.england.nhs.uk
• Relatively novel concept which refers to the effective use of
digital capabilities to deliver better services…
• In health and care ….this is to demonstrate that individuals, carers,
health and care professionals have access to information to facilitate
informed decision making, support integrated care and enable citizens to
be active participants in their health and care.
What is Digital Maturity?
The right
information
The right
informationTo the right
person
To the right
person
At the right
time
At the right
time
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Current Digital Maturity Index
• HIMSS (or EMRAM)
• Levels 1-7
• COIN
• CDMI
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Background for ePrescribing
• Current measures of ePrescribing maturity could be better
• West Midlands wanted to compare practice
• Identify areas of best practice
• Benchmark
• Support developments
• Working with NHSE, Newcastle Foundation Trust and
AHSN developed a prototype tool
5
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• Include measures of
• Enabling capabilities
• Levels of functionality
• Use and reach
• Governance / safety
• Ability to develop as practice/policy evolves
• Ability to link to other maturity indicators
• Scoring
• Able to ‘develop’ as model itself matures and develops
• Simple
• Reproducible
• QUICK to complete
Guiding Principles
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ePrescribing Functional Areas
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Functional and Mature Components for Context
of Prescribing
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Does the system support the prescribing of inpatient medicine orders and schedule them for administration?
Is this functionality in use?
For what % of inpatients was the
system used to prescribe inpatient
prescriptions in the last month?
Individual component maturity
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Data Collection
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• 16 responses
• 8 acute
• 2 specialist
• 6 mental health/community
• Mixture of maturity
• Majority of Trusts have no system but work in progress
• Enabling scores reflect
• Mix of systems in use/planned
Results
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• Typical Trust score:
• Enabling Capabilities: 66%
• Functional Components: 0%
• Mature Components: 0%
• Total Maturity Score: 6%
Trust results
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West Midlands Summary
0
10
20
30
40
50
60
70
80
90
100
Trust 1 Trust 2 Trust 3 Trust 4 Trust 5 Trust 7 Trust 6 Trust 8 Trust 9 Trust10
Trust11
Trust12
Trust13
Trust14
Trust15
Trust16
Overall maturity score (%)
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Individual Trust Capability Summary
0%10%20%30%40%50%60%70%80%90%
100%1. Enabling Capabilities
2. Types of Medicines
3. Context of Prescribing
4. Medicines Administration
5. Prescriber Type
6. Medicines Optimisation7. Secondary Uses
8. Interoperability
9. Communication
10. Supply & InventoryManagement
11. Decision Support
Enabling Capabilities Total %age Functional Total %age Mature Total %age
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Individual Trust Maturity Overview
0%10%20%30%40%50%60%70%80%90%
100%1. Enabling Capabilities
2. Types of Medicines
3. Context of Prescribing
4. Medicines Administration
5. Prescriber Type
6. Medicines Optimisation7. Secondary Uses
8. Interoperability
9. Communication
10. Supply & InventoryManagement
11. Decision Support
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Individual Capability Review
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Support for recording ofantibiotic indication for
each prescription
Functionality to pre-definecourse length for anti-
biotics
Review function for courselength for IV antibiotics
Functionality for a promptfor IV to oral switching
Antibiotic Stewardship
Functionality available
Functionality in use
This data is
based on
five NHS
Trusts
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• Available for anyone to use
• Wed portal will be up in the next couple of weeks
• Feedback gratefully received
• Don’t confuse with wider maturity request coming out to CCG
What Next…..
