Upload
doannga
View
215
Download
1
Embed Size (px)
Citation preview
Dr Johan EP Waktare
Consultant Cardiologist and Chief Clinical Information Officer
Liverpool Heart and Chest Hospital
• LHCH have formal reference site agreements with
• Hyland
• Allscripts
• Dr Waktare on Hyland Physician Advisory Board (no commercial interest)
Disclosure
• LHCH Journey
• Strategy, Vision, & Core Values
• Timeline
• What has been delivered
• Benefits
• Lessons learned
• Key messages
Goals
• Paperless is a by-product of an “IT Enabled Healthcare” plan, not a goal
• Bold and clear vision is key
• Find industry partners not suppliers – don’t be a customer, because the product you want to buy doesn’t exist. It needs to be developed
• Similarly, always go for best of breed but a key part of that is strong strategic alliances with a small suite of high quality suppliers
• This is transformational organisational change
Key Messages
• Specialist tertiary care center
• Coronary heart disease / PCI
• Cardiac Electrophysiology
• Cardiac devices (PPM/ICD/CRT)
• Respiratory inc. CF
• Cardiac surgery
• Thoracic surgery
• Upper GI surgery
• Aortic surgery
• Highest overall patient satisfaction (CQC inpatient survey) for 7 of last 8 years
• HSJ Hospital of Year 2012
• Patient and Family Experience Vision is a core value for us
Liverpool Heart and Chest Hospital
Amongst largest centres in UK
• Clinical decision support
• Data availability
• Closed loop systems
• Quality assurance
• Patient experience
• Process efficiency
• … but we didn’t always have such a clear understanding…
How Can EPR Improve Patient Care?
• Personal involvement began in 2010 • NPfIT & Lorenzo were still “default position”
• “Basket case” would be over-stating it, but overall we were in a sorry state
• Visioning – The art of the possible • Visits to UK & US sites
• Comprehensive requirements document
• Selected partner = Allscripts, with Hyland as EDMS supplier - Sept 2011
• Project commencement April 2012
LHCH EPR Program
EPR Project Scope
• Allscripts Sunrise Clinical Manager • Clinical documentation & nursing workflows
• Electronic prescribing and medicines administration
• Order entry / results reporting
• Allscripts Patient Flow
• Other features (SHM, Patient portal, Clinician Portal) *
• Hyland OnBase EDMS (integrated sub-project)
• Use as ECM (Enterprise Content
Management), not just EDMS
• Carestream PACS (parallel integrated project)
• Interface and integrate existing systems • Silverlink (iCS) PAS
• LSS (LHCH Scheduling System)*
• Radiance ABG from ITU*
* Outstanding work still to be delivered
• Paperless care = no
• Arguably closest UK approximation to it = yes
• Key enablers in place = yes
• HIMSS 6 candidate status
• Joint highest CDMI
Our Present Status
“EPR” System
PACS EDMS
EPR Vision – Underlying databases
PAS
Perfusion Database
Incident Reporting
RIS
Stock Mgt
Cardiac PACS
Pt Flow
• Paperless is true but a “side issue”
• The agenda is to create • better
• Safer
• Higher quality
• More efficient
• ….IT Enabled Heathcare
To deliver this, a clinically driven programme is required
Look not just at infrastructure delivery, but more importantly adoption and even more importantly outcome benefit
Conclusions