Master Patient Index (MPI) Project Update

Presentation to NADB

Nick Elcock

14th January 2009

The Business Need

• Patient Safety– To reduce duplicate records (resulting in partial clinical records)– To improve demographic data quality and reduce clerical errors.

• To support Trust Merger– To ensure that each patient has only one identity in the newly

formed Trusts– To allow new information systems to be implemented across the

whole Trust

• To support the implementation of the Welsh Clinical Portal– A single source of patient identity – Pointers to the location of clinical information

Data Quality Business Processes

NHS TrustNHS TrustWDS

MPI

Foreign Keys

RadIS2TelepathPAS

3. MPI matches patient with NHS No

1. new patient registered in local system

Records staff

2. MPI notified5. MPI updates PAS

6. MPI offers new patient details to other systems

Other departmental

systems

Optional Interface engine

4. Records staff resolve any difficult patient matching problems

WCP and the MPI

MPI

Foreign Keys

RadIS2TelepathPAS

WCP

1. Search for Patient

2. Receive patient details and a list of systems

and foreign patient keys

3. Requests details of events for the patient & receives details

NHS TrustNHS Trust

Other departmental

systesCommunity IHR

Clinical User

Patient enquiry

Why Not Use the WDS?

• WDS only holds demographic data and not the references to link to episodes of care.

• WDS is only populated with patients registered at Welsh GPs

• WDS is only updated by GPs

A National MPI

NHS WalesNHS Wales

WDS future version

MPI

Patient identity queries

NHS England PDS

Patient identity queries

MPI MPI

As services start to be delivered as a national level:•National MPI to supplement or supersede local MPIs•National systems will link into the national MPI. (LIMS, PACS integration ? Future versions of WCP)

Approach

Three stages but a detailed plan is only required for stage 11. Specification of Scope and Requirements2. Procurement / Development3. Implementation & post implementation review

Stage 1 - Specification of Scope and Requirements3 streams of work:-

– Process Definition– Requirements

• Data Definition• Functional Catalogue• Technical requirements

– Procurement/Development Planning• Market evaluation• In-house development proposal(s)• Options appraisal and Business Justification

Followed by a decision – AW procurement or In-house development

Resource & Governance

Proposed Structure

Senior Responsible OfficerCinical DirectorMartin Murphy

Project ManagerNick Elcock

Senior SupplierLiz Waites

Gary Bullock

Senior Users Trust Representatives

Ian Phillips, ABMU NHS TrustGraham Kennedy, N Wales NHS Trust

Robin Jones, Hywel Dda NHS TrustPatient Safety Representatives

Bev Thomas

Technical SMEAllan Dickinson

Procurement SMEtbc

MPI Design & Definition Phase

Trust Representatives

ABMUCardiff &Vale

Cwm TafGwent

Hywel DdaN.WalesPowys

PSOLucie Thomas

Project Team

Project Board

Information Governance

David Staniforth

Programme Manager Helen Hughes-Tait

Progress to date

• Project team in place with good representation across the Trusts

• Business Processes largely documented

• Functional and Technical requirements agreed

• Information requirements agreed

• Option appraisal has been developed.

Next steps

MPI project board on 9th January agreed:• To work with NHS Trusts to develop a more

detailed design• To develop more detailed procurement plan• To widen the project team to include WAST,

HSW/ Velindre and Swansea University.• To link into All Wales Medical Records Manager

Group• To ensure links into the single Record Project

board and Patient Safety Group(s)

Budget

• No budget is in place currently for the MPI project.

• Initial estimates are for an average sized Trust:– Contract costs (if procured) : £250,000– Local implementation costs : £200,000

Approval Sought

• To agree to this approach