Integrated Care Partnership

Proposed IT Solution

Integrated Care Partnership

Proposed IT Solution

Siobhan Hanna

AD Informatics

Mark Hindle

Managing Consultant, immix

2y November 2012

The ProblemThe Problem

The ProblemThe Problem

Some immediate issues•Duplication•Version control•Access control•Difficult to follow up actions•Distribution

The SolutionThe Solution

Options AppraisalOptions Appraisal

Recommendation – a bespoke solutionRecommendation – a bespoke solution

Initial requirements

Online ICP functionality - with access to view and collaborate for any

legitimate care professional with an interest as well as the patient

Limited interfacing / connectivity to other systems but enough to avoid

duplication around patient detail and hospital information

Handling of all of the notifications and alerts to all who 'need to know' when a

patient is on a care plan

Task management of actions arising from care plans with updates when

complete etc

Publish this system online to remove organisational and technical barriers to

access

Aim to have this available by March 2013

More advanced requirements

Link to a Population Based Risk Stratification and Case Finding tool - identify

cohorts and tailor care plans around those 'upstream’

Mobile access to care plans – an 'app' for patients on care plans and an 'app'

for care professionals to look up care plans

Inbound - Full integration with as many systems as we can source the data

out of to populate as much of the care plan as possible using technology

? Integration with Telehealth

? Integration with the Community Information System (CIS)

… etc

Outbound - Exposing the care plan to other IT systems

Develop full referral pathways with links to other systems and a feedback loop

as to what happens in those systems coming back into the care plan

Recommendation – a bespoke solutionRecommendation – a bespoke solution

Recommendation – a phased approachRecommendation – a phased approach

March / April 2013 July 2013 Oct 2013

(Timescales are indicative and subject to availability, planning and approval)

Example screenshotsExample screenshotsIntegrated Care Partnerships (ICP) – a bespoke web application

Patient demographicspopulated automatically

Register an interest

Care plan content

Care plan subscribers:

•Dr J Smith (GP)•Mr V Anders (Pharm)•Mrs S Jones (Cons)•Dr H Ponson (Assoc Spec)

Add/Remove

Recent documents:

1.Medicine Use Review2.Patient Consent

Tabbed pages

Add / associate a pharmacy

Medicinesinformation

A Bespoke ICP Solution - PrinciplesA Bespoke ICP Solution - Principles A bespoke ICP ‘web app’ solution using simple, modern technology

Host it ‘in the cloud’ (securely, using the internet) – accessible online

Promote a design principle of generic ‘care plan’ functionality – create

multiple ‘templates’ in the future (beyond care of the elderly)

Provide for patient access – allow them to log on and view their care plan

and see the next planned actions / updates on previous ones

Build phase 1 functionality ‘foundations’ then enhance to provide more

advanced functionality on top

Design an architecture that is ‘agnostic’ in terms of other systems used by

the various care professionals

Keep a design principle of ‘all data about the patient available to be

accessed by all with a legitimate relationship in respect of the care of the

patient’.

Next Steps & ActionsNext Steps & Actions

Agreement from ICP Steering that this is preferred way forward

Business case development and approval to spend

Commissioning someone to develop this via TPA to fast track procurement

Agreement on pilot and timeframes to pilot (not long I think)

Agreement on process

Agreement on post project evaluation criteria to measure success and

further roll out

Project plan

Integrated Care Partnership

Proposed IT Solution

Integrated Care Partnership

Proposed IT Solution

Siobhan Hanna

AD Informatics

Mark Hindle

Managing Consultant, immix

2y November 2012