Dominic Kirkman International Manager of Pre-Sales Engineering - Healthcare

A Paperless NHS - the transition?

Dominic KirkmanInternational Manager of Pre-Sales Engineering – [email protected]

With a background in healthcare informatics spanning 12 years. Dominic Kirkman was the Lead Solution Architect for the NHS England PACS and RIS Programme prior to working for Lexmark. Dominic is a great advocate of the adoption of standards and has supported the Integrating Healthcare Enterprise (IHE) as a Connectathon Monitor assuring vendors comply with standards.

Dominic KirkmanInternational Manager of Pre-Sales Engineering - [email protected]

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mailto:[email protected]

The Benefits to be realised with an electronic record

The challenges of being paperless

Supporting the Transition

Presentation Overview

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Author

Overall increase in efficient and safe care

Information sharing (internal and external): Multi-location access clinical information means data can be simultaneously viewed Supports a multi-disciplinary and multi-organisation approach to patient care Patient access to data?

Reduction in need to retake tests Data stored electronically can be easily replicated and secured against loss Reduction in overall cost of records management

Data Analytics Digital data, structured data from unstructured data

Reduction in TCV of a patient’s clinical record No need to prepare and distribute files for each and every clinic Reduced printing and paper costs

The benefits of a digital record


What devices will be used to view a patients record?

What devices will be used to capture clinical information?

Mobile devices? Issue Charging Securing

What happens to patient interaction?

Business process change, training

What if IT solutions fail? What then?

The challenges of a digital record


Digital and Analogue signals, images, video, documents should be capable of being captured in patient and event context digitally! Networked HL7 enabled Enabled to output in standard format

Implementation of eform based solutions can be used to capture structured content.

Data born digital, should stay digital!


It is clear that the benefits of electronic records are worthy and necessary

Do we need to go directly to removing paper altogether?

Paper is a valuable tool for display and capture

Many of the benefits of a digital record relate to what happens after content has been captured

If paper containing captured content can be digitised at source of capture Many benefits can be realised now This can be achieved without large scale business change

Effort in rationalising/designing paper forms can be reused for eform based solutions

Supporting the transition


Automatically printing form packs: Form designer

Corporate templates Customer created and managed

Business Rule driven Pre-populated with demographics Pre-printed with QR codes

Indexation Page orientation Identify missing/addition pages

With Smart form design capture of structured data is possible

Smart Paper Form Production


Typical existing Casenote workflow

PAS

Patient attendance entered into

PAS

Patient attendance

Attendance pack assembled from pre-

printed forms

Historical Casenotes retrieved from storage

Casenotes retuned to

storage after use

Clinicians fill in forms in

attendance pack

© 2016 Lexmark International, Inc. All rights reserved.

Pre-printed stationary required for attendance packs

Manual selection of attendance pack forms required

Paper Casenote volume increases with each patient attendance (new and existing patients)

Transport required for transport of Casenotes (depending of storage location)

Casenotes can only be in one place at one time

Casenotes can be lost


Typical existing Casenote workflow issues

Going paperless (electronic) means change to clinician’s workflow!

Paperlite eCasenotes workflow

PAS

Patient attendance

Patient attendance entered into

PAS

PAS message sent to Lexmark with

details

Lexmark forms server

Lexmark instructs

Lexmark MFP to print pack

MFP prints relevant forms

Electronic viewing of documents and imaging

Forms scanned in on MFP

Forms include intelligent barcode

Forms indexed based upon barcode - inserted

in ECM

Lexmark VNA/ECM

Clinicians fill in forms without

change to workflow

Historical documents scanned in

Historical document

automatically categorised

© 2016 Lexmark International, Inc. All rights reserved.

In the long term, eradication of paper is the way forward

To achieve this, we need digital capture and display

In the mean time, smart use of paper can be used to capture clinical content with many of the benefits of an electronic record being realised Overall increase in efficient and safe care Information sharing (internal and external) Reduction in need to retake tests Data Analytics Reduction in TCV of a patient’s clinical record

Conclusions


Dominic Kirkman International Manager of Pre-Sales Engineering - Healthcare

Healthcare

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