War and PeaceA CCIO and ICT Director

working togetherDr Jack Barker and Colin Sweeney

CCIO and Director of ICTKing’s College Hospital

• Who are we?• What have we done?• Different projects different

perspectives• Some statistics

Agenda

King’s EPR Milestones

• 1999 EPR Pilot with i.CM• 2002 Completed roll out of orders and results• 2000-2 Electronic discharge notifications and TTA drugs• 2003 Replaced IRC PAS with i.PM• 2004/5 PACS integrated with EPR• 2005 First attempt at inpatient ePrescribing• 2007 Moved i.PM to CSC as part of iSOFT7• 2009-10 Inpatient bedside noting using King’s Documentation

Framework• 2008-2010 2nd attempt at Inpatient ePrescribing• 2010 to date – development of King’s Specialty System

Framework as adjunct to help move to paperless/light hospital• 2011 WardWare to capture vital signs and calculate Early

WarningScores

• 2012 - HIMMS Analytics score us 5.386 on their European EMR Model

Clinical input has always been important

• Clinical Champions : original EPR product research team had: – A medical and a surgical consultant,– A nurse and change leader– Representatives from diagnostic departments

• Implementation team had technical and clinical members– Clinical Analysts – what are they?– Clinical trainer?

• Original Project Board chaired by A&E consultant and membership included 2 doctors from the pilot area as well as nursing and diagnostic representatives

Jack is not alone

• Current IT Strategy Group has 3 consultants including Medical Director and Jack as well as nursing representation

• Current EPR Support/implementation team includes 9 members who are either still registered and practice or were nurses previously

• Deputy IT Director is a microbiologist by background

Managing the Executive• Key players

– Medical Director – Chief Executive – Director of

Finance – Director of

Operations

Electronic Prescribing

Electronic bedside Clinical Notes

Vital Signs – WardWare

eClerking

Managing priorities

Develop or Buy?

King’s Health Partners

In summary

• Strengths of the CCIO– Knowledge of clinical processes– Active use of the IT

• Strengths of the Director of IT– Knowledge of his staff– Management of contracts

• Together – A united front– Shared problem solving

I was so much older then

I’m younger than that now

S1: Number of orders placed each year

S2: Number of results placed in each year

S3: Number of inpatient prescriptions placed in each year

Any Questions?

ColinSweeney@nhs.net

Jack.Barker@nhs.net