Safer Wards, Safe Hospitals Technology Fund

A successful bid approach 

Christine WaltersDirector of IM&T, The Pennine Acute Hospitals NHS Trust

Bids Submitted

Accelerate e-prescribing roll out

Procurement of a EDRMS

Integrated Care Clinical Portal – Joint bid with all organisations in the North Sector

EPR Programme

EPR:Supplier & Stakeholder Management

Clinical EngagementBusiness Analysis

Project DeploymentPre-Implementation CheckingTraining & At Elbow SupportSystems Management (BAU)

Forms Configuration & DevelopmentTesting & Clinical Sign Off

CommunicationsChange Management

Mobile Technology

PAS and PatientCentre

Electronic Whiteboards

Orders and Results

ePMA

Discharge Summaries

Electronic Case notes

ElectronicForms

Replacement

Clinical Portal

Integrated Patient Care

Portal

Governance Clear IM&T strategy Clinical engagement/leadership Procurement route/approach Organisational capability Track-record

Items Considered

Realistic timescales Benefit identification – VFM Benefit realisation Potential supplier capability Change management – approach Support from the highest levels

Items Considered

Matched funding – budgeted funds Finance Director’ support Clear milestones Organisational commitment Transformational Patient safety Safer wards, safer hospitals

Items Considered

ePMANowFirst site in UK to go live on Medchart£0.6 million award from Technology Fund to accelerate rollout5000+ Users, 70 wards live, five sitesLargest Medchart deployment in UK/World

NextPhase 1 - Medicine, Surgery, Critical Care ,Theatres - 92% completeNorth Surgical wards Completes Phase 1Phase 2 Complex Prescribing Clinical engagement with Maternity this

monthEvaluation of current version for deployment in PaediatricsNext version has complex infusions for Oncology Phase 3 Pilots in Outpatients and A&E

Clinical Feedback

It’s been very exciting.  Now we have the ward on ePMA, I think it is a real asset to patient care and nurses have better control over meds. Ward Manager, F10 Pilot ROH

Would never want to use a kardex again. It would put me off working anywhere that used them Staff Nurse, G2 ROH

A good system once teething problems were resolved Staff Nurse, FGH ward 1

From a Junior Doctor’s point of view, the system is a good learning tool.   The interactions and legibility will help improve patient safety. It will save us time not having to rewrite the paper kardexes when they run out, Junior Doctor, Ward A2 ROH

Clinical Feedback

I would take this opportunity to let you know how impressed I was with your team who have recently assisted us in implementing epma. The help and support we have received has been second to none and believe me they did not have an easy task dealing with some of us oldies and technophobes! Not only did the implementation go well but the after support has been equally impressive and we know that there is always somebody at the end of the phone who will deal with any problems or questions with the utmost respect and professionalism despite how silly these may be.  Having worked in the health service for some years I know how some changes can be rushed through without very much support for staff this has not been the case with epma and the team are to be commended for that. Ward Manager, F8 ROH

The change is working well on the ward. No real issues encounteredJunior Doctor (Discharge Summary Pilot), Ward G1

Apart from the initial teething problems, the system and process is working wellJunior Doctor (Discharge Summary Pilot), Ward G2

EDRMS

Electronic Casenote & Electronic Forms £4.2 million award from Technology Fund Model Clinics in July Evolve goes live January 2015 in pilot specialty Simultaneous rollout electronic forms from go live Offline briefcase for Community use Plan to start with nursing documentation Financial/clinical drivers for forms schedule:

Cost to scan, CQUIN, Risk (e.g. Fax),Clinical efficiency, Safety…

Questions?