Walsall Health Economy“Using LIVE data to improve the

patient journey”

Walsall Health Partnership

Improving Care with e-technology

“Making IT Real”

Evidence in Practice Conference

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Agenda•Background

•Vision

•Challenge

•Solution

•Implementation

•Benefits

•Summary

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Problem

• Silo approach to services• Capacity of health care

professionals to deliver services from disparate systems

• Cost/disruption of replacing existing system

• Time cost of chasing information

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Current Patient-Provider Interactions

Patient

Community Care

Primary care GP’s &

practice nurses

Social Services

TOREXTOREX

EMISEMIS

HISHIS

Hospital

Laboratories

ResultResultss

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Vision

• Our Electronic Record must :-“Focus firstly on the patients themselves, and

second the providers of care to them. The prime intention must be on delivering clinical services which achieve greater integrity and continuity of care, are more responsive to patient preferences, concerns and convenience, and with improved quality assurance and safety.

Supporting the Networked NHS.”

Walsall Health Economy“Using LIVE data to improve the

patient journey”

The Challenge

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Driving Forces

Information for Health

Modernisation Agenda

GP Contract

ClinicalGovernance

NationalServiceFrameworks

VFM

Local Needs

Politics(waiting lists)

Information for

Patient Care

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Clinical Portal

PASChild

Health GP Systems

NSF’se.g. CHD

Health Career

Event Log

LearningDisabilities

CommunityOrder Comms

Information Distribution

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Approach

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Presentation Layer

Integration layer

The portal provides the ability to deliver personalised information to the user, The portal provides the ability to deliver personalised information to the user, anywhere, anytime, anyplace, from any sourceanywhere, anytime, anyplace, from any source. .

Physician Nurse PatientAdmin

NewApplications

IntegratedIntegratedPathways Pathways

Acute Acute HISHIS

Primary Care Primary Care ApplicationApplication

SocialSocialServicesServices

ContentCommerce

NHS Net

Internet Web based technology

Community

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Solution

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Instant information at point of care

Single point of access to multiple clinical information sources

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Integrated Disease Management

Community Care

GP’s

Social Services

Laboratories

TOREXTOREX

ResultResultss

EMISEMIS

Clinical Protocol Group

Tasks

Tasks

Tasks

Tasks

Work Done

Results

Work Done

Work Done

Rules

Soprano Disease

Management

Work Done

HISHIS

Hospital

Education

Tasks

Work Done

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Implementation

How we made it happen……

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Initial Projects

Dynamic Patient

SummaryDiabetes Post MI

CHF StrokeDischarge Summaries

Cancer Wait Times

EndoscopyClinical

Correspondence

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Inspiration to Implementation

Creating an electronic care pathway

Walsall Health Economy“Using LIVE data to improve the

patient journey”

What you get…

• Dynamic Patient Summary

• Clinical Pathway• Clinical Correspondence• Clinical Summary

• Audit / reporting

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Clinical Benefits

• Easier access to information;

• More informed clinical decision making;

• Work flow and care pathway across multi organisations;

• Improved clinical processes;

• Reduction in repeated questioning;

• Highlighting duplication in care;

• Improved consistency in care provision;

• Reducing unnecessary clinic appointments;

• Reducing patient anxiety;

• Improved collection of clinical information.

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Benefits

• Knowledge for clinicians at point of care;• Diagnostics results available on line :-

pathology,ECG,X-ray;• Integration of paper to electronic record. • Supports clinical data capture across

multiple organisations; • Improved ease of reporting for national

targets;• Enables cradle to grave view and can

highlight point on ICP;

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Lessons learnt

• Clinical Reference Group

• Clinical consulting

• Time

• Network & support

• Training

• Confidentiality

• Managing demand!!

Walsall Health Economy“Using LIVE data to improve the

patient journey”

Summary

In summary, Walsall has delivered a flexible toolkit that can be configured to support emerging NSF information strategies across multiple organisations.

It supports clinicians to deliver improved patient care, the benefits of which are now being seen.