CLINICAL PORTAL Hospital Services. Presented by Stephen Parsons

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1 1 CLINICAL PORTAL Hospital Services Presented by Stephen Parsons

2 Dependence on Interoperability 2 Multiple modular solutions centred on Series of interface engines Web based applications Data exchange processes XML based clinical repository Clinical and Business Applications EPR / clinical functionality Electronic Scheduling No traditional PAS Data Warehouse / reporting & performance Darzi Clinical 5 re-affirms direction

3 Heart of Interoperability Enterprise wide Patient Master Index epmi Single source patient ID Intelligent index data handling rules Component build API, master tables etc Integration Engine Ensemble Message management / transformation Enterprise Service Bus ESB message table Local patient tables for message filtering Application based interfaces SOAP, web services, HL7, server switching, DTS, FTP, flat file 3

4 4 HL7 SOAP/Web Proprietary Messaging Architecture Blood Track Radiology A & E Pharmacy Theatres Pathology ENSEMBLE Departmental Small Systems Anglia Order Comms epmi INT. ENGINE Casenotes GP Practice Exeter SMS Text Reminders Electronic Pat Record Primary EPR Secondary EPR Electronic Scheduling Inpatients Bedman Outpatients Theatres Scanning Small System Doc Man t Infopath Elec Whiteboard C&B / PDS DATA WAREHOUSE

5 5 Sharing of Clinical Information SHARED EPR SERVER SHARED PATIENT INDEX SHARED NETWORK SHARED INTERFACES EPR SERVER SHARED XML FORMAT SHARED WEB BROWSER GP Systems Documents PRIMARY GP s Community Hospital Systems Requests SECONDARY Hospital (Access by Agreement)

6 6 Integrated Care System Commissioners

7 7 Cohorts of Patients INFORMATION AND REPORTING STREAM FOR CLINICAL PANELS

8 8 Paper Lite Process Extend use of EPR Remove paper medical record EPR to facilitate Digital Patient Pathway Secure / rapid access to records 24/7 Speed up the operational pathway stages Clinical data to be more available Reduce the admin burden for paper casenotes Reduce costs

9 9 Key Process Development Areas Interoperability at document level Technology and process Web based technologies More access to IT / Wireless User management SSO Electronic Whiteboard EPR Electronic forms Infopath Electronic order comms Digital Dictation EDM & Scanning Process Electronic results sign off

10 Traditional Casenotes 10

11 11 Electronic Whiteboard Bed occupancy Length of stay Clinical Alerts Results to signed off Referrals Handover actions Pathway - Adv Quality forms

12 12 Technology - Scanning Scanning Solution PDF interface from systems Scan on Demand for Legacy Casenotes Temporary Casenotes scanned after clinic/ discharge DART repository uses metadata links to EPR Barcode driven patient ID and divider sheets Minimal challenge to departmental systems PDF output

13 13 Clinics Outpatient Clinics Legacy casenotes scanned prior to New Appt EPR records used for Follow Up Appts Pack issued for each Clinic to record patient notes Pack contents scanned after each clinic Available in EPR

14 EPR Presentation 14

15 Electronic Whiteboard 15

16 Whiteboard Patient Status 16

17 17 SSO launched PACS image Hyperlink to Image ID from Rad report style sheet SSO opens PACS viewer credentials for user

18 Requests launched from EPR 18

19 Move to the Electronic Ward Traditional Nurse Station Paper Casenotes Paper forms - vary from ward to ward Bottom of bed charts X ray films / paper path results Limited electronic records Electronic Ward Virtual electronic Casenotes Electronic forms designed by staff groups Work flow based electronic referrals Results / alerts / EWS - electronic whiteboards Bedside data recording 19

20 20 SharePoint / InfoPath forms Bespoke designs fast turnaround Intelligence within data field selection Integration with XML based EPR Supports workflow concepts between clinicians Data to SharePoint databases Data queries for Whiteboard / Warehouse reports Value for money Overwhelming buy-in from staff groups

21 EPR link to forms process 21

22 Workflow management of forms 22

23 E-Referrals clinician choice 23

24 Signature management via InfoPath 24

25 Interface with Social Services 25

26 SS Referrals records 26

27 VTE CQUIN via MS Reporting Services 27

28 VTE Completion Progress 28

29 Intelligent form design 29

30 30 Portal / Repository clinical/legal record The Repository EPR is the virtual patient casenote Date / time based entries from other systems Version control for EPR entries history not editable The Portal Evidence of clinical information available at a point in time Clinical decision making auditable against records available Interoperability Strategy

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