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Northern Ireland Electronic Care Record #NIECR #NIPECICT13 Innovation + Commitment = Transformation. NIPEC Annual Conference Gary Loughran Nicky Brown Margaret Fogarty. Linen Suite, Mossley Mill. 9 th October 2013. Northern Ireland Electronic Care Record. #NIECR #NIPECICT13.

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Northern ireland electronic care record niecr nipecict13 innovation commitment transformation

Northern Ireland Electronic Care Record#NIECR #NIPECICT13Innovation + Commitment = Transformation

NIPEC Annual Conference

Gary Loughran

Nicky Brown

Margaret Fogarty

Linen Suite, Mossley Mill

9th October 2013


Northern ireland electronic care record
Northern Ireland Electronic Care Record

#NIECR #NIPECICT13

  • Challenges and Strategic vision

  • What is an Electronic Care Record

  • Short Film

  • NIECR in Practice

    • Nicky Brown, Virtual Ward Co-Ordinator SET

    • Margaret Fogarty, Sister Belfast Trust

  • User Feedback




Niecr core data items
NIECR “Core” Data Items

Lab Results

Demographics & ID’s

GP Practice

Detail

Meds & Med

History

Clinical Documents

Diagnosis

Rad reports &

results

Encounters

Alerts &

Allergies

Special Factors &

Problem List


Benefits savings
Benefits & Savings

#NIECR #NIPECICT13

  • Reducing delays at every stage of patient journey

  • Reduction in Inpatient length of stay (4.5%)

  • Increased Outpatient clinic capacity (5%)

  • Reduction in Outpatient review appointments (8%)

  • Decrease in number of bed days used by patients with long term chronic conditions (5%)

  • Avoidance of acute admissions

  • Volume of patient testing reduced (£5)

  • Avoidance of potential adverse clinical incidents

  • Reduction in Inpatient drug reconciliation time


Niecr in practice
NIECR in Practice

#NIECR #NIPECICT13

Nicky Brown

Virtual Ward Co-Ordinator

South Eastern Trust


Niecr in practice1
NIECR in Practice

#NIECR #NIPECICT13

  • Virtual Ward evolving into Community ward

  • Current 5 day service progress to 7 day service

  • To provide timely assessment / diagnosis / treatment for service users with LTC’s who experience an exacerbation

  • Improved patient care

  • Avoidance of unplanned hospital admissions


Niecr in practice2
NIECR in Practice

#NIECR #NIPECICT13

  • Single system for all information

  • Ease of access to ECR

  • Speedy access to blood results / Xrays enabling timely treatment / prescribing

  • Simple to navigate

  • Information accurate and up to date

  • Better communication between primary / secondary care

  • Patient choice - consent


Niecr in practice3
NIECR in Practice

#NIECR #NIPECICT13

Margaret Fogarty

Sister

Day Of Surgery/Pre-Assessment Unit

Belfast City Hospital


Niecr in practice4
NIECR in Practice

Before

After

#NIECR #NIPECICT13

  • Phoning GPs to get Medication list/ Allergies

  • Phoning other hospitals to get more information on patients e.g. attending other clinics in other hospitals, blood results, x-ray results, discharge letters, etc.

  • Ordering notes from other hospitals

  • Printing out several blood results for anaesthetist

  • Bringing patients back to get repeat bloods

  • No need to phone GP

  • All current letters from other hospitals is available from ECR

  • Bloods results from all GP/hospital sources are available – several results are available to view at one time

  • Bloods can be repeated in GP practice – results are then available on ECR

  • No need to order notes to see clinic letters – only if anaesthetist requires to see past anaesthetic notes


Niecr in practice5
NIECR in Practice

#NIECR #NIPECICT13

Better prepared

More informed

Information available at finger tips.


What do users think of niecr
What do Users Think of NIECR

“Used for the first time today in ED ,Brilliant!, this will improve quality of care”

- ED Consultant Southern Trust

“Best IT spend in NI ever.  Expect hospital secretaries’ phones will be quieter now’.”

- GP

“The NIECR system is excellent. The best thing to happen to NI NHS in years! I think within a few weeks everyone I speak to will want to get on it.”

- Cardiologist Western Trust

“I really appreciate it and use if regularly on a daily basis. In fact I would be lost without it now.

- Specialist Nurse Lagan Valley


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