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EPR Implementation – LTHTR. Heather Binkle EPR Project Manager 11 December 2003. Trust Activity in 2003 – 2003 . 575,514 patient contacts 90,363 inpatients in 1,174 beds 89,684 new outpatients 229,112 follow-up outpatients 105,923 A&E patients 3,568 births 5,400 staff.

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EPR Implementation – LTHTR

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EPR Implementation –LTHTR

Heather Binkle

EPR Project Manager

11 December 2003

Lancashire Teaching Hospitals NHS Trust


Lancashire Teaching Hospitals NHS Trust

Trust Activity in 2003 – 2003

  • 575,514 patient contacts

  • 90,363 inpatients in 1,174 beds

  • 89,684 new outpatients

  • 229,112 follow-up outpatients

  • 105,923 A&E patients

  • 3,568 births

  • 5,400 staff


Lancashire Teaching Hospitals NHS Trust

Current IM&T Position

Theatreman

A&E

system

Paper

Casenotes

PAS

Other

systems

Radiology

X-ray

films

In-house

clinical

developments

Intranet

Email


Internet/

Intranet

Pathology

Specialist

Clinical

systems

EPR

email

Lancashire Teaching Hospitals NHS Trust

Future IM&T within clinical areas


Lancashire Teaching Hospitals NHS Trust

The Solution

Misys CPR


Lancashire Teaching Hospitals NHS Trust

EPR – 3 year implementation

Nov 2002

April 2004

March 2005

March 2006

Phase 1

Phase 2

Phase 3


Lancashire Teaching Hospitals NHS Trust

Phase 1

  • 1st Phase – Nov 5th 2002 to April 2004

    • Replaces 2 PAS systems

    • Replaces 2 Radiology systems

    • Replaces 2 A&E systems

    • Replaces Theatre system

    • New interfaces to pathology for better result reporting

    • Introduce access to archived scanned casenotes

Preparatory work

Casenotes

Nov 2002

April 2004

End phase 1

Sept 2004


Lancashire Teaching Hospitals NHS Trust

Phase 2

Nov 2002

April 2004

March 2005

March 2006

Casenotes

Phase 2

Phase 2 – Electronic requesting of tests and services throughout Trust, documentation of Nursing Care, Clinician screens, GP access


Lancashire Teaching Hospitals NHS Trust

Phase 3

Nov 2002

April 2004

March 2005

March 2006

Phase 3

Phase 3 – Electronic Drug Prescribing, Clinical Pathways


Lancashire Teaching Hospitals NHS Trust

Issue – Infrastructure readiness

12 month implementation project:

  • Organisation wide network upgrade

  • Wireless network on wards

  • 400 mobile, wireless computers for use on wards

  • Additional PCs

  • Barcode readers, printers, security

  • Resilient, centralised data storage

  • Windows 2000 and MS Office 2000


Lancashire Teaching Hospitals NHS Trust

Lessons Learned

Experience is a hard teacher because she gives the test first, the lesson afterwards.

Vernon Sanders Law


Lancashire Teaching Hospitals NHS Trust

Organisation of Project

  • Smaller project teams with appropriate leadership and corresponding analyst

  • Discovering appropriate forums for advisory to project by different user groups

  • Target groups differently


Lancashire Teaching Hospitals NHS Trust

Don’t underestimate the work

  • Appropriate resources are required

  • Understanding the role of the on-site analyst

  • A huge amount of configuration is required to make the system “ours”


Lancashire Teaching Hospitals NHS Trust

Data collection – the key to success

  • Getting the right people involved

  • Begin standardising the processes well in advance

  • Helping people to an early understanding of standardisation

  • Understand how the data will be used


Lancashire Teaching Hospitals NHS Trust

Technology versus Change Management

Putting a PC on every desk and at every nursing station does not make an EPR


Lancashire Teaching Hospitals NHS Trust

Talking the talk versus understanding what it means

That is what learning is. You suddenly understand something you've understood all your life, but in a new way.

Doris Lessing


Lancashire Teaching Hospitals NHS Trust

Communication

  • American system – differences in language and health care system

  • Complex organisation

  • Large number of staff with different interests

  • Team approach to getting the message out


Lancashire Teaching Hospitals NHS Trust

Scope of the project

  • Stick to the scope in each of the phases

  • Help the end-users understand that it is a phased process

  • Beginning to plan for Phase 2 now


Lancashire Teaching Hospitals NHS Trust

If computers get too powerful, we can organize them into a committee -- that will do them in.

Bradley's Bromide


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