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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 l.jpg

EPR Implementation –LTHTR

Heather Binkle

EPR Project Manager

11 December 2003

Lancashire Teaching Hospitals NHS Trust


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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


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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


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Internet/

Intranet

Pathology

Specialist

Clinical

systems

EPR

email

Lancashire Teaching Hospitals NHS Trust

Future IM&T within clinical areas


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Lancashire Teaching Hospitals NHS Trust

The Solution

Misys CPR


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Lancashire Teaching Hospitals NHS Trust

EPR – 3 year implementation

Nov 2002

April 2004

March 2005

March 2006

Phase 1

Phase 2

Phase 3


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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


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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


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Lancashire Teaching Hospitals NHS Trust

Phase 3

Nov 2002

April 2004

March 2005

March 2006

Phase 3

Phase 3 – Electronic Drug Prescribing, Clinical Pathways


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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


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Lancashire Teaching Hospitals NHS Trust

Lessons Learned

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

Vernon Sanders Law


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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


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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”


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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


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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


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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


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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


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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


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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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