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From “Treat as Seen” to “Treat with information” John Thornbury – Director of IM & T, Worcestershire ICT Services

From “Treat as Seen” to “Treat with information” John Thornbury – Director of IM & T, Worcestershire ICT Services. Agenda. Introducing the NHS in Worcestershire Our ICT Vision/Strategy The Clinical Portal in Worcestershire Demonstration Benefits Future Steps in the Strategy.

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From “Treat as Seen” to “Treat with information” John Thornbury – Director of IM & T, Worcestershire ICT Services

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  1. From “Treat as Seen” to “Treat with information” John Thornbury – Director of IM & T, Worcestershire ICT Services

  2. Agenda • Introducing the NHS in Worcestershire • Our ICT Vision/Strategy • The Clinical Portal in Worcestershire • Demonstration • Benefits • Future Steps in the Strategy

  3. Introducing the NHS in Worcestershire • Worcestershire: county in West Midlands of England • Population: 557,000 (2010) • Worcestershire ICT Services provides ICT services, training & strategy to NHS acute, mental health and primary care, across Worcestershire: • Worcestershire Acute Hospitals (3 hospital sites) • Worcestershire Health & Care Trust (services including Acute Mental Health, Community Hospitals, Minor Injuries Unit) • Worcestershire Primary Care Trust (contracts with 67 GP practices, 91 pharmacies, 65 dental practices, and 88 opticians premises) • Mission: To provide a timely, relevant and reliable Information & Communication Technology service to clinicians, managers and operational staff

  4. Challenges for ICT in Worcestershire • Ensuring Local Control of ICT destiny – at reasonable cost • Need to support real, collaborative clinical practice - not a ‘bean counting’ tool for managers • Ability to support constantly changing service needs • Business continuity • Staffing – development recruitment & retention • White paper review and changing service requirements • QIPP • Operational Support • Innovation and embracing change

  5. Enabling Architecture Infrastructure Facilitating Improved Communications Corporate Business support Connect Inform Collaborate Quality and Management Information Enabling Processes Supporting Care Delivery Knowledge-DrivenStrategy Supporting business and clinical objectives Business Clinical

  6. Redesign processes and then apply technology….. • “The first rule of any technology used in a business is that automation applied to an efficient operation will magnify the efficiency • The second is that automation applied to an inefficient operation will magnify the inefficiency.” Bill Gates 6

  7. Driving Improvement with - Six Sigma and Lean • Six Sigma focuses primarily on • process effectiveness • understanding and reducing variation • reducing and eliminating defects. • improving performance on Customer CTQs • Quality • Accuracy • Zero Defects • Reduced Variation • Lean focuses on • process efficiency • identifying non value added steps and reducing waste • reducing bottlenecks • Increase speed and cycle time • Quantity • Timeliness/Speed • Zero Bottlenecks • Reduced Non-Value Added Steps 7

  8. Our strategy, put simply: Getting information to the right place, at the right time Engaging clinicians – making sure we get it right for them “Clinicians want a fast dog”

  9. The Clinical Portal in Worcestershire – Overview Community Health Workers General Practitioners Hospital Clinical Staff Clinical Portal Outpatient Lists Theatre Lists Patient Demographics Results Images Encounter History Medication Documents… etc Integration Engine – Orion Health Rhapsody AGFACardiology PCTI Documents Ascribe Rx Oasis PAS ADT Bluespier CIS Sunquest LAB PatientFirstA&E …etc

  10. Benefits to Clinical Staff • Clinical Benefits: • Single view for clinicians • Reduction in administrative burden • Improves patient safety • More responsive clinical decisions • Holistic approach - remove islands • eg. stroke, COPD • Streamlines care pathway – assessment on line • eg. anaesthetics • Frees up appointment slots

  11. Benefits to individual patients • Individual benefits: • prevent unnecessary hospital admissions • have better planned and co-ordinated care • have greater confidence and a sense of control

  12. Benefits to healthcare business • Corporate benefits: • Less duplication of effort • Improved patient satisfaction • Reduced visits to GPs • Reduced hospital admissions • Decreased number of days in hospital • Reduced outpatient visits • Reduced A&E visits • Reduced medication expenditure • Improved medicine utilisation

  13. Next steps: future plans • Bi directional data entry • Patient portal (significant development) – enables patient to entry own assessments • eg. Preoperative assessments & maternity • Linkage with social care and voluntary sectors • Other systems to be integrated include cardiology, endoscopy, theatres

  14. THANK YOU

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