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Benefits of Spine Mini Services

Benefits of Spine Mini Services. Sue Bracey Head of software development & Integration. Agenda . Plymouth ICT Shared Service (PICTS) Spine Mini Services PICTS SMS implementation Benefits and caveats Where to next Conclusion. Plymouth ICT Shared Service (PICTS).

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Benefits of Spine Mini Services

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  1. Benefits of Spine Mini Services Sue Bracey Head of software development & Integration

  2. Agenda • Plymouth ICT Shared Service (PICTS) • Spine Mini Services • PICTS SMS implementation • Benefits and caveats • Where to next • Conclusion

  3. Plymouth ICT Shared Service (PICTS) • Provides IT services and support for the local healthcare community • 12,000 + users across multiple sites • Plymouth Hospitals NHS Trust (PHNT) - largest single site acute hospital in UK • Community Interest companies /GP’s/PMS/Others • Local population of over 500,000 • Tertiary services for 1.5m people

  4. Integration at PICTS Sending Systems Receiving Systems ENSEMBLE Integration Engine TCP iPM A&E iPM (PAS) TCP Apply Business Rules Store Filter Transform Route Send iCM-Results A&E Web iCE-GP Results FTP Maternity Labs CRIS SQL iCM-Orders Maternity Neonatal FS iCE-GP Orders Innovian Viewpoint Email Trauma Board WEB Labs Text Radiotherapy Radiology Infection Control Radiance CACHE DATABASE Chlamydia screening Sonicaid Torbay/Treliske Labs ESR Occ Health OLE/ODBC Local solutions Spine Update ICNARC Renal Speech recognition Process > 250,000 messages / day Cancer Registry Stoma Care Others -departmental

  5. Spine Mini Services • What are Spine Mini Services? • Services that allow you to retrieve information direct from the spine - in real time. • SMS options: • Verify NHS number • Get NHS number • Get patient’s demographic details • Why Mini? • Reduced options - we can’t update the spine - something we need to take forward with cfh - hcic • Having retrieved the data we get to decide what to do with it.

  6. Why introduce spine mini services • Interested in ITK • Technology partners of intersystems • To improve our data quality • Non spine compliant PAS • No real time access to up to date demographic information • Few NHS numbers for newly registered patients, reducing our ability to communicate with other healthcare providers in a timely fashion.

  7. PICTS, SMS Implementation • Worked with InterSystems and CFH through Common Assurance Process (CAP) Can we Audit the Requests? Are Patients Safe? Is It Secure? YouThe TrustYour Patients Is the Solution Resilient? Is Data Safe? Trust Operating Model

  8. Spine Services – Work flow TIE(Ensemble) AE SALUS A31 A31 A01 ADT Flow A31 A31 A01 Other System A01 A01 iPM(PAS) Spine Checker A01 A31 A31 SMSP Maternity Spine Refer to data Quality Team

  9. Queries to DQ Team • Spine Mini Services live May 2012

  10. Benefits • Patient safety - Large reduction in the number of discharge summaries and other correspondence being sent to the wrong GP. • Anecdotally similar reduction in the number of letters sent to the wrong address. • Patient safety – documented incident where a patient was linked to the wrong (deceased) patient. – DQ alerted in real time. • Patient safety – documented incident where a patient was linked to the correct (deceased) patient. – patient had been incorrectly recorded as deceased on the spine – DQ alerted in real time, GP informed, spine corrected

  11. Benefits • Patient safety - documented incident where a long term regular patient was found to have the wrong NHS number recorded against them. • Patient safety - documented incident where a patient was linked to the wrong patient on iPM and the details adjusted to match. • Its quick and saves time - DQ team. They update iPM and the NHS number appears checked and verified in seconds. • Reduction in calls to DQ team.

  12. Caveats • The spine is a good source of data – but it is not perfect • Humans exist on both sides of the primary secondary care divide. – and humans make mistakes. • Bad practice - Documented incident(s) where patient’s address fields have been used for other purposes, overwriting their actual address and delaying treatments.

  13. What next ITK Federated messaging service Other System TIE(Ensemble) Trust A A31 A01 Message Flow ADT Flow A31 iPM(PAS) GP System A01 A31 Spine Checker SMSP Work Flow Spine Refer to data Quality Team

  14. Summary • Spine mini services improves patient care, saves time and is one of the key enablers to the safe sharing of information across healthcare organisations. • Spine mini services, in conjunction with business rules improves data quality at the trust, at the GP practice and on the spine and helps to identify mistakes early. • Supported by HSCIC we should look to standardise on business rules to support spine mini services. • Supported by HSCIC we should look to standardise on workflow elements to support spine mini services.

  15. Questions?

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