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The Leeds Digital Way Engagement, Vision, Delivery

The Leeds Digital Way Engagement, Vision, Delivery. Jackie Whittle CCIO, Nursing & AHP Leeds Teaching Hospitals Trust. Who, what, where, when. The Leeds Way. 1,600,000 patients a year. Over 1,100,000 Outpatients. Over 263,000 A&E Attendances. Over 117,000 Inpatients.

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The Leeds Digital Way Engagement, Vision, Delivery

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  1. The Leeds Digital Way Engagement, Vision, Delivery Jackie Whittle CCIO, Nursing & AHP Leeds Teaching Hospitals Trust

  2. Who, what, where, when The Leeds Way 1,600,000 patients a year. Over 1,100,000 Outpatients Over 263,000 A&E Attendances Over 117,000 Inpatients Over 108,000 Day Cases 9,844 Babies born The 3rd most efficient IT function in the NHS. Over 18,000 staff

  3. PPM+ 2018 Key Principles: Connect – people, community, systems Transform - enable the creation of excellence in digital delivery at the bedside Improve – outcomes, experience, connectivity Leeds EHR @DITLeeds | #LeedsDigitalWay

  4. Identifying our values & priorities

  5. @DITLeeds | #LeedsDigitalWay

  6. Stakeholder engagement Executive Leadership Clinical Leadership Frontline Staff Business Change

  7. Wachter Review, 2016 • 3 CCIOs • Project leads & CSU Digital Leads Clinical Engagement • Monthly Clinical Reference Group • Weekly CCIOs plus CIO • CCIOs report directly to board / EMG • Clinical Reference Group • Agree clinical priorities • Inform Digital Strategy • Agree & support deployment plans • Share ideas, innovation & learning • Communication & training • Social media - #CCIOLTHT • CCIO LTHT Blog • Youtube videos @DITLeeds | #LeedsDigitalWay

  8. How to influence

  9. Influencing to adopt

  10. Transitioning to Digital “Digital is not simply using a computer or turning something electronic; it is improving the process by which we deliver our care across the board.” Sarah Miller – Head of Nursing Neurosciences Leeds Teaching Hospitals NHS Trust

  11. Our Digital Pathway Engage, Assess current state, identify requirements, develop plan with team, identify resource within informatics to support/exploit existing ppm+ functionality and core clinical systems fully @DITLeeds | #LeedsDigitalWay

  12. PPM+ uptake & utilisation Biggest eWhiteboard deployment in country (110 wards, 3602 staff trained) eMeds – 146 inpatient areas live, 100% adults, paediatrics, maternity and ICU 7,462 trained & active - over 34,000 doses a day 19,574 Primary and Secondary Care Distinct Users (Sept 2018) On Average 15,322 updates a day into LTHT PPM+ Records 71,429, 356 instances of PPM+ usage (Sept 2018) eCorrespondence 668,779 (Jan – Sept 2018) 2.8 million patients known to PPM+/LCR of which 2.2 million associated with LTHT 74 million interactions with PPM+ per month & 64 million messages per year through the integration functions 580,251 forms completed (Sept 18) @DITLeeds | #LeedsDigitalWay

  13. Key factors for Leeds: Scale & multiple sites History of eMeds at LTHT 2018 – Rolled out to 30 paediatric & womens inpatient areas 2016/17 – Rolled out to 98 Adult inpatient areas Piloted in Sept 2015 2014 Subsequent re-procurement (CSC’s MedChart). Original supplier folded Project started in 2009 @DITLeeds | #LeedsDigitalWay

  14. Identify what’s important • Medchart embedded within EHR • Electronic Discharge Advice Note (eDAN) – in-house electronic discharge solution in EHR, designed with our GP’s • Secure invocation – single-sign-on. Accessing eMeds through PPM+ without additional login. Safer & more familiar way of finding patients. Encourages use of PPM+ as a portal

  15. Engagement • Initial Meeting with CSU leads. • Face to face engagement with Matrons and Clinicians • WARD meetings • Drop in sessions • Open honest discussions • Clear open plan agreed in collaboration with team

  16. Implementation ImplementationModel Week 1 and 2: 15 hours ward floor-walking support provided by the implementation team from 07:30hrs Week 3: Implementation team available via bleep for 10 hours 08:00 to 18:00 2 wards per 4 weeks Up to 10 wards per 4 weeks From To

  17. Training

  18. Reporting Information • Approx10 thousand items a day • Approx 17.7 million since we went live September 2016. • Approx 34 thousands doses Administered per day.

  19. Benefits • Improving Patient Safety • No more illegible or peculiar prescriptions • Safer prescribing and administration with alerts for patient allergies • Electronic request for a pharmacist review (validations) • Fairer and more informed prescribing; • Strengthening formulary compliance • Improved access to pharmacy information resources through easy to use inter and intranet links • Safer prescribing through team built protocols, e.g; • Working with the antimicrobial and VTE team to supportive prescribing practice with protocols • Working with the clinical teams to build and design protocols to support timely, standardised and safer prescribing. • Improved traceability; • Ability to see clearly on every prescription the prescriber and their role • Can collect audit data on medication and administration at the click of a button (e.g. missed doses. • Supporting workflow; • No more searching for, or losing prescription charts • No more time spent transcription checking • More streamlined prescribing of discharge medicines allowing for easier and quicker validation • Decision support with allergy alerts, duplicate prescription alerts and drug interactions

  20. 6000 active users across the city with over 1200 patient records accessed each weekend Integrated Care Across Boundaries

  21. Thank You for Listening Questions?

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