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Conceptualising and developing a business case for HePMA systems Round table discussion

Conceptualising and developing a business case for HePMA systems Round table discussion. Professor Aziz Sheikh The University of Birmingham 24 th September 2012 . NIHR Programme Grant for Applied Research. Overview. Hospital ePrescribing and Medicines Administration ( HePMA ) systems

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Conceptualising and developing a business case for HePMA systems Round table discussion

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  1. Conceptualising and developing a business case for HePMAsystems Round table discussion • Professor Aziz Sheikh • The University of Birmingham • 24th September 2012 NIHR Programme Grant for Applied Research

  2. Overview • Hospital ePrescribing and Medicines Administration (HePMA) systems • Outline of our programme of work • Structure, organisation and aims of the workshop NIHR Programme Grant for Applied Research

  3. HePMA systems “The utilisation of electronic systems to facilitate and enhance the communication of a prescription or medicine order, aiding the choice, administration and supply of a medicine through knowledge and decision support and providing a robust audit trail for the entire medicines use process” (NHS Connecting for Health) Anticipated benefits: patient safety, clinician benefits, service benefits NIHR Programme Grant for Applied Research

  4. Investigating the implementation of ePrescribing systems into NHS hospitals NIHR Programme Grant for Applied Research Aims: To describe and understand the procurement, implementation, adoption and maintenance processes involved with introducing ePrescribing systems. To estimate their effectiveness and cost-effectiveness. To develop best practice recommendations and a toolkit for their successful integration into NHS hospitals.

  5. Our research team Prof Aziz Sheikh Prof Robin Williams Prof Jill Schofield Zoe Morrison Dr Kathrin Cresswell Dr Ann Robertson Dr Jamie Coleman Prof Richard Lilford Dr Jonathan Shapiro Dr Lily Yao Antony Chuter Prof Anthony Avery Dr Sarah P Slight Ann Slee Prof David W Bates NIHR Programme Grant for Applied Research

  6. Four Work Packages (WPs) Work package 1 Procurement, implementation, adoption and connectivity Documentary data, semi-structured interviews, on-site observations, field notes ethnography Patient and public involvement Work package 2 Assessing impact on prescribing safety Stepped-wedge design evaluation with 6&12 months follow-up analyses of prescribing indicators Work package 3 Health economics and a value of investment analysis Estimation of costs (including opportunity costs) of computer systems of different types; framework for cost categories Work package 4 Integration across WPs to develop recommendations and a toolkit for the NHS Interlink the qualitative and quantitative components; develop a detailed typology of existing systems and their capabilities NIHR Programme Grant for Applied Research

  7. Lots of national interest and planning… NIHR Programme Grant for Applied Research

  8. Increasing range of system choice… NIHR Programme Grant for Applied Research ALERT Cerner EpicCareePMA EPMA EPMAMedwayeRX Galileo iClinical Manager LastWord Lorenzo MedChart PICS SafescriptSoarian Health Archive Spacepoint Sunrise SystmOne

  9. But… • Relatively limited expertise within individual hospitals • With the demise of NHS CFH, little in the way of central guidance, standards or support NIHR Programme Grant for Applied Research

  10. Need for opportunities for sharing ideas/experiences/insights • “In my journey so far it is very important to determine a clear set of criteria which all systems must comply with. This is a huge problem.” • “Need a clear criteria of functionality this is a must and which is evidence based.” NIHR Programme Grant for Applied Research

  11. Systems choice “…one of the problems when you’re assessing a system is there’ll be systems that have been around for 4 or 5 years, there’s the one that’s relatively current and there’s the new kid on the block. The ones that have been around for a long time are based on relatively old code…old versions of Windows so just look a little bit clunky, the ones that have been around a couple of years just look swishier…and the ones that are out there you’re not confident that they’re not going to go bankrupt in the next couple of years…” NIHR Programme Grant for Applied Research

  12. Assessing local requirements, homework (looking at systems and understanding/re-designing processes), anticipated benefits, drivers and the underlying evidence base Conceptualisation Project initiation Establishing a project team, engagement of stakeholders, securing high-level support Existing range of suppliers and systems, product specification and functionality Functional specification Drafting a business case Process/templates, risks, resources, overview of systems/suppliers, site visits, networking Procurement/tendering Process, scoring, engaging suppliers  System choice Based on needs and available options, analysis of bidders Contracting Process, dividing responsibilities, awarding the contract, contract negotiations Pre-implementation Training, piloting, work process mapping, IT requirements (infrastructure, interfacing, software, hardware), continued engagement, configuration and testing, data migration, back-up systems, process management, implementation strategy and roadmap, champions Relationship with suppliers, initial support, timelines and transition to BAU Implementation Upgrading, on-going support, dealing with workarounds, continuing development and customisation, change in role of project team System optimisation Maintenance Benefits realisation, investment analysis Impact Progress reports, lessons learned and sharing of experiences, benchmarking, data quality monitoring, reporting, risk registers, critical incidence reports and analysis Evaluation On-going development E.g. Trusts upgrading to another system

  13. Aims of today’s workshop NIHR Programme Grant for Applied Research Facilitate open discussion regarding the development of business cases from the perspective of different stakeholders Support sharing of experiences and networking

  14. Structure of the workshop NIHR Programme Grant for Applied Research Moderators: Jamie Coleman and Ann Slee PART 1: Conceptualisation and project initiation 12.30-1.30 Lunch and networking PART 2: Functional specification and drafting a business case Group work in breakout sessions followed by feedback to all

  15. Organisation of this workshop NIHR Programme Grant for Applied Research • Information and consent • Anonymity assured, recording preferred • Kathrin and Rosemary for logistical questions • Suggestion sheets for anonymous feedback • Evaluation at end of the day • Summary report will be circulated to participants for comments

  16. Next steps NIHR Programme Grant for Applied Research We want your ideas for Conferences Workshops Round table discussions…

  17. Further sources of information and support… NIHR Programme Grant for Applied Research Our website: www.chs.med.ed.ac.uk/projects/eprescribing For copies of presentations, events and updates

  18. Date for your diary… NIHR Programme Grant for Applied Research

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