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From “Treat as Seen” to “Treat with information” John Thornbury – Director of IM & T, Worcestershire ICT Services PowerPoint Presentation
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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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Presentation Transcript
slide1
From “Treat as Seen” to “Treat with information”

John Thornbury – Director of IM & T, Worcestershire ICT Services

slide2

Agenda

  • Introducing the NHS in Worcestershire
  • Our ICT Vision/Strategy
  • The Clinical Portal in Worcestershire
  • Demonstration
  • Benefits
  • Future Steps in the Strategy
introducing the nhs in worcestershire
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
challenges for ict in worcestershire
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
slide5

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

redesign processes and then apply technology
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

driving improvement with six sigma and lean
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

slide8

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”

slide9

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

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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
slide11

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
slide12

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
next steps future plans
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