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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

Benefits of Spine Mini Services

Sue Bracey

Head of software development & Integration

agenda
Agenda
  • Plymouth ICT Shared Service (PICTS)
  • Spine Mini Services
  • PICTS SMS implementation
  • Benefits and caveats
  • Where to next
  • Conclusion
plymouth ict shared service picts
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
integration at picts
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

spine mini services
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.
why introduce spine mini services
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.
picts sms implementation
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

spine services work flow
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

queries to dq team
Queries to DQ Team
  • Spine Mini Services live May 2012
benefits
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
benefits1
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.
caveats
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.
what next
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

summary
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.