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Learn about Newcastle Upon Tyne Hospitals NHS Trust's integration approach, network infrastructure, and projects like Electronic Referrals and PACS. Understand the benefits for patients, clinicians, and the business.
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Integration Strategy Newcastle Robert Shaw The Newcastle Upon Tyne Hospitals NHS Trust
Agenda • About the Trust • Why Integration and messaging approach • Network support • Architecture • Examples of projects with benefits • Electronic Referrals • PACS • National Programme • Future ……..
Who are we • Dr Foster Hospital of the Year • Large Teaching, Tertiary Acute Trust • £0.5 Billion turn over • 12,000 employees • Over 2,000 beds, 58 theatres • 120 specialities and sub specialties • Local, Regional and National services
Why integration • Delivery of business critical information • Uncertainty of future • Volume of Multiple specialties • Interoperability with other Health and Social Care • Put Trust in control of which systems are changed
Primary Care Pathology Middleware Clinical Mgt Summary Architecture Audit LANTIS P.A.S. MPI Integration Engine PACS/RIS Web Pharmacy Casemix Order Comms Theatre
PAS MPI (SQL Server) Biz Talk Server 30 + systems Master Patient Index • Patient Identification • NHS Number • Hospital Number • System Number Migration • “Back room” system but the most system critical • 40,000 per day • 1.8 million records in MPI
Delivering the benefits ….. • Patient • There details follow them across the Trust • Business • Reduced CNST payments • Clean set of patient demographics
Delivering the benefits ….. • Patient • Know what is happening • Information • Clinician • Speed of access of referral • Integrated into record • Administration • Rich source of data
SAN SAN Switch Fabric Temporal Temporal Temporal Web viewer Architecture of PACS Multiple Modalities and Manufactures DICOM Message Handling Validation and Integration
DICOM / Integrationof all existing modalities DICOM Conformance “Compliance” or “Conformance” to a standard doesn’t always mean that it will work
Metrics • 5.4 Million images since May 04 • Estimate 8.5 Million Radiology p.a. • 3,582 users, approx 1,400 concurrent • Hardware • 48 Tb stretch SAN - HP • Fx Channel Disks • 2 Gbps average access rate from SAN
Delivering the benefits …… • Patient • Quicker access to diagnosis • Quicker through the system • Clinician • More than one clinician can access the same picture • Delivery in all clinical environments • Business • Financial
Integrated into Pathology Radiology Clinical Notation • Becoming the clinical front end • 3,000 letters per day • Future • Link to clinical document archive • Integrate Digital Dictation with Telecoms switch
National Programme …… • Vision & Values • Delivery …… ? • Only 40% of Trust systems • Version 2.x ………. Not going away !!! • Inter operability …….