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Integration Strategy Newcastle
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  1. Integration Strategy Newcastle Robert Shaw The Newcastle Upon Tyne Hospitals NHS Trust

  2. Agenda • About the Trust • Why Integration and messaging approach • Network support • Architecture • Examples of projects with benefits • Electronic Referrals • PACS • National Programme • Future ……..

  3. 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

  4. 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

  5. Network infrastructure …….

  6. Primary Care Pathology Middleware Clinical Mgt Summary Architecture Audit LANTIS P.A.S. MPI Integration Engine PACS/RIS Web Pharmacy Casemix Order Comms Theatre

  7. 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

  8. Delivering the benefits ….. • Patient • There details follow them across the Trust • Business • Reduced CNST payments • Clean set of patient demographics

  9. Praxis example

  10. Draw architecture of PRAXIS

  11. Delivering the benefits ….. • Patient • Know what is happening • Information • Clinician • Speed of access of referral • Integrated into record • Administration • Rich source of data

  12. Integrated PACS/RIS project

  13. SAN SAN Switch Fabric Temporal Temporal Temporal Web viewer Architecture of PACS Multiple Modalities and Manufactures DICOM Message Handling Validation and Integration

  14. DICOM / Integrationof all existing modalities DICOM Conformance “Compliance” or “Conformance” to a standard doesn’t always mean that it will work

  15. 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

  16. 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

  17. Mermaid …….

  18. 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

  19. National Programme …… • Vision & Values • Delivery …… ? • Only 40% of Trust systems • Version 2.x ………. Not going away !!! • Inter operability …….

  20. The Future ………