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Integration Strategy at Newcastle NHS Trust: Enhancing Network Support for Future Healthcare

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 at Newcastle NHS Trust: Enhancing Network Support for Future Healthcare

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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 ………

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