News and updates from today's Towards the Digital Hospital conference
Conference chair, Sean Brennan Independent Consultant in Healthcare Informatics Clinical Matrix, opens the morning sessions with a National update on Towards the Digital Hospital and Learning from the National Digital Exemplar Sites.
Sean comments: "The way that you now access care is fragmented. You can get care treatment in lots of different places.
Have to record what they and and why they did it.
In hospitals we have lots of different systems that often don't speak to each other.
Why would you computerise it?
Paper can only be in one place at one time. You don 't know who has looked at what. Paper is vulnerable
Going paper-light by 2018, Paperless by 2022
Is there a better way, yes but it's not easy. We have invested in lots of different clinical systems that need to come together
How we capture the outputs or make avaiaible into some kind of structured record.
NHS England have a programme of work that has been set up with 10 domains and 33 programmes
The exemplars wil inspire others.
Every Trust if different and every Trust is special."
"Conclusion, NHS England: Stop generating paper, start generating value"
Sean started his NHS professional career in Pathology and when he was Chief Scientific Officer in Immunology re-trained as a General Manager.
Part of the‘re-training’ was to establish a Clinical Audit Department in the Huddersfield Royal Infirmary, as a result of this successful development, he was seconded to the Department of Health as a Clinical Audit Advisor initially at Richmond House London transferring up to the new Quarry House in Leeds in 1996.
It was during his time in clinical audit that Sean was drawn into health informatics – realising that without timely and accurate clinical information, it was impossible for clinicians to undertake any critical evaluations with only the paper case notes as source.
He became the project manager for the NHS’s national Electronic Patient Record (EPR) Programme at the time of Information for Health in 1998 (i.e. before the National Programme for IT and Connecting for Health). He has also experienced work with a clinical computer supplier (Northgate Information Solutions) and then 14 years as a successful independent health informatics consultant undertaking NHS projects including the development of EPR strategies; IM&T business cases; benefits realisation of the EPR, clinical and information governance projects and re-design of clinical services utilising emerging technologies where appropriate in Scotland, England and the Isle of Man.
He is a popular presenter on the health informatics and clinical effectiveness circuit and is a successful facilitator of interactive workshops with electronic voting technologies. He ran a series of EPR workshops in Dubai for 5 successive years.
His best-selling book ‘The NHS IT Project: The Biggest Computer Programme in the World Ever!’ (although released ten years ago), is still a useful reminder of the path that NHS computing has taken and needs to continue to take.
Deborah McKee EPR Programme Manager University Hospitals Birmingham NHS Foundation Trust continues the morning sessions with an update on 'Changing the way we work - Using Health Systems to Deliver Quality Healthcare'
"EPR user interface
Paper records have worked for years, there is a reason they are liked.
In PICS we have an intuative and friendly PICS icons are popular with users. Can see at a glance what's happening with our patient.
Paperless at the point of care
User interface - if its easy to put in then it will be put in. Make sure you have the level of engagement right. Need a solution tht's the best fit for your organisation.
Our system is designed by clinicians not programmers.
Operational process / culture: Lots of things can be fixed by the EPR
Changing the EPR wont fix a bad operational process"
Deborah has gained over 27 years of operational and project/programme management experience within the NHS and has a track record for engaging well with clinicians and delivering quality clinical IT solutions at scale.
Within operational management her focus was managing service delivery, performance and service improvement, ensuring targets were met and redesigning patient pathways and operational service delivery.
In recent years she has spearheaded the design, development and implementation of electronic patient records at the University Hospital Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham. This work has culminated in the Trust becoming one of the first to become paper-appropriate and achieve electronic clinical data capture in out patients, across all specialties, removing the need for paper-based medical records.
She now leads the in-house Clinical Systems Development/EPR team at UHB and her focus is continue to design and develop clinically-led solutions to enhance UHB’s electronic patient record. She is also one of the Trust leads for the Trust’s Global Digital Exemplar programme.
The afternoon sessions begin with a presentation from Professor Michael Thick Chief Medical Officer and CCIO IMS Maxims who will discuss 'Clinical Engagement: a multidisciplinary approach' and will cover:
• integrating all the elements: A&E system, e-prescribing, pharmacy, electronic medical records, physician care management, patient care management, a reporting management module and a health information management module
• pushing the benefits real time at the bedside
• innovative digital solutions from City Hospitals Sunderland
Professor Thick's Biography
Michael is a renowned health informatics leader, best known for his position as chief clinical officer for the National Programme for IT, and senior medical advisor to the Choose and Book and PACS (picture archiving and communication system) programmes.
He has developed numerous clinically-led systems within the NHS including working with the end of life team at The Royal Marsden NHS Foundation Trust to co-design Coordinate My Care, a shared end of life care register. He’s also been instrumental across various successful clinical, informatics and research initiatives, including the introduction of the ‘clinical five’ into the Department of Health’s 2008 health informatics review – a basis for fundamental clinical functionality within a hospital today.
Michael’s achievements at a national level have been preceded by an established career within clinical practice. After qualifying as a doctor in 1976 from Cambridge University, he went on to become director of liver and renal transplantation at the Freeman Hospital in Newcastle, and served as chairman of the IM&T Strategy Committee for the city’s hospitals.
Michael leads IMS MAXIMS continued focus on clinical excellence and applies his valuable insight and experience into software design, product development and change programmes for healthcare providers.
With a keen interest in many healthcare specialisms, he has shared his knowledge lecturing as a professor of genomics at Imperial College. Other achievements include being appointed senior registrar to Professor Sir Roy Calne in Cambridge, and setting up several transplant units across the NHS. He is currently a member of the Digital Health Chief Clinical Information Officer (CCIO) Leaders Network.
Future conferences of interest:
Electronic Prescribing in Mental Health
Digital Imaging 2017: Radiology Information Systems and PACS
DIGITAL IAPT 2017 Disrupting IAPT: can digital pathways 'change the game'?
Delivering a Paperless NHS: Intelligent Electronic Document Management in Healthcare
20 February 2017