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Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

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SWBTB (2/10) 041 (a)<br />

support this paperless goal, will compromise this being achieved. This will mean that<br />

the <strong>Trust</strong> may have to address the need for a Medical Records Library in the new<br />

<strong>Trust</strong> or invest fully in document management systems to scan in the paper record.<br />

At this time this represents a risk due to the timeframe to finalise the new hospital<br />

build and the OBC.<br />

5. Option Appraisal to determine Strategic Way Forward<br />

There are several options which will need to be explored over the next 2-3 months in order<br />

that a final decision can be made on the way forward with indicative costs for each option.<br />

This will also need to be supported by a clinical stakeholder group to input to final decision.<br />

• Move to Lorenzo releases 1 and 2, request early adopter for Release 3 and procure<br />

remaining functionality if required when content of these releases if confirmed.<br />

• Continue with iCM and local solutions and progress to Lorenzo directly with iSoft<br />

rather than through NPfIT.<br />

• Explore with SHA whether we can choose to take other NPfIT solutions than Lorenzo<br />

(although this may be unlikely);<br />

• Procure an alternative electronic patient record.<br />

6. Quality and Efficiency Programme (QuEP)<br />

To support the <strong>Trust</strong>’s Quality and Efficiency Programme an IM&T workstream is being<br />

formed to support the other QuEP workstream outcomes, as well as explore other benefits<br />

IT may bring through new technologies. Some of the projects below will require investment<br />

to deliver returns and business cases will need to be assessed. In addition, some of the<br />

benefits may be “breaking new ground” in their identification due to the lack of published<br />

research. The projects include, but are not exclusive to:<br />

• Digital dictation<br />

• NHS Mail<br />

• Electronic Bed Management system including nursing and medical handover reports<br />

• ePrescribing – linked to Lorenzo Regional Care timeframes<br />

• Ophthalmology system to support BMEC<br />

• Improved specification for PCs, extending mobile devices, single sign-on and patient<br />

in context software – designed to give the technical illusion of an integrated system<br />

and avoid multiple sign-ons.<br />

• Automatic dialling re: clinical reminders to reduce DNA rate<br />

• Planning for paperLite/paperless hospital<br />

• Digital pens – aim for system in which no-one has to transcribe data simply for input<br />

purpose<br />

• Single A&E system across the <strong>Trust</strong> – options under discussion.<br />

3

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