Evaluation of IT modernisation in the NHS - NETSCC

Report to SDO for NCRS ProjectIntroductionTable 2: Relationship between original and revised protocolsPolicy change Consequence Plan in original protocol Revision to study protocol Impact on study outputsNCRSimplementationis now under theremit of theNPfIT and ITapplications areto be suppliedvia the LSPOrganisationaluncertaintyTwo levels of qualitativeanalysis:1. Staff (use of EPRs)2. Patients (careprocess)Include a third level ofqualitative analysis -1. Management team(organisational context)2. Staff (use of NCRS)3. Patients (care process)Evaluation of the organisationalimpact of NPfIT policy changes,on NCRS implementation, atacute trust level.Low levels ofNCRSimplementationEvaluate 5 EPR functions1. e-booking2. e-test ordering3. PACS4. e-communications5. e-prescribingEvaluate 3 NCRS – thosefunctions most widely in placeduring the study time-frame.1. e-booking2. e-test ordering3. PACSThe reduction in the number offunctions evaluated meanssome macro level (acrossTrust) analysis will be replacedby micro (within trust)evaluation, both for quantitativeand qualitative aspects of thestudy.Low levels ofNCRSimplementationQualitatively evaluate theimpact of EPRs on patientsby examining two types ofpatient journey, hipreplacement and stroke.Qualitatively evaluate theimpact of e-functions bytargeting patients whose carehas taken place in areas inwhich e-functions have beendeployed.Evaluating the process ofpatient care via specific NCRSe-functions expected toinfluence care will optimise theprobability of capturing change.NCRS – NHS Care Record Service; NPfIT – the National Programme for Information Technology; IT – information technology; LSP –local service provider; EPR – electronic patient record; PACS – picture archiving and communication system.6