Trust Board papers - University Hospital Southampton NHS ...

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IM&T Report – Nov 20121. Purpose1.1. This is the quarterly IM&T report on progress with the strategy1.2. The 3 year IM&T strategy was refreshed and brought to the board in Aug 2012. Theagreed themes are drawn down from the national document “Power of Information”which talks about: delivering better information to clinicians through “connectedinformation”; delivering information to patients; and using quality information to planservices. The trust IM&T strategy will deliver better: Information for clinicians Information for patients Information for managers1.3. The focus, as previously, will be on achieving paper-light working, standardization,co-production and decision support within systems.1.4. The strategy aims to deliver: High quality patient care by improving decision making and increasing patientsafety. A reduction in the cost of creating, handling and storing data.2. Key Issues2.1. Information to support cliniciansEPMA(ePrescribing)DWL (DoctorsWork List)ElectronicDocumentManagement(EDM)The rollout has gone to plan and is live across medicine, T&O and hasalmost completed in surgery. The team are reporting a positiveresponse from staff particularly nursing. The system is having abeneficial effect on bed position due to the need to have the patient inthe ward to administer the drugs. A report to the project steering groupindicated elimination of errors around the prescribing of anticoagulants.The project is moving into a more operational mode andIM&T need to focus on the benefits now particularly around decisionsupport development.The product to support patient treatment has been rolled out acrossthe trust (paediatrics and cancer still remain). This is now also beingused to deliver CQUIN data requirements for VTE and dementia, keytargets this year. DWL has become the EPR portal for inpatient workand developments are coming forward to bring in other staff groups (are-branding “the patient treatment manager”). Doctors can now use theDWL to access/update all EPR information on a patient including theHampshire Health Record (HHR), and also to drop into their own truste-mail account. They can open a prescribing window and complete adischarge summary, bringing the TTO drugs forward into that.A business case is almost complete for the introduction of a EDM forclinical functionality that will support paper-light outpatients, clinicalcoding and library down-sizing. The objective is to build a platform forall future EDM needs including non-clinical e.g. finance and HR. It isexpected that this piece of work will request approval from TEC earlyin the new year (2013).2
Acuity systemICU systemCancer systemDecision supportOther providersupportPACSPathologyIt has been agreed [at ISSG] that a limited deployment of an acuitysystem should go ahead to prove the benefits. The business case sitswith the medical and nursing teams, whilst IM&T are in discussionswith the preferred product supplier about the scalability of their costmodel.Discussions ongoing about the presentation of a business case. Needto ensure that any system recommended will cater for all ICU areasplus any HDU needs. The UHS suite including order communications(eQuest), EPMA, and the eDischarge summary, make the integrationissues larger for a system that will inherently do these things, as manyITU systems will. Further market research is ongoing re integrationcapabilities of available products.There is no change in the status of UHS cancer systems. Ascribe, thesupplier of the current system is investigating the possibility ofproductizing what UHS has. A widely used cancer dataset system isalso being checked for suitability to deploy within the UHS systemsmix. In palliative care, a new system has been procured that willreplace the deprecated system that was in use in that area.Minor work has been started in this area with the introduction of EPMAand the subsequent work to bring some of the data forward into webviews. UHS development team is currently over committed withintegration work in EPMA, the new PACS system, and a migration ofthe enterprise integration platform. The EPMA business caserecognized a need to put development time into this area of work andit is time to consider the introduction of that development under thedirection of the medical teams and the lead responsibility for IT.There is no indication that Solent or Southern Health are going todepart at this stage from a strategy of combined EPR products.Southern Health have also indicated they are willing to buy in to theEDM proposals from UHS. This is on-going and will be monitored.Preferred bidders are announced for the RIS/PACS consortium(Salisbury, <strong>Southampton</strong>, Portsmouth, IoW, Solent and SouthernHealth). Radiology (RIS) will be HSS CRIS PACS will be Sectra Vendor neutral archive will be Acuo Hosting and sharing will be Phillips with Burnbank and ForcareA single contract will be let and managed for the consortium.Work has started with the letter of intent in place.The plan is to be live before the end of the current contract in June2012The consortium for the service presents a risk to the UHS IM&Tarchitecture and integration. The required timescales and [lack of]progress to date are adding to this. UHS IM&T are contributing to thework, but a clear direction on a number of key issues such as wherethe system sits and how the service wider than the LaboratoryInformation Management System (LIMS) is to be provided, arerequired.3
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UHSFT - Directors’ Actions Summar
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UNIVERSITY HOSPITAL SOUTHAMPTON NHS
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Worked wtes rose by 105 in November
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) Delivering an in-year financial s
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FINANCE REPORTSchedule 1 2012/13 Mo
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Schedule 2bINCOME & EXPENDITURE FOR
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Schedule 4Central and Divisional Re
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Schedule 8b 2012/13 Month: 8Univers
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Schedule 10Finance Risk Indicators:
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Annex 2DIVISIONAL/HEADQUARTERS INCO
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Trust Board papers - University Hospital Southampton NHS ...

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