to Paperless Care Liverpool Heart and Chest Hospital Lorna Green RN - PowerPoint PPT Presentation

Mapping Your Journey to Paperless Care Liverpool Heart and Chest Hospital Lorna Green RN BSN Healthcare Informatics Executive Advisor Hyland Software creator of OnBase

1. Paperless is a by- product of “IT Enabled Healthcare” 2. Bold and clear vision is key Key Messages 3. Find industry partners not suppliers 4. Go for best of breed 5. This is transformational organizational change

Liverpool Heart and Chest Hospital • Specialist tertiary care center • Highest overall patient satisfaction (CQC inpatient • Coronary heart disease / PCI • Cardiac Electrophysiology* survey) for 7 of last 8 years • Cardiac devices (PPM/ICD/CRT)* • Respiratory Inc. CF* • HSJ Hospital of Year 2012 • Cardiac surgery* • Thoracic surgery* • Upper GI surgery • Patient and Family Experience • Aortic surgery Vision is a core value *Amongst the largest centres in UK

How Can EPR/EMR Improve Patient Care? • Clinical decision support • Data availability • Closed loop systems • Quality assurance • Patient experience • Process efficiency • … but we didn’t always have such a clear understanding…

LHCH EPR Program • 2010 • Basket case” would be over -stating it, but overall we were in a sorry state • Npfit & Lorenzo were still “default position” • Visioning – The art of the possible • Visits to UK & US sites • Comprehensive requirements document • 2011 • Selected partners = Allscripts, with Hyland as EDMS supplier - Sept 2011 • 2012 • Project commencement April 2012

EPR/EMR Project Scope • Allscripts Sunrise Clinical Manager • Clinical documentation & nursing workflows • Electronic prescribing and medicines administration • Order entry / results reporting • Allscripts Patient Flow • Other features (SHM, Patient portal, Clinician Portal) • Hyland OnBase EDMS (integrated sub-project ) • Use as ECM (Enterprise Content Management), not just EDMS • Carestream PACS (parallel integrated project) • Interface and integrate existing systems • Silverlink (iCS) PAS • LSS (LHCH Scheduling System)* • Radiance ABG from ITU*

Our Present Status • Paperless care = no • Arguably closest UK approximation to it = yes • Key enablers in place = yes • HIMSS 6 candidate status • Joint highest CDMI

EPR Vision – Underlying databases Incident PAS “EPR” Reporting System Stock Cardiac Mgt PACS EDMS PACS Perfusion Database RIS

Allscripts Sunrise Clinical Manager • Clinical documentation & nursing workflows • Electronic prescribing and medicines administration • Order entry / results reporting • Allscripts Patient Flow • Other features (SHM, Patient portal, Clinician Portal) Conclusions Hyland OnBase EDMS (integrated sub-project ) • Use as ECM (Enterprise Content Management), not just EDMS Carestream PACS (parallel integrated project) Interface and integrate existing systems • Silverlink (iCS) PAS • LSS (LHCH Scheduling System)* • Radiance ABG from ITU*

Thank You!