Liverpool Women s NHS Foundation Trust presents... Meditech on the move The Community Midwives Story

Transcription

1 Liverpool Women s NHS Foundation Trust presents... Meditech on the move The Community Midwives Story Catherine O Keeffe Business IT specialist/acting IT Services Manager

2 Liverpool Women s NHS Foundation Trust (LWFT) IM&T Team - Who we are... Situated in Largest Women s Hospital in Europe IT Teams include Information Services (Tech Support), Information Systems, Clinical coding, IG & Data Quality, Information Team, Patient Services, Business IT Team IT team cover Crown Street site, Aintree Centre for Women s Health, Clinical Genetics in Alder Hey, Remote Clinics in PCT, Children Centres, Local Council premises. Deliver 24/7 Helpdesk to all Trust staff Work to six sigma methodology 70 Projects delivered in this years (2009/10) operational plan Team approach and ethos to all work we undertake. ISO 9001, 27001, certified. 2

3 Community Midwives at LWFT 92 Community Midwives working for Liverpool Women s Delivering ante-natal & postnatal care to pregnant women throughout Liverpool, Knowsley & Sefton area s of Merseyside. Also responsible for delivery of parent education, aqua-natal and specialist advisory clinics in these areas. Visits to patients homes as well as Primary Healthcare facilities 3

4 Issues Regarding Community Midwives Processes All appointments for the day given from Community Midwives office via telephone each morning. Any clinical history of patient gained from patients hand held notes, or by telephoning Community Midwives office Any advice required regarding policies and procedures gained via telephone to Trust or diverting to Trust site-view intranet or paper records. All Activity data captured on paper records, only presented when midwife on site and collated by admin staff No access to Trust Clinical systems Clinical risk 4

5 Health Care Business Drivers Historically payments for Community Midwifery services have been received in a block payment by Primary Care Trusts (PCTs) In 2010 payments for Community Midwifery services from all PCTs will be based on tariff (activity) This will require accurate patient level data recording - presently paper records needing to be collated manually in order to be presented to PCTs 5

6 Health Care Business Drivers cont... Electronic Evidence required to support Community Midwifery Activity out in the community in long term Capture of data regarding patients not previously obtained(patients receiving care by LWFT Midwives but delivering baby in another Trust) Streamlining of data collection Activity data could support the need for staff to be targeted in certain areas within Merseyside or for staff to be employed in the future. 6

7 Aim of project An innovative solution to provide Trust applications to staff proving care in the community setting. Using the latest technology, built into a lap top PC Immediate connection between the Trust and the Community All Medical information regarding a patient available at the touch of a button. 7

8 Expected Benefits Accurate Information captured in order to complete the Minimum Data Set required by PCT s for PbR Accurate data collection to supply figures to the Department of Health Modernisation of Community Midwifery data collection practices Streamlining of business processes within the Community Midwifery team 8

9 Technical Process v Business Redesign Set up of multidisciplinary team at start of project. included representation from... Project Manager IT Services Project Support IT Systems Team IT Specialist Midwife Information Team Finance Team Community Midwifery Manager/Matron Community Midwives (3 x Team Leaders) 9

10 Tech v BPR cont... Initial project meetings to assess minimum requirements with regards to PCT, Information Team, Finance Team and Users. Scoping of potential vendors and providers by Project Manager and IT Technical Team Information Systems Team and IT Specialist Midwife assess existing screens on Meditech to ascertain if they can be used for data capture 10

11 Tech v BPR continued Process Mapping of present processes with regards to paper data capture undertaken in order to baseline present practices. IT Services Project Support and Project Manager worked with vendors in order to mix and match products in order to find an effective solution. Final meetings and demo s held for MDT Team in order to showcase the final solution. 11

12 Tech v BPR cont... Pilot project undertaken with 7 Community Midwives in which the following was assessed G connectivity - Ease of use - Access to Trust Applications - Convenience (weight, size, time taken to use) - Quality of data captured Follow up meetings held in which findings discussed and documented Further pilots undertaken until correct solution found 12

13 Final solution giving optimum value Dell D430 lap tops Vodafone 3G (sim card built into lap top) 6Mb SDSL Broadband Internet line Ericom Remote Connectivity Solution using Terminal Servers solution concurrent licences Meditech Ward Attenders Screen with CDS s to capture additional data 13

14 Other Trust applications available... 14

15 Present Use 67 Community Midwives presently live with the solution. 25 to be trained Presently over 4000 activity episodes being captured per month Other benefits other than capturing of activity data being realised. 15

16 Benefits realisation Financial Obtaining Activity Data not previously captured... Time Consuming Activities Child Case Conferences Parent Education Classes Telephone Advice Location Data GP Surgery Children s Centres Patient s Home Care Delivery Patients delivering in other Trust s. 16

17 Benefits Realisation Financial cont... Accurate and Real Time data capture can be collated at any time for use (Data Warehouse) Streamlined Business Processes Admin Assistants freed to carry out additional duties Improved Trust reputation Modern working can lead to a increase of patients choice as LWFT for care 17

18 Benefits Realisation Clinical Excellence Instant Access in Community to Trust intranet for Polices, Procedures and Guidelines Advice can be delivered within the latest NICE Guidelines Access to all of patient s Trust records at the touch of a button (prev and present pregnancies) Access to Home Birth Screens real time data capture of home deliveries matching info of hospital birth delivery 18

19 Benefits Realisation Clinical Excellence cont... Access to Safeguarding Children/Social Service referral forms in Community Setting - Social Services made aware of potential situations quicker - Action can be taken quickly by Trust to safeguard vulnerable women and children - Assists the Trust in meeting Government targets in this area Potential decrease in litigation increased staff and patient safety (NHSLA standards) 19

20 Access to patient s medical history 20

21 Access to vital patient information 21

22 Access to patient issues 22

23 Benefits Realisation Improved Patient Experience Staff can deliver the optimum, informed care Increase in patient safety Care can be delivered at their choice of venue/ convenience Reduced requirement for patients to repeat their history to staff delivering their care in Trust & Community setting Increased time staff can spend with patient Modern care delivery increased trust in staff 23

24 Benefits Realisation Improved Staff Experience Improved Care Delivery all information required is available quickly Improved Staff Safety access in community to patient alerts and social history Access to Trust Internal System (GroupWise) - remote users have access to communication and messages - option to use calendars for diary management Less travel time to hospital setting to enter data into Meditech 24

25 Lessons Learnt SIM Card Activation ensure true activation before release of lap top Connectivity 3G provider check which 3G provider is best coverage for your area Terminal Services need little bandwidth to run smoothly (other solutions we piloted required more) Battery life of PC (will need extended battery life) Biometric log on (time consuming) 25

26 Lessons Learnt cont... Easy Operating System required (one button shut down) & minimal user interaction for logging on to system Correct Image on PC tested & tested before release Security/Loss adequate cover for losses Ensure have rolling stock for replacement Choosing the right hardware PC & bags Adequate training, guides and support Change Management planning 26

27 Use in Private Healthcare and Primary Care Solution can be adapted for use in any business inc Private healthcare Able to leverage latest 3G technology Clinics can be held in any location with 3G access no longer restricted to Trust Estates (potential to increase revenue) 27

28 Use in Private Healthcare and Primary Care cont... Increase potential of Clinic/hospital reputation by taking care to the patient Increase the use of Virtual Teams to deliver care over large geographical areas Can be applied to lap tops and static pc s can support expansion of companies to other geographical areas, and still retain centralised access to monitor and control the applications. 28

29 Use of Remote Access by other LWFT Employees We presently have a number of ways of gaining remote Access to the LWFT network... Ericom solution by 3G and URL SSL VPN/Network Connect used in ACWH to connect to LWH network Log Me in used by non-clinical staff 29

30 Future Developments.. Move to smaller lap top PC s to aid midwives moving about within the community Use of URL in locations connected to N3 network instant access to Trust applications Roll out of SSL VPN solution for connectivity in longer term Potential of development of Meditech Screens to capture further patient information further streamlining process Potential development of other screens to assist midwives in their remote working Further development of 3G technology in UK 30

31 To conclude... Innovative solution using latest technology & Meditech functionality. Captures activity data and provides complete Trust functionality out in the community Assists Trust in meeting Corporate objectives of - improved patient experience - clinical excellence - financial strengthening Positive impact on Service Delivery 31

32 Thank you for listening... Any Questions?? 32