Service Redesign and Transformation through Interoperability 1
Purpose.bring to life an example of an IM&T enabled transformation of a care pathway through the use of a patient journey.give an overview of how Informatics Merseyside has supported service transformation through innovation and interoperability of technology 2
IM&T enabled Award Winning COPD Pathway North West Respiratory Best Practice Award Integrated Care Category Name: Jimmy Smith Age: 54 Diagnosis: COPD Medical History: Generally in poor health, heavy drinker, smoker, Liverpool Fan 3
Jimmy s wife has noticed a decline in his general health and books an appointment for Jimmy to see his GP via a web enabled booking service 4
Jimmy attends his GP Practice and arrives himself via touch screen in reception 5
Jimmy has a consultation with his GP, who views the North Mersey COPD Pathway via the Map of Medicine. A spirometry test is carried out along with a thorough assessment of Jimmy s health. GP updates his clinical system using digital dictation / voice recognition technology 6
Later that evening Jimmy presents at the local AED who are able to view the GP Summary record through interoperability with System C (Acute Clinical System). This includes details of his earlier consultation and his spirometry test results. Jimmy is admitted to hospital. 7
Jimmy is prescribed a course of antibiotics and steroids using the Trusts EPMA system. His extensive medical history is reviewed by the care team, accessing all 6 volumes of case notes electronically through the EDMS system. A range of devices are used at Jimmy s bedside. 8
The electronic white board is able to flag Jimmy as medically fit for discharge after a 7 day stay in hospital, and shows his referral to the Community Respiratory Team and TTO order is incomplete. On leaving, Jimmy completes his patient satisfaction survey using atablet device / APP 9
CRT Team visit Jimmy the following morning and are able to view the GP Summary and Jimmy s e discharge via their agile working equipment and I m Mobile solution 10
The GP OOH Service is triggered by CRT later that month, the OOH Team are able to view Jimmy s patient record in Adastra and advise appropriately. Jimmy remains at home with increased care from CRT & Community Matrons. Jimmy is later enrolled onto the local telehealth programme. 11
Telehealth equipment allows Jimmy to record a series of self care values on an easy to use system, making this information available to Jimmy s care team. Should these values become alarming or drop outside of a preset range then the care team can intervene at the earliest opportunity, avoiding hospital admission and increasing Jimmy s quality of life. 12
Jimmy Smith, COPD Patient.this service has changed my life. (Service. In Partnership) 13
Primary Care Community Services Local Health Community Out of Hospitals Acute & Specialist Providers 14
Outcomes 15
So What Difference has all this actually made?.in the last twelve months the shared care record has been accessed over 136,000 times across North Mersey..community services seen a 70% reduction in time spent searching for patient information..medical Assessment Unit seen increased productivity, enabling a further two patients to be seen in a two hour clinical window..less administration within General Practice, faxing and printing patient summaries to various services..significantly increased time to care. 16
What's Next....ensuring the LHE are aware of emerging technologies which in the medium to long term future will impact its ability to be a effective and efficient provider of health and social care..ensuring the spread of best practice and innovation interoperability +++++ (Service. In Partnership) 17
Kate Langton, Programme Manager Informatics Merseyside Tel: 0151 296 7456 Email: kate.langton@imerseyside.nhs.uk Stephen Appleton, Clinical Informatics Lead Informatics Merseyside Tel: 07792955017 Email: stephen.appleton@imerseyside.nhs.uk www.imerseyside.nhs.uk