integration strategy newcastle robert shaw the newcastle upon tyne hospitals nhs trust
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Integration Strategy Newcastle
Robert Shaw
The Newcastle Upon Tyne Hospitals NHS Trust
Agenda
• About the Trust• Why Integration and messaging approach• Network support• Architecture• Examples of projects with benefits
– Electronic Referrals– PACS
• National Programme• Future ……..
Who are we
• Dr Foster Hospital of the Year
• Large Teaching, Tertiary Acute Trust– £0.5 Billion turn over– 12,000 employees– Over 2,000 beds, 58 theatres– 120 specialities and sub specialties– Local, Regional and National services
Why integration
• Delivery of business critical information
• Uncertainty of future
• Volume of Multiple specialties
• Interoperability with other Health and Social Care
• Put Trust in control of which systems are changed
Network infrastructure …….
Summary Architecture
P.A.S.
Pathology
PACS/RIS
Casemix
Order Comms Theatre
Audit
Web
Clinical Mgt
Middleware
Primary Care
Pharmacy
MPIIntegration Engine
LANTIS
Master Patient Index
PAS
MPI(SQL Server)
Biz TalkServer 30 + systems
• Patient Identification
•NHS Number
•Hospital Number
•System Number Migration
•“Back room” system but the most system critical
•40,000 per day
• 1.8 million records in MPI
Delivering the benefits …..
• Patient– There details follow them across the Trust
• Business– Reduced CNST payments – Clean set of patient demographics
Praxis example
Draw architecture of PRAXIS
Delivering the benefits …..
• Patient– Know what is happening– Information
• Clinician– Speed of access of referral– Integrated into record
• Administration– Rich source of data
Integrated PACS/RIS project
Architecture of PACS
Switch Fabric
SAN SAN
Temporal Temporal Temporal
Web viewer
DICOM Message Handling Validation and Integration
MultipleModalities
andManufactures
DICOM / Integrationof all existing modalities
DICOMConformance
“Compliance” or “Conformance” to a standard doesn’t always mean
that it will work
Metrics
• 5.4 Million images since May 04
• Estimate 8.5 Million Radiology p.a.
• 3,582 users, approx 1,400 concurrent
• Hardware– 48 Tb stretch SAN - HP– Fx Channel Disks– 2 Gbps average access rate from SAN
Delivering the benefits ……
• Patient– Quicker access to diagnosis– Quicker through the system
• Clinician– More than one clinician can access the same
picture– Delivery in all clinical environments
• Business– Financial
Mermaid …….
Integrated into
PathologyRadiology
Clinical Notation
•Becoming the clinical front end
•3,000 letters per day
•Future
•Link to clinical document archive
•Integrate Digital Dictation with Telecoms switch
National Programme ……
• Vision & Values
• Delivery …… ?
• Only 40% of Trust systems – Version 2.x ………. Not going away !!!
• Inter operability …….
The Future ………
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