sue bracey head of software development & integration benefits of spine mini services
Post on 17-Dec-2015
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Agenda
•Plymouth ICT Shared Service (PICTS)
•Spine Mini Services
•PICTS SMS implementation
•Benefits and caveats
•Where to next
•Conclusion
Plymouth ICT Shared Service (PICTS)
Provides IT services and support for the local healthcare community
- 12,000 + users across multiple sites
- Plymouth Hospitals NHS Trust (PHNT) - largest single site acute hospital in UK
- Community Interest companies /GP’s/PMS/Others
Local population of over 500,000
Tertiary services for 1.5m people
Integration at PICTS
TCP
Web
Text
SQL
Labs
iCM-Orders
Radiology
Radiance
ESR
iPM (PAS)
Sending Systems
A&E
Maternity
Spine Update
Sonicaid
iCE-GP Orders
iPM
Labs
Innovian
Infection Control
A&E
Maternity
Local solutions
Others -departmental
Receiving Systems
Apply Business Rules
StoreFilter
Transform RouteSend
ENSEMBLEIntegration Engine
ICNARC Renal
Stoma Care
OLE/ODBC
Cancer Registry
CACHEDATABASE
iCM-Results
iCE-GP Results
Radiotherapy
Viewpoint
Chlamydia screening
Neonatal
Trauma Board
Torbay/Treliske Labs
Occ Health
CRIS
TCP
FTP
FS
WEB
Speech recognition
Process > 250,000 messages / day
Spine Mini Services
Why Mini? Reduced options - we can’t update the spine - something we
need to take forward with cfh - hcic
Having retrieved the data we get to decide what to do with it.
What are Spine Mini Services? Services that allow you to retrieve information direct from the spine - in
real time.
SMS options: Verify NHS number Get NHS number Get patient’s demographic details
Why introduce spine mini services
• Interested in ITK
• Technology partners of intersystems
• To improve our data quality– Non spine compliant PAS– No real time access to up to date demographic
information– Few NHS numbers for newly registered patients,
reducing our ability to communicate with other healthcare providers in a timely fashion.
PICTS, SMS Implementation
Worked with InterSystems and CFH through Common Assurance Process (CAP)
YouThe Trust
Your Patients
Are Patients Safe?
Is Data Safe?
Is It Secure?
Is the Solution
Resilient?
Can we Audit the
Requests?
Trust Operating Model
Spine Services – Work flow
iPM(PAS)
AE SALUS
Other System
MaternitySpine
SMSP
ADT Flow
TIE(Ensemble)
Spine CheckerA31
A31
A31 A31
A31A31
Refer to data Quality Team
A01
A01A01
A01
A0
1
Benefits
Patient safety - Large reduction in the number of discharge summaries and other correspondence being sent to the wrong GP.
Patient safety – documented incident where a patient was linked to the wrong (deceased) patient. – DQ alerted in real time.
Anecdotally similar reduction in the number of letters sent to the wrong address.
Patient safety – documented incident where a patient was linked to the correct (deceased) patient. – patient had been incorrectly recorded as deceased on the spine – DQ alerted in real time, GP informed, spine corrected
Benefits
Its quick and saves time - DQ team. They update iPM and the NHS number appears checked and verified in seconds.
Patient safety - documented incident where a long term regular patient was found to have the wrong NHS number recorded against them.
Reduction in calls to DQ team.
Patient safety - documented incident where a patient was linked to the wrong patient on iPM and the details adjusted to match.
Caveats
• The spine is a good source of data – but it is not perfect
• Humans exist on both sides of the primary secondary care divide. – and humans make mistakes.
• Bad practice - Documented incident(s) where patient’s address fields have been used for other purposes, overwriting their actual address and delaying treatments.
What next
SpineRefer to data Quality Team
iPM(PAS)
SMSP
ADT Flow
TIE(Ensemble)
Spine Checker
A31
A31
A31A01
A01
Message Flow
Trust A
ITK Federated messaging
service
Other System
Work Flow
GP System
Summary
• Spine mini services, in conjunction with business rules improves data quality at the trust, at the GP practice and on the spine and helps to identify mistakes early.
• Supported by HSCIC we should look to standardise on business rules to support spine mini services.
• Spine mini services improves patient care, saves time and is one of the key enablers to the safe sharing of information across healthcare organisations.
• Supported by HSCIC we should look to standardise on workflow elements to support spine mini services.
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