ehealth records programme therapies epr project service design meeting gaelle fertil, therapies...
TRANSCRIPT
eHealth Records Programme
Therapies EPR Project Service Design Meeting
Gaelle Fertil, Therapies Project Manager
Monday 19th July 2010
Agenda:
1. Project Background
2. Project Objectives
3. Project Scope
4. Stage 1 – Referrals Go-live
5. Stage 2 – Electronic clinical noting
6. Scanning and Upload Solution
7. External Suppliers
8. Hardware Requirements
9. Testing Overview
10. Outstanding issues
11. Current Statement of Revenue Costs
Therapies EPR Project
Service Design
Project Background:
Existing Therapies system (TSS) reached end of life 2006.
Directorate encouraged to replace with solution delivered via “core systems”.
“Therapies Clinical Notes” work stream identified in 2007 “eHealth Project Brief”.
Therapies EPR Project approved at February 2009 CPB as Trust Risk Rating 1.
Clive Mellish took over management of project June 2009, followed by Anthony McCourt in March 2010, followed by Gaelle Fertil in June 2010.
Significant analysis undertaken to identify requirements and enable definition project scope and objectives.
Project split in two:
immediate interim delivery – Phase 1, divided into 2 stages:
Pan Trust Referrals Go-live – 19th July
Therapies Directorate OP electronic noting staged Go-live
long term strategic delivery (via re-invigorated eHealth strategy) - TBC
Project re-start and associated costs signed off by CPB in November 2009.
Therapies EPR Project
Service Design
Project Objectives:
To enable a paper-lite environment across the Central Therapies Directorate.
To deliver solutions in response to Therapies requirements which can be then be reused and applied Trust-wide.
Therapies EPR Project
Service Design
Project Scope:
Phase 1
“Native” iCM functionality
Scanning and Upload solution to capture residual paper
Delivery to outpatient pathways in: Foot Health Nutrition and Dietetics Occupational Therapy Patient Appliances Psychology Physiotherapy Social Work Support and Hospital Discharge Department/Safeguarding Speech and Language Therapy Spiritual Health
Stage 1 – Referrals Go-live 19th July Using native iCM Functionality, referrals are orders in EPR.
14 Referrals going live (x1 Psychology deferred):Physiotherapy OUTPATIENT Referral
Occupational Therapy INPATIENT ReferralOccupational Therapy OUTPATIENT Referral
Hand Therapy OUTPATIENT ReferralPatient Appliances Referral (OP and IP use)Patient Appliances Order (OP and IP use)
Speech & Language Therapy INPATIENT Referral Speech & Language Therapy OUTPATIENT Referral
Foot Health Referral (OP and IP use)Nutrition & Dietetics Referral (OP and IP use)
Chaplaincy Referral Social Services Section 2 ReferralSocial Services Section 5 Referral
Adult Safeguarding Referral
Training has been provided by the project
Security rights have been set up: 2 levels of security rights - Order and Modify. Training tracker has been updated
IT Apps have been provided with briefing about the Go-live
Therapies EPR Project
Service Design
Stage 2 – Electronic clinical noting
Figures show total number of items of each category that need to be configured in iCM (i.e. not volumes).
Results relate to submission via the “Results Submission” solution and require an order item in iCM and an order requisition form to be created.
Reports will be bespoke Crystal reports, where they can be created – requirements for reports are in discussion.
Therapies EPR Project
Service Design
6
11
Stage 2 - Scanning and Upload Solution
Figures show count of document type to be scanned in to iCM (i.e. not volume).
S&U Solution is as per King’s supplied and built solution, on EPR+ framework.
Monthly volume is 16,000 per month.
Therapies EPR Project
Service Design
Stage 2 - Scanning and Upload Solution
Therapies EPR Project
Service Design
LetterMaker
Scanner
Workstation running EPR/EPR Plus
Scan document
Network File Share
Document Polling Service(Windows Services)
LetterMaker PersistantStore
LetterMaker HL7 Integration Message Generator(SQL Job)
Sending Service(Windows Service)
Only doc link is transmitted from this point on
S&U
ICM Database
iCM
Poll
iCM Interfaces
DATAGATE
External Suppliers:
Scanning and Upload solution – King’s College London
No service agreement in place
EPR+ framework – King’s College London
No service agreement in place
Growth Chart (TBC) – Harlow Printing Ltd
Solution in requirements and design phase
Subject to further discussions at CPB
Therapies EPR Project
Service Design
Hardware Requirements
Therapies EPR Project
Service Design
Figures show approximate count of expected requirement for hardware to enable effective, efficient use of solution but will be confirmed during hardware review later in project.
Number of scanners required dependent on solution adopted. Figures shown are expected minimum required (one per distinct location).
Number of “PCs” denotes number of input devices required, not necessarily desktop computers: could be laptops, tablets, PDAs etc.
Additional technology may also be required e.g. smart pens, magic whiteboards, annotation tablets etc. which will be determined during the hardware review.
Testing Overview:
iCM:
Configuration Testing
User Acceptance Testing
Performance Testing – using Syntel
S&U solution:
System Testing (currently failed) – Development team
Performance Testing – using Syntel
Growth Chart (TBC) – Harlow Printing Ltd
System Testing – Development team
User Acceptance Testing
Therapies EPR Project
Service Design
Outstanding Issues:
Outstanding service level agreements with external supplier
Assume the currently service agreement with EPR is sufficient
Ability for EPR to function on wireless network
ER18 – iCM “crashing issue”
Other outstanding iCM issues identified during initial round of UAT
Scanning and Upload issues
Agreement on scope of performance testing by Syntel
Therapies EPR Project
Service Design
Current Revenue Costs as signed off in PID:
Therapies EPR Project
Service Design
Description Cost PA
Reactive SupportAssumption for number of calls taken by service desk for project is 30 calls / month.Same amount for referring problems on and problem resolution (2nd and third line).
£4,500£4,500
Proactive SupportRelationships and supplier management.20 days / year for "large project" like this.Every business area meets with Application Support Manager to look at how 'things are going'.Application Support Manager also meets with suppliers on a quarterly basis.For large project = £400 / day = £8000 / year.Handover / training = £400 / day @ 5 days = £2000 / year.Capacity planning: 5 day / year (includes meetings to discuss capacity etc) at £400 / day = £2000 / year.3rd Line Development activities (15 days / year) for Scanning and Upload SolutionDisaster recovery: minimum 20 days for large project - not applicable for Therapies EPR project.
£8,000£2,000£2,000
£6,300
ChangeChanges to configurable items (e.g. changes to flowsheets / knowledge trees, printer reconfiguration etc.)System administration (user management)20 days @£400 / day = £8000 £8,000
TrainingAssuming an estimated attrition rate of 10%0.5xFTE at Band 6 (£16,000 pa) £16,000
Annual Total: £51,300
“IT Operations" costs excluded, as IT&T had no metrics to estimate these costs
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Discussion:
Service Design
Therapies EPR Project