Northern Ireland Electronic Care Record#NIECR #NIPECICT13

Innovation + Commitment = Transformation

NIPEC Annual ConferenceGary LoughranNicky Brown

Margaret Fogarty

Linen Suite, Mossley Mill9th October 2013

9th October 2013Linen Suite, Mossley Mill

Northern Ireland Electronic Care Record

• Challenges and Strategic vision• What is an Electronic Care Record• Short Film• NIECR in Practice

– Nicky Brown, Virtual Ward Co-Ordinator SET– Margaret Fogarty, Sister Belfast Trust

• User Feedback

#NIECR #NIPECICT13

9th October 2013Linen Suite, Mossley Mill

The challenge; Fragmented Electronic and Paper Records

. . .

#NIECR #NIPECICT13

9th October 2013Linen Suite, Mossley Mill

The Aim; One virtual Electronic Care Record

#NIECR #NIPECICT13

9th October 2013Linen Suite, Mossley Mill

NIECR “Core” Data Items

Alerts &AllergiesAlerts &Allergies

Lab ResultsLab Results

Rad reports &results

Rad reports &results

Special Factors &

Problem List

Special Factors &

Problem List

Meds & MedHistory

Meds & MedHistory

Clinical Documents

Clinical Documents

GP PracticeDetail

GP PracticeDetail

Demographics & ID’s

Demographics & ID’s

Diagnosis Diagnosis

Encounters Encounters

9th October 2013Linen Suite, Mossley Mill

Benefits & Savings• Reducing delays at every stage of patient journey• Reduction in Inpatient length of stay (4.5%)• Increased Outpatient clinic capacity (5%)• Reduction in Outpatient review appointments (8%)• Decrease in number of bed days used by patients

with long term chronic conditions (5%)• Avoidance of acute admissions• Volume of patient testing reduced (£5)• Avoidance of potential adverse clinical incidents• Reduction in Inpatient drug reconciliation time

#NIECR #NIPECICT13

9th October 2013Linen Suite, Mossley Mill

NIECR in Practice

Nicky Brown

Virtual Ward Co-OrdinatorSouth Eastern Trust

#NIECR #NIPECICT13

9th October 2013Linen Suite, Mossley Mill

NIECR in Practice

Virtual Ward evolving into Community wardCurrent 5 day service progress to 7 day serviceTo provide timely assessment / diagnosis /

treatment for service users with LTC’s who experience an exacerbation

Improved patient careAvoidance of unplanned hospital admissions

#NIECR #NIPECICT13

9th October 2013Linen Suite, Mossley Mill

NIECR in Practice

Single system for all information Ease of access to ECR Speedy access to blood results / Xrays enabling

timely treatment / prescribing Simple to navigate Information accurate and up to date Better communication between primary / secondary

care Patient choice - consent #NIECR #NIPECICT13

9th October 2013Linen Suite, Mossley Mill

NIECR in Practice

Margaret FogartySister

Day Of Surgery/Pre-Assessment UnitBelfast City Hospital

#NIECR #NIPECICT13

9th October 2013Linen Suite, Mossley Mill

NIECR in Practice

• Before• Phoning GPs to get Medication list/

Allergies• Phoning other hospitals to get more

information on patients e.g. attending other clinics in other hospitals, blood results, x-ray results, discharge letters, etc.

• Ordering notes from other hospitals• Printing out several blood results for

anaesthetist • Bringing patients back to get repeat

bloods

• After• No need to phone GP• All current letters from other

hospitals is available from ECR• Bloods results from all GP/hospital

sources are available – several results are available to view at one time

• Bloods can be repeated in GP practice – results are then available on ECR

• No need to order notes to see clinic letters – only if anaesthetist requires to see past anaesthetic notes

#NIECR #NIPECICT13

9th October 2013Linen Suite, Mossley Mill

NIECR in Practice

• Better prepared• More informed

• Information available at finger tips.

#NIECR #NIPECICT13

9th October 2013Linen Suite, Mossley Mill

What do Users Think of NIECR“Used for the first time today in ED ,Brilliant!, this will improve quality

of care”- ED Consultant Southern Trust

“Best IT spend in NI ever. Expect hospital secretaries’ phones will be quieter now’.”

- GP“The NIECR system is excellent. The best thing to happen to NI NHS in years! I think within a few weeks everyone I speak to will want to get

on it.”- Cardiologist Western Trust

“I really appreciate it and use if regularly on a daily basis. In fact I would be lost without it now.

- Specialist Nurse Lagan Valley