Case Study of Knockbracken Case Study of Knockbracken Health Care Centre Computer Health Care Centre Computer

SystemSystem

By Sarah Jane Phillips and By Sarah Jane Phillips and Deborah Smith Deborah Smith

Background Background

• Part of the South & East Belfast Part of the South & East Belfast Health and Social Services Trust Health and Social Services Trust (SEBT)(SEBT)

• Provides a service for 205,000 Provides a service for 205,000 patients in this catchment area. patients in this catchment area.

• In 2000 the trust replaced all its In 2000 the trust replaced all its speciality-based applications with speciality-based applications with PARISPARIS

SEBT Catchment AreaSEBT Catchment Area

What is PARISWhat is PARIS

• Patient Centred Information System Patient Centred Information System created by In4tek using EU funds. created by In4tek using EU funds.

• Creates a single, lifelong patient Creates a single, lifelong patient record incorporating information record incorporating information from all healthcare organisations e.g. from all healthcare organisations e.g. Mental Health Services and General Mental Health Services and General Practice (GP). Practice (GP).

Mental Health Services

Physio-therapy

Continence Provision

Tissue Viability

Speech & LanguageTherapy Trust

Line

OccupationalTherapy

Indirect Health Visiting

Meals Provision

Podiatry

DistrictNursing

Care Management

Healthcare Groups

Why was PARIS created?Why was PARIS created?

• So healthcare workers can avail of So healthcare workers can avail of timely information. timely information.

• Reduce administration costs.Reduce administration costs.

• Cut patient waiting times.Cut patient waiting times.

Benefits to dateBenefits to date

• Staff having access to core Staff having access to core information about the user and easily information about the user and easily identifying other staff involvement.identifying other staff involvement.

• Preventing the duplication of Preventing the duplication of informationinformation

• Shared assessment information used Shared assessment information used by staff across the trust.by staff across the trust.

• Real time access to relevant Real time access to relevant information.information.

• The ability to share caseload The ability to share caseload information, particularly at evening information, particularly at evening and night.and night.

• Faster patient referrals.Faster patient referrals.

• Reduced administration and Reduced administration and stationary costs.stationary costs.

• Improved staff productivity.Improved staff productivity.

Example of referralExample of referral

If an vulnerable elderly person is If an vulnerable elderly person is discharged from hospital and discharged from hospital and requires home care the hospital can requires home care the hospital can instantly alert the call management instantly alert the call management centre (CMC) who can then dispatch centre (CMC) who can then dispatch a care professional within minutes. a care professional within minutes.

What is Paris used for?What is Paris used for?

• Registration Registration

• ReferralReferral

• AssessmentAssessment

• Care PlanningCare Planning

• Activity Activity

• ReviewReview

• DischargeDischarge

• Diary SchedulingDiary Scheduling

• Stock Stock

• Consumable Consumable OrderingOrdering

How Paris Works How Paris Works

• A call management centre at A call management centre at Knockbracken deals with telephone Knockbracken deals with telephone referrals within SEBT from both referrals within SEBT from both hospital and general practice. hospital and general practice.

• The patient file is uploaded or newly The patient file is uploaded or newly registered onto the central index registered onto the central index (PARIS).(PARIS).

• Patient is referred to appropriate Patient is referred to appropriate professional. professional.

Knockbracken Call Knockbracken Call Management CentreManagement Centre

• During the financial year April 04-Mar During the financial year April 04-Mar 05 61914 referrals were made. 05 61914 referrals were made.

• 99.8% of referrals were correctly 99.8% of referrals were correctly allocated. allocated.

• In January this year 6,218 referrals In January this year 6,218 referrals were made. were made.

SecuritySecurity

• Staff members allocated a password, Staff members allocated a password, defining their access. defining their access.

• Further passwords required to access Further passwords required to access discrete functional areas. discrete functional areas.

• Automatically logs out after a period of idle Automatically logs out after a period of idle time. time.

• Backed up every night. Backed up every night.

• All actions recorded into “background” to All actions recorded into “background” to monitor staff conduct. monitor staff conduct.

Looking after PARIS Looking after PARIS

• The systems analysts are located on The systems analysts are located on the Knockbracken site in close the Knockbracken site in close proximity to the CMC. proximity to the CMC.

• The systems analysts train new staff The systems analysts train new staff and offer subsequent support. and offer subsequent support.

• Analysts maintain PARIS by Analysts maintain PARIS by debugging and inputing /updating debugging and inputing /updating new software. new software.

Negative Aspects of PARIS Negative Aspects of PARIS

• Lack of integration with other health Lack of integration with other health trusts as only in the SEBT. trusts as only in the SEBT.

• May have to change in the future if May have to change in the future if other trusts implement computer other trusts implement computer systems other than PARIS. systems other than PARIS.

• Staff training required and costs may Staff training required and costs may be extensive initially. be extensive initially.

Future Plans Future Plans

• The SEBT plans to give local judiciary The SEBT plans to give local judiciary systems, police, schools and systems, police, schools and probation services access to relevant probation services access to relevant information in PARIS. information in PARIS.

• To allow healthcare professionals To allow healthcare professionals real time access to patient data via real time access to patient data via remote laptops. remote laptops.

Conclusion Conclusion

• Paris supports the entire care delivery Paris supports the entire care delivery process including assessment, planning, process including assessment, planning, implementation and evaluation of care implementation and evaluation of care across all disciplines. across all disciplines.

• It reduces the workload across the It reduces the workload across the trust. trust.

• Patients receive a high quality of care! Patients receive a high quality of care!

Thanks for stopping by!!! Thanks for stopping by!!!