ePJSePJS SLaM’s Electronic SLaM’s Electronic

Clinical RecordClinical Record

Jane Stewart – Clinical Systems Implementation and Support Manager

• 3 Separate mental health trusts• Multiple unconnected systems• Multiple system providers• Limited IT infrastructure• Paper based Clinical Records• Reporting limited to central returns• Poor Information culture

Patient Journey System – A brief history

1990 1993 1995 1997

• 1999 Welcome to SLAM• Rationalisation of admin systems• Care Programme Approach (CPA)• CCS – Supporting CPA• Implementation of SLAM Patient Journey process• National Programme for IT• Collaboration with Technical Partners• ePJS Introduced 2006 (Lotus/Domino)

Patient Journey System – A brief history

1998 2000 2003 2006

• 2009 ePJS Ver 4 (SQL / ASP .net) Implemented• 5,200 Users• 20 Million + Docs • Over 70% of all Documents created by Clinicians• 190,000 Patient records• 35,000 Active patients• 195 locations across South London• 4 Main Hospital Sites (1000 inpatient beds)• ePJS Platform for other Web services (CDR, Audit etc)• Anonymised Research Repositories (CRIS)

ePJS– Today

2009 2010 2011

ePJS Benefit Realisation

• One unified electronic Clinical Record System• Primary data source for Trust reporting and submissions• Data source for clinical research tools (CRiS)• Community Prescribing – Prescription Generation• Care Pathways Support (PJS Assist)• PbR compliance• Automated Discharge Summaries• Real time bed management• Patient experience and empowerment (MyHealthBox)• Real-time pathology & microbiology results direct into ePJS

Medication Scripts

Quick Reports

Form customisation

Web Service Apps

ePJS – Sample Screens

• Inpatient ePrescribing• Electronic Test Ordering• Decision Support for Clinicians• Full Integration with Personal Health Records

‘MyHealthBox’• Mobile Working ‘ePJS on the Move’• Enhanced Usability

ePJS – 2012+

Finally – Why ePJS works in SLaM

• Single, integrated record for all services

• Flexible, rapid development.

• In-house development and control (e.g. UDF, CDR, Bedstate)

• Clinicians at the heart of design

• Designed to support and underpin our Clinical Practices and Polices and not to inform them