NIPEC Annual Conference Gary Loughran Nicky Brown Margaret Fogarty
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Transcript of NIPEC Annual Conference Gary Loughran Nicky Brown Margaret Fogarty
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