Overview of the hospital’s computer systems
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Transcript of Overview of the hospital’s computer systems
Overview of the hospital’s
computer systems
www.coch.org
Spend c3.0% per annum of Trust incomeSpend c3.0% per annum of Trust income on Information Management on Information Management & Technology & Technology
Support 2,000 networked Support 2,000 networked PCs over Wireless network PCs over Wireless network
Receive 30,000 calls to theReceive 30,000 calls to the Main Switchboard each week Main Switchboard each week
Send 50,000 Pager ‘bleep’Send 50,000 Pager ‘bleep’ messages to our doctors messages to our doctors & nurses every month & nurses every month
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The Patient The Patient JourneyJourney
AdmissionAdmission(elective or emergency)(elective or emergency)
Assessment/Assessment/DiagnosisDiagnosis X-ray, blood test, etcX-ray, blood test, etc
SurgerySurgery
RecoveryRecovery
Follow upFollow upwith GPwith GP
DischargeDischargefromfromhospitalhospital
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Details are registered on thehospital system as soon as thepatient reaches the hospital
Details from any previous
visits will already be
in the systemwww.coch.org
Information includes name,address, next of kin, etc
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A&E staff use the ‘tracker’ to manage patients while they are in A&E and to ensure weconsistently hit our ‘4-hour maximum’ targets
If a blood test, x-ray or any othertest is required, these areordered on the system &
results are returnedelectronically
If the patient requires regulartests, we build a record of these
so the consultant can compare
results and look back at the
results history
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www.coch.org
PACSPACS Picture Archiving & Communications SystemPicture Archiving & Communications System
Captures, stores, distributes and displays static or Captures, stores, distributes and displays static or moving digital images such as electronic X-rays or scansmoving digital images such as electronic X-rays or scans
Takes away need to print on film or distribute images Takes away need to print on film or distribute images manually - images are created and can instantly be sent manually - images are created and can instantly be sent and viewed across several NHS locations simultaneously.and viewed across several NHS locations simultaneously.
The nursing staff completeassessment forms designedto assist the assessment &monitoring of the patient’snursing needs
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The Patient Care Enquiryfacility allows clinicians toview all details relating toan episode of patient care
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Patients’ hospital letters are accessed on the system
MedisecNET 1010 4101 1430 0500 002The Countess of Chester Health Park
Liverpool RoadChester
CH2 1ULEmail: [email protected]
Tel: 01244-366426Fax: 01244-366455
DIANNE Y BULGEN MB BS FRCPCONSULTANT RHEUMATOLOGIST
Outpatient Clinic Attendance
Our Ref. GEH/VP/CC00031041 Date Typed: 24.05.04
Dr S P SmithHelsby Health CentreLower Robin Hood LaneHelsby WarringtonCheshireWA6 0BW
Dear Dr Smith
Re: IRENE JONES DOB 10/12/192932 SPRINGFIELDS Hosp No. CC00031041MICKLE TRAFFORD, CHESTER CH2 4EG NHS No. 4404543492
DATE/TIME OF APPOINTMENT 20 May 2004 at 11:00CLINIC DR BULGEN THU AM CA ASSISTANTTYPE OF APPOINTMENT Old
Diagnosis: Seropositive rheumatoid arthritis COPD
Drug therapy: Prednisolone 10mgs dailyWarfarinFrusemide 80mgs dailyCitalopram 40mgs dailyZopiclone 7.5mgs nocteCalcichew D3 2 dailyRamipril 5mgs dailyDiazepam 2mgs bdUniphyllin 300mgs bdAspirin 75mgs dailyRisedronate 35mgs weeklyNicorandil 10mgs half tablet bdEyedropsNebuliser/Inhalers
I reviewed this lady in clinic today. I understand that she had to increase her Prednisolone recently for a few days to 20mgsas she had a chest infection. She is now back down to 10mgs daily. She is limited mainly by her COPD as she gets veryshort of breath when she tries to walk. On examination the synovial proliferation of her right wrist and small joints of herhands had settled. I have advised her from the point of view of her joints we can now gradually reduce her steroids. Iwould suggest when she is stabilised from her chest point of view following her infection that she could try a reduction downto 10 and 7.5mgs Prednisolone on alternate days for two months and could then reduce down to 7.5mgs daily if she has noproblems with that reduction and if her chest allows this. Blood pressure in clinic today was 118/74. Urinalysis showed atrace of blood. She informed me that she had a blood test taken yesterday. Rheumatology review: Six months
Yours sincerely
DR G E HOLLEYCLINICAL ASSISTANT IN RHEUMATOLOGY
GPs are notified electronicallywhen one of their patients has
been discharged.
Social Services are engaged earlierso that arrangements can be made
to reduce delayed patient dischargewww.coch.org
Clinical CorrespondenceDischarge summaries, Attendance letters, A&E reports, Radiology reports, One-off letters.The system is fully integrated with the Patient Care System.
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HospitalHospitalsystemsystem
• A&EA&E• All WardsAll Wards• TheatresTheatres• RadiologyRadiology• PathologyPathology• PharmacyPharmacy
• Patient demographicsPatient demographics• Diagnosis & treatmentDiagnosis & treatment• Nurse care pathwaysNurse care pathways• MedicationsMedications• Test orders & resultsTest orders & results• X-ray imagesX-ray images• LettersLetters
Fully integratedFully integratedhospital-widehospital-wide
Patient Care SystemPatient Care System
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HospitalHospitalsystemsystem
GP & SocialGP & SocialServices systemsServices systems
• GP referralsGP referrals• Letters to GPsLetters to GPs• Test requestsTest requests• Results reportingResults reporting• Discharge bulletinsDischarge bulletins
ElectronicElectronicexchangeexchange
with GPs &with GPs &Social Social
ServicesServices
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www.coch.org
N3N3 The new national NHS NetworkThe new national NHS Network
N3 provides fast, broadband networking services to the N3 provides fast, broadband networking services to the NHS offering reliability and value-for-moneyNHS offering reliability and value-for-money
N3 will be as important to the NHS as road and rail N3 will be as important to the NHS as road and rail networks are to our daily lives, and will make it possible to networks are to our daily lives, and will make it possible to deliver reforms and new services to improve patient care. deliver reforms and new services to improve patient care.
National Programme for IT National Programme for IT (NPfIT) and The Countess of (NPfIT) and The Countess of
ChesterChester
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National Programme for IT National Programme for IT (NPfIT) and The Countess of (NPfIT) and The Countess of
ChesterChesterChoose & BookChoose & Book Electronic Booking ServiceElectronic Booking Service
Choose and Book allows GPs and Choose and Book allows GPs and other primary care staff to make other primary care staff to make initial hospital outpatient initial hospital outpatient appointments at a convenient time, appointments at a convenient time, date and place for the patient.date and place for the patient.
With Choose and Book a patient With Choose and Book a patient can choose where they wish to be can choose where they wish to be treated. They can book the treated. They can book the appointment at the surgery, on-line, appointment at the surgery, on-line, or through a telephone booking or through a telephone booking service.service.
We must be doing something We must be doing something right!right!
Top results in Audit Commission surveyTop results in Audit Commission survey on attitudes of clinicians to IM&T on attitudes of clinicians to IM&T
Countess of Chester vs Medium Acute OutsideLondon
2
3
4
Chart 18: Overall attitude to IT
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If you would like any moreinformation about the Trust’s
computer systems, please contact:-
www.coch.org
Phil Davies, Director of IM&TTel: 01244 366302
eMail: [email protected]