Workshop Session 2

1
Workshop Session 2

• Detailed discussion and confirmation of
  workstream objectives

2
Work-streams

• Breakout A
• Functionality to support clinical practice
• Unified assessment
• Breakout B
• Service management
• Infrastructure
• Breakout C
• Access model (Staff ID)
• Patient ID

3
Functionality to Support Clinical Practice -
Objectives

• Strategic Objective
• To enable presentation of clinical data from
  multiple sources in an aggregated, meaningful and
  useful way (In phase 1 this may be purely
  re-presentation of existing data)
• Work-stream Objectives
• To provide an approach for management and
  integration of legacy solutions
• To identify solutions to support clinical
  processes that are prioritised by clinical
  effectiveness
• To implement solutions to support clinical
  processes that are prioritised by clinical
  effectiveness
• To deliver early benefits

4
Functionality to Support Clinical Practice -
Scope Priorities

• Two votes per area of functionality

5
Functionality to Support Clinical Practice (1/2)

• Requests and results reporting
• Clinical decision support
• Structured clinical information in Single Record
• Knowledge base
• Parameterised alerting and workflow (7/8)
• Integrated Care Pathways / Care Programme
  Approach
• Clinical/Health communications (11/12)
• Referral
• Transfer of care (Discharge Hand-over documents
  etc.)
• Patient letters

6
Functionality to Support Clinical Practice (2/2)

• Access to accurate, consistent corporate patient
  demographic information (e.g. patient ID)
• Access to basic clinical information for all
  Welsh patients (e.g. known allergies, blood type
  and any medical preferences)
• Capture and view the detail of the clinical
  encounter
• Clinical audit, aggregate data, dataset support,
• Management information (e.g. payment by results)
• Electronic prescribing / blood / iv fluids diet
  etc.
• Electronic transfer of prescriptions
• Digital imaging with storage, search, retrieval
  and transfer of facilities (PACs)
• Remote outpatient appointment scheduling / other
  resources (e.g. rooms, theatres etc)
• Standardised laboratory systems (Pathology,
  Biochemistry etc.)

7
Infrastructure Work-stream Objectives

• Strategic Objective
• To provide the infrastructure required for staff
  to access the Single Record at the point of care
  delivery
• Work-stream Objectives
• To ensure that all NHS Wales staff have access to
  devices such as desktop PCs and PDAs which enable
  access to the Single Record
• To ensure that all NHS Wales local area networks
  are sufficient to support the Single Record
• To provide wide area network access to the Single
  Record for NHS Wales staff at the point of care
  delivery, and enable access for other authorised
  users of the Single Record
• To meet strategic technical objectives
• One network
• Connectivity wherever required
• Scalable bandwidth in the access circuits
• Layers of resilience built in as the Service
  requires
• Improved protection against security threats
• High levels of availability
• Adherence to relevant technical, national and
  industry standards
• To enable NHS Wales to benefit from new
  infrastructure developments as they become
  available
• To provide stability and continuity from current
  services to the new service

8
Service Management Objectives

• Strategic Objective
• To ensure that the services providing the Single
  Record are managed and supported effectively
• Work-stream objectives
• Ensure that the Single Record is being delivered
  by suppliers as agreed, to the required levels of
  performance and quality
• Provide effective and clearly identified points
  of contact for support queries
• Manage resolution of faults and queries to
  maintain an effective Single Record service
• Ensure effective relationships between NHS Wales
  and suppliers
• Ensure effective relationships between all
  suppliers contributing to the Single Record
• Manage an accurate inventory of all components of
  the Single Record and their configurations
• Handle the formal governance of contractual
  arrangements
• Maintain an accurate register of performance
  against contractual commitments
• Manage contractual changes in line with agreed
  change control procedures
• Manage Authority contractual liaison with
  suppliers

9
Patient Identification Objectives

• Strategic Objective
• To enable authorised staff to identify the
  correct information for the correct patient
• Workstream Objectives
• To deliver a patient identification system that
  is
• Available 24/7
• Accurate
• Updatable by all authorised users /
  organisations. (authorised users is not same
  definition as for SR)
• Is available as the authoritative source of
  patient demographic information in Wales.
• To provide appropriate interfaces with patient
  identification systems outside Wales (e.g.
  England)
• To replace the functionality currently provided
  by the NHSCR system, CHRIS by June 2006
• To replace the patient identification
  functionality currently provided by NHAIS by June
  2006
• To replace the functionality currently provided
  by the NSTS by June 2006
• To deliver best Value for Money

10
Access Model (Staff ID) Objectives

• Strategic Objective
• To deliver a solution that will control and audit
  access to patient identifiable and clinical
  information
• Work-stream Objectives
• To phase the implementation of controlled access
  to patient information through two factor
  authentication based on
• Staff role
• Professional relationship with the patient
• Patient consent
• To deliver a staff identification system to
  support controlled access to patient information
  that is
• Available 24/7
• Accurate
• Updatable by all authorised organisations.
• To deliver best Value for Money