RiO

1
RiO

• Carnival in Hammersmith and Fulham

Hakan Akozek Head of Health Informatics
v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
2
Background

• Existing Clinical System
• PAS
• Non-graphical user interface
• Lack of consistency
• Notice of termination from supplier
• Options
• Upgrade pathway?
• CHIA?
• Other?
• In-house?
• RiO
• Kick-off Meeting 21st October 2005
• Go-live 7th April 2006

v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
3
Why?

• Desperate
• Free
• COTS Product
• Easy to deploy
• Additional support
• Rich functionality
• NPfIT

• Business Direction
• Understanding and challenging what we do
• Defining what we have to offer
• Showing value for money
• Providing useful information to commissioners
• Clinical Application
• Rich clinical functionality
• Able to support clinical processes
• Provides management information as by-product

v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
4
Our experience
What happened
Key Points

• New friends (and acronyms)
• LDM
• CCPM
• ASR
• Lots of thinking
• Business case
• Project structure and governance
• Scope

• Partnership is the key to success
• Dont underestimate resource requirements
• Get the SRO right
• Take configuration management seriously
• Issue, risk and lessons learned needs to be
  captured in detail
• PCT-wide clinical steering will save a lot of
  hassle

v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
5
Our experience
What happened
Key Points

• More new friends
• Lots of workshops
• Steep learning curve
• Find out what needs to be done

• Project team familiarisation
• Understand the methodology and terminology
• Understand clinical safety assessment
• Right people in the right workshop
• Use available support

v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
6
Our experience
What happened
Key Points

• Lots of planning and preparation
• Business transformation workshops
• Basic IT skills training
• Initial data migration activities

• Communicate
• Understand service demands
• Have a product specialist at to-be workshops
• Fair amount of detail needs to be captured for
  local set-up
• Capture information sources and data quality
  requirements
• Test drive for each service

v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
7
Our experience
What happened
Key Points

• Lots of work
• All hands on deck
• Deployment testing
• Training
• Local set-up
• Data migration
• GO-LIVE

• Communicate
• Processes need to be a part of training
• Review data sources and quality
• NSTS
• GP Systems

v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
8
Our experience
Where are we now?
What has changed?

• 4 services are now using RiO
• Dietetics
• Podiatry
• District Nursing
• Child Heath
• Starting wider rollout

• Cultural shift
• Increased confidence and improved relationships
• Provoked innovation

v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
9
What has changed
v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
10
What has changed
v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
11
The future

• RiO as a Business Critical Application
• Clinical safety
• Clinical excellence
• NSFs
• Information source for SLAs
• Driving efficiency
• etc, etc, etc

Will it happen?
v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006
12
Over to you
?
Comments
Questions
Issues
v1.4 RiO - Carnival in Hammersmith and
Fulham 29th November 2006