ICRS

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ICRS

• What is it ?
• How do we get one ?

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Delivering 21st Century IT
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Delivering 21st Century healthcare - objectives

• Support the patient delivery of services
  designed around the patient quick, convenient,
  seamless
• Support staff delivering integrated care
• Effective electronic communications
• Better learning and knowledge management
• Cutting time to find essential information
• Make specialised expertise more accessible
• Improve management and delivery of services

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ICRS service vision
Integrated Care
Collaborative Care Planning
Informed Service Users
Accessible Services
Evidence-based Care
Quality-assured services
Efficient services
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ICRS service scope

• Prevention
• Promotion
• Screening
• Surveillance
• Assessment, Investigation Diagnosis
• Care Planning

• Treatment provision
• Initial
• Maintenance
• Rehabilitation
• Palliative
• Care review discharge

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ICRS - local applications
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ICRS general requirements

• Local tailoring through use of toolkit by
  clinical analysts
• Flexible and adaptable to future changes in
  organisation and service delivery
• Common look feel with single log-on
• Scalable architecture support 10,000 concurrent
  users, sub-second response time and 99.99
  availability
• LSPs provide senior resource for process change,
  benefits identification and realisation
• Use innovative technologies, refresh over
  lifetime of programme

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ICRS LSP Services
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Events on Data Spine

• Request
• Report
• Referral
• Encounter
• Discharge

• Care Management
• Medication
• Patient Status
• Life Events

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ICRS Phase 1 content (Dec 2004)

• Community-wide e-mail
• Community demographics
• Initial spine record
• Community wed knowledge
• Results Reporting (Path/Rad)
• 33 PACS

• Clinical documentation (esp. NSF)
• Community-wide correspondence
• Confidentiality
• NSF data
• E-booking
• Patients' own myhealthspace

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ICRS Phase 2 content (Dec 2006)

• Referrals, requests, orders
• 100 PACS
• Decision Support
• Clinical Tools
• Further confidentiality
• Screening

• Assessment care planning
• Scheduling
• Drug prescription
• NSF workflow
• Access to GP info by any authorised health worker

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ICRS incremental development

• Objective is integrated clinical info systems
  across whole care continuum but unlikely these
  exist today
• Initial ICRS will be mix of new solutions from
  LSPs and integrated legacy systems
• LSPs must commit to on-going development of
  solution set and new technologies inc.
  telemedicine, picture archiving, document
  management, voice recognition
• LSPs must confirm deliverables at 2004, 2006,
  2010 and provide route-map

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ICRS

• How do we get one ?

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ICRS Roles

• Cluster Management Board and Team procurement,
  overall roll out management,ongoing LSP
  performance management
• SHA Advisory Team advice and assistance to care
  community teams align big picture and local
  priorities
• Care Community Team work with LSP by providing
  change management, project management, benefits
  realisation, training and local configuration
• LSP Team Design, build and operate solutions to
  meet agreed requirements

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ICRS procurement timetable
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ICRS RtP

• Develop Cluster RtP by August 03 including
• Local strategic requirements
• Current systems with issues/problems
• Phasing within cluster
• Localised cost/benefit models built from Trust
  level
• Local options for implementation/migration
• Selection requirements and evaluation criteria
• Management arrangements at all levels
• Need to determine sign-off process

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ICRS OBS2

• Issue OBS 2 by September 03 including
• - implementation plans/milestones
• - required service levels and penalties
• - legacy systems, contracts transferring etc
• - non-core services including infrastructure
  support, interfaces, training etc

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ICRS Funding Issues - 1

• Assumes PPP deal nationally
• Funding beyond 2005/06 not determined
• OBC assumes Trust cash-releasing savings and
  avoided costs of obsolete technology
• Assumes some IT capital top-sliced
• Costs must be affected by
• pace of implementation
• Use of optional services
• Significant local (NHS) resources required for
  project management, change management, training
  etc

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ICRS Funding Issues - 2