Morecambe Bay

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Morecambe Bay Health Community
From iPM to Lorenzo The Morecambe Bay
Experience Warts and Rainbows Sydney W.
Schneidman, MD, FACEP, FCEM Consultant in
Emergency Medicine Clinical Lead for Health
Informatics Emergency Planning Lead
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Travails with iPM

• 2 years of difficulties
• Cumbersome CR process
• The rise and fall of the ERGs
• Lengthy log on times persist session
  persistence withdrawn. Scheduled to return, but
  will it work with Lorenzo?
• Mediocre reliability
• Damaged credibility to NPfIT
• Light at the end of the tunnel Lorenzo Release
  1.9

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Lorenzo cometh, slowly

• Lorenzo Early Adopter Program (LEAP) release 1
• Limited deployment 2 acute wards
  Surgical/Medical
• Results/requests radiology initially
• Problems, allergies, alerts and interventions
• Legitimate Relationships and TTOs
• Discharge Summary and ward notes output other
  than free text or form still not resolved with
  CDC forms
• Build issues
• Delays Quality, not quantity
• Great support from CSC/iSoft solicited vs.
  unsolicited results script issue
• Spirit of teamwork and problem solving
• Finally LIVE!!

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Sample Discharge Summary
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Clinical Engagement

• Crucial for development. Lead clinician
  (Champion) involvement essential with a foot on
  both sides of the fence
• Long project, multiple releases
• Interface between techies, Connecting for Health,
  vendors, project managers, analysts, trust
  administrators and clinicians
• Problem solving, compromise, negotiation,
  steadfastness similar to an AE shift!
• We are the ultimate end user. Must work for
  clinicians, protect clinical information and the
  patient.
• A tremendous challenge, and Id do it again.

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