JOE DONNELLY

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EMPTAYDD
JOE DONNELLY NHS TAYSIDE
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Initial Position
JANUARY 2002 256 DELAYED DISCHARGES IN TAYSIDE
RECORDED MANUALLY ACROSS HEALTH BOARD, 2 TRUSTS
3 LOCAL AUTHORITY AREAS
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Background

• Developed to resolve local issues relating to
  ISD request to compile a validated, quarterly
  census of delayed discharges
• Lack of standardised recording methods
• Lack of clarity relating to patient status
• Difficulties in exchanging information securely
• Difficulties in exchanging information quickly

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Background (cont.)

• Developed by NHS Taysides ICT department in
  partnership with Information Services, Medical
  Records, and Local Authority colleagues in Angus,
  Dundee, and Perth Kinross
• Provides secure access to a patient specific
  delayed discharge database
• Enables live data recording and real-time
  reporting

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Background (cont.)

• Builds upon local Community Health Index (CHI)
  database, a unique patient identifier used
  throughout local healthcare systems in Tayside
  and now a required data item in ISD quarterly
  census
• Has not replaced local social work referral
  protocols
• Requires an agreed information sharing protocol

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Background (cont.)

• Joint Information Sharing Protocol
• First of its kind in Scotland
• Agreed between each of the three Health Social
  Care Partnerships across Tayside
• Allows sharing of patient data, and information
  reporting between and across local authorities
  and NHS
• Not strictly a legal document but a statement of
  guiding principle with some legal status

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Key System Features

• Central patient contact database
• Reliable patient index based on CHI
• Secure access for Local Authorities and NHS
• Contact archiving and searching with flexible
  query facilities
• Comprehensive reporting facilities
• Comprehensive user audit logging

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Key Technical Features

• Thin client, web based application (MS I.E. 6)
• Oracle RDBMS (Version 8i)
• Sun Microsystems Server (Solaris version 8)
• LDAP (Lightweight Directory Access Protocol)
  compliant
• Operates over NHS Net
• Full user and transaction audit logging
• Full Back up and Recovery facilities

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Organisational Relationships
System User Group
IM T System Development, Implementation,
Training and Access
EMPTAYDD Electronic Management of Delayed
Discharge Patients
Ward Users Input and amend health care data
Social Care Users Input and amend social care
data
Health Strategy/Delayed Discharge Manager Extract
info to inform strategic decisions Reporting at
Chief Executive/Board level Liaise with
patients, carers, clinical and social care staff
System Administrator Ensure data quality, report
to Directorate level, census validation and
submission, and maintenance of system data tables
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PROCESS
Initially - operated centrally by Information
Services - Weekly Turnaround Document created by
system forwarded to ward, returned, and system
updated as necessary Now - ward users
input/update live data which is then immediately
viewable by Social Care Social Care input/update
live data which is then immediately viewable by
Health Users Data quality role for system
administrator
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WARD ROLLOUT
Began Summer 2004 - completed November 2004
(apart from small number of opt-outs e.g. A E
where DDs unlikely) Named ward staff trained and
given live access Paper systems
withdrawn Registration/reporting is now real
time Protocol to deal with occasions when ward
staff unavailable to update Regular audits by CHP
DD Co-ordinators, Clinical Group Managers, Social
Care managers
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TIMELINE
Jan 2002 Proposal to develop system July 2002
System Q/A by Information Services Aug 2002
Information Services Live Dec 2002 Perth
Social Work Live Sep 2003 Angus Social Work
Live Nov 2003 Ward pilot by PRI based
Community Liaison Team Dec 2003 Dundee Social
Work Live Apr 2004 Ward Pilot PRI Jun-Nov
2004 Ward User Roll Out Aug 2006 NHS Fife
version goes live April 2007 Inaugural meeting
of System User Group with Tayside Fife
membership Jan 2007 NHS Ayrshire and Arran go
live January 2008 Agreement for national
rollout
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Patient Search
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Registration Screen
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List of Delayed Discharges
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Archive
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Census Export
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Export to EXCEL
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Social Work Listing
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Social Work Acceptance Form
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Current Position
APRIL 2007 NHS Tayside achieves nationally set
targets - to reduce by 50 those patients delayed
in short-stay specialties, and those patients
waiting more than six weeks ACHIEVED BY
COLLABORATIVE WORKING BETWEEN NHS TAYSIDE AND
TAYSIDES 3 LOCAL AUTHORITY AREAS
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Current Position
EMPTAYDD IS NOW THE SOURCE OF ALL VALIDATED
DELAYED DISCHARGE INFORMATION IN TAYSIDE AND
FIFE WORKING TOWARDS ACHIEVING NATIONAL TARGETS
OF ZERO PATIENTS DELAYED FOR MORE THAN 42 DAYS OR
IN SHORT-STAY SPECIALTIES BY APRIL 2008
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The Future Now
EMPTAYDD becomes the national recording system
for delayed discharges in Scotland Seamless link
to inpatient systems (TOPAS) for system users
to support bed management and minimise delay in
discharge System users to benefit by availability
of standardised, accurate, and timely data for
local and national reporting and analysis Extend
use of system to include patients with very
complex needs to support future strategic
planning
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Further Information Contact (Technical)- Ian
Fenton Head of Information Communications
Technology e-mail ian.fenton_at_nhs.net phone 01
382 424452 Contact (Admin.)- Iain
Dorricott Information Team Manager
(Infrastructure) e-mail iain.dorricott_at_nhs.net
phone [phone]