Community Information Models Workshop 1

1
Community Information Models - Workshop 1

• Ian Roberts
• Chief Information Officer
• Bradford and Airedale teaching PCT

2

Context

• The local IMT strategy sets out the future
  direction of community / provider services to use
  SystmOne as the main clinical record. There are
  over 2500 staff within the provider unit, all of
  whom will need training on SystmOne. It is
  expected that 84 of GP practice (92 0f
  registered population)within the tPCT will also
  be on SystmOne by April 2009.
• Around 156 community staff have been trained to
  go live on SystmOne since June 2008
• This is in addition to the 2000 numbers already
  previously trained in the 4 old PCTs
• Recently designed a Sustainable Training
  Programme to support those teams currently live
  and using SystmOne Community

3
systems currently in use for community services

• SystmOne Community System
• SystmOne - Child Health System
• Lorenzo Release 2 EA PAS for Community
  Hospitals ( (Aug 090
• ESR HR System
• Oracle Finance System
• Prism Risk Management
• R4 Community Dental Services
• Digital Retinopathy System
• Bradford Coin for all office based admin systems
  across the PCT

4
Shared Care

• The focus of our implementation is shared care
  across the LHC
• Palliative care
• Diabetes
• Renal and Cancer care
• Hospital letters
• A and E / MAU
• Out of Hours
• Homeless Teams
• Drug services

5
benefits

• Addressing Health Inequalities Better equity
  across populations - easier to identify needs.
• Improving Health/Supporting Lifestyles Better
  equity across populations - easier to identify
  needs.
  Improved patient care.
  
  Improved patient pathways
  Evidence to
  support 18 targets
  Evidence to support 31 and and
  62 day waits
  Improving Prevention/Earlier Interventions Improv
  ed identification of risk factors based on a
  range of data held within the patients
  record.
  Improved patient care Children's
  Services Improved information sharing within
  local health community between GP, PCT, acute
  and tertiary provider and other partnership
  organisations. Improved
  patient care.
  Improved patient pathways
  Securing high quality, safe healthcare Improved
  Information sharing within local health community
  between GP, PCT, acute and tertiary
  provider and Partnership organisations
  Safer prescribing supported
  by increased functionality including cross
  checking for drug interactions, sensitives
  and drug doubling at point of prescribing.
  Improved care co-ordination
  
  Improved patient safety
  Meeting the expectation of
  patients Improved care pathways.
  Patient
  gaining access to own record.
  
  Improved
  co-ordination of patient bookings.
  Improved access to appointments.
  Improved patient choice
• System Reform Improved care pathways.
  
  Patient gaining access to own record.
  
  
  Improved co-ordination of patient bookings.
  Improved access to
  appointments.
  Improved patient choice Improved patient
  safety Commissioning
  Reviews Improved patient pathway
  Improved accuracy of
  data leading to more accurate commissioning
  information.
  Improved patient safety.
  Learning
  Disability Mental Health Sharing within local
  health community between GP, PCT, acute and
  tertiary provider and other partnership
  organisations.
  Improved care pathways
  
  Improved patient care Capacity and
  Capability improved productivity and
  effectiveness
  Improved Systems and Work

6
Current Risks and Issues

• Previous PCTs implemented SystmOne at differing
  stages for community staff, we have therefore
  inherited a mixture of untrained / part trained
  and full SystmOne using teams. Many staff who
  were previously trained could do with refresher
  training to ensure optimum usage of SystmOne.
• There is no central record / database of which of
  the 2000 staff have been trained and are
  regularly using the system Plans to incorporate
  a system into the existing provider staff nominal
  roll linked to ESR.
• Not all staff presenting for SystmOne training
  have basic IT skills ELITE IT training course
  now offered to provide a base level of IT
  competency.
• The issue and use of Smartcards, runs parallel to
  the implementation of SystmOne Community. Once
  Release 3.01 of SystmOne is made like in Bradford
  no staff will be able to log on without having a
  working Smartcard.
• The main roll out for all Health visitors and
  District nurses across all localities is tied
  into the release of SystmOne version 3. This
  will bring some changes that will benefit our
  community staff.
• All services need to be divided into units.
  This primarily affects the level at which
  referrals come into the service. Each service
  therefore needs to consider carefully the size of
  their units, e.g. at team or constituency level.
• Many staff members in Community Nursing Services
  are given access rights to a GP SystmOne legacy
  systems. To achieve the required roll out of
  SystmOne to Health Visiting District Nursing
  these access rights will need removing.. This may
  cause some uncertainty/anxiety within the GP
  Practice could potentiality affect quality of
  both QOF and Patient data.
• Integration between HR and RA Process
• Completion of Templates for community staff and
  linkage with SAP and CAF programmes

7
information gaps

• Some activity reports
• Costing
• Productivity information esr to tpp links
• Separate developments to support sexual health
  and TB
• Further developments of quality reports

8
stakeholder engagement

• Clinical groups
• Provider unit IMT Committee
• Provider unit on PCT IT Sub committee
• Provider unit on LHC Board
• Patient rep on boards
• LA/SC reps
• Voluntary sector rep

9
future plans

• Completion of roll out
• Develop costing reports
• Further integration across mental health
• Pressure on tpp to improve reporting
• Complete the community data quality team
• Mobile working
• Training on data sharing dcr v scr