iSOFT Lorenzoor

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iSOFT Lorenzoor iEPR
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Path to Lorenzo

• PiMS Community/Mental Health ( e.g. Version 1.7x
  and 1.9x)
• PiMS International (e.g. Version 1.8x)
• PiMS International, iPM
• iSOFT purchases Sunrise Clinical Manager iCM

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Lorenzo - Pre NPfIT
Product Strategy for Mental Health and Primary
Care Trusts
iHUG, Manchester6 March 2002
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Project Lorenzo 2002
To deliver a new solution that incorporates the
Mental Health and Primary Care component of a
patients EHR built on the existing platform
provided by the PiMS and iCM products
Project Lorenzo
PiMS International
iCM
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2002
2003
2004
New Product

• Primary Care Datasets
• Integrated Care Pathways
• Knowledge Base Support
• Enhanced Prescribing / Medication Support
• MIS for Primary Care

PiMS 1.84

• Support for Care Coordination
• Service Specific Data Items
• Rapid Data Capture
• GSM / GPRS
• Social Care Interfacing
• Integrated Child Health
• Practice Based Application Support

Existing PiMS Product

• Community Nursing Support
• Community Hospital Mgt
• Clinician / Staff Diary
• Assessments
• Care Planning
• Daycare Mgt
• Intervention Management

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Lorenzo Costs at 2002

• Mental Health Trust and 3 x PCTs

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NPfIT Lorenzo
Lorenzo
iPM
iCM
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Lorenzo core service model

• Management information
• Organisational modelling and planning
• Screening and surveillance
• Clinical audit
• Epidemiology
• Clinical research

• Knowledge-based clinical requests
• Equipment requests
• Service requests

• Care plans
• Care pathways
• Pathway merging
• Care-driven resource management

• Results mgmt
• Device interfaces
• Laboratory management
• Radiology management

• Active decision support (branching)
• Passive decision support (alerting)
• Evidence-based best practice
• Authoring support

• Structured and un-structured data capture
• Dictation and annotation
• Clinical terms, assessments, observations
• Auto-citation, auto-negation

• Duty of care and role declaration
• Configurability
• Personalisation
• Context management
• User experience
• Device technologies
• Citizen participation

• Intelligent searching
• Multi-facility patient identity management
• Demographics, HL7v3 support for PDS

• Drug data (reference terminology)
• Prescribing
• Medicines administration
• Pharmacy management

• Guaranteed delivery between two or more parties
  (system system, system-user)
• Semantics preserved
• Notification
• Escalation
• Collaboration support
• Multi-disciplinary team support

• Demand mgmt
• Resource mgmt
• Departmental mgmt

• Duty of care
• Encounter mgmt
• Referral mgmt
• Capacity mgmt

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Healthcare services deployed across many
different care settings
Healthcare services
Care settings
Health economy
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Lorenzo release programme v2
Release 3
Release 1
Release 2
Release 4
Release 5
Availability
2003
2004
2004/5
2005/6
2006/7
Scope

• Re-engineered pharmacy services
• Re-engineered generic laboratory services
• Advanced information governance
• Mapped to modules 730, 114, 113

• Clinical data capture supporting
• NSF
• Assessments
• Workflow
• improving collaboration across a health economy
• New views and tools for reviewing clinical data
• EPR metaphor
• Timeline
• Single sign-on, role-based security, etc
• Re-engineered results reporting
• In addition to all existing functionality
• Mapped to modules 101, 106, 111, 160s,

• Advanced support for assessment
• Re-engineered care management and scheduling
• Support for unscheduled care
• Improved support for surgical interventions
• Initial support for social care
• Mapped to modules 107, 108, 119, 125, 104

• Population based prevention and screening
• Re-engineered decision support
• Re-engineered medication management
• Citizen services
• Advanced support for surgical interventions
• Mapped to modules 113, 112, 103, 125

• HL7 v3 i.Health Adaptors
• National applications integration
• Other Appendix 2A P1R1 dependencies
• Mapped to modules 770, Sched 1.7, 109

Release 5.5 / 6
Release 2.5

• Intelligent structured care
• Drug delivery device integration
• Re-engineered diagnostic imaging services
• Legitimate relationships
• Departmental lab services
• Advanced social care
• Advanced support for Community services
• Mapped to modules 730, 770, 114, 113, 112, 104,
  105, 119, 151

• Advanced CDC
• Advanced user tools, TabletPC
• Richer terminology services
• Re-engineered rules engine
• Service oriented requesting
• Information governance and Directory Services
• Mapped to modules 440, 730, 101, 102, 106, 110

Release 3.5
Release 4.5

• Re-engineered ICPs and care plans
• Reporting services for analytical tools
• Central information requirements
• Mapped to modules 450, 124, 105,

• Advanced pathway and care plan support
• Home monitoring
• Maternity
• Primary Care
• Mapped to modules 118, 107, 105, 151

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Release Dates

• Jun 04 Spine PDS
• Dec 04 Patient assessments etc
• Jun 05 Configurable MHA
• Sep 05 Integrated staff diaries
• Jun 06 Knowledge based alerts
• Jun 07 Diagnostic services

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Current Situation

• Project Board identified
• Project brief in draft format
• Brief to Board W/C 10th May
• PID by end May
• Live January 2005

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Issues

• What functionality by when?
• Potential loss of functionality!?
• Business processes impact?
• N3 project should dovetail (wave 1)
• Transfer to data centre January 2005