The Patient Journey System

1
The Patient Journey System

• May 2005
• Matthew Broadbent

2

• How will the Patient Journey System (PJS) affect
  us?

3
Some key difficulties the PJS will help with

• Currently, there is a multitude of unconnected
  information systems

4
The legacy position unconnected patient-based
information systems
PiMS
Maracis
Protocol (MHA)
Paper notes
Bomic
ECT database
CCS
5
The PJS is a single, integrated system supporting
clinical as well admin requirements
PiMS
Maracis
Protocol (MHA)
Paper notes
Bomic
ECT database
CCS
6
The PJS is a single, integrated system supporting
clinical as well admin requirements
PiMS
Maracis
Protocol (MHA)
The Patient Journey components
Bomic
ECT database
7
The PJS is a single, integrated system supporting
clinical as well admin requirements

Maracis
PiMS
The Patient Journey components
Protocol (MHA)
ECT database
Bomic
8
The PJS is a single, integrated system supporting
clinical as well admin requirements

Administrative functionality
Administrative functionality
Maracis
PiMS
The Patient Journey components
Protocol (MHA)
ECT database
Bomic
Clinical functionality
9
Some key difficulties the PJS will help with

• Currently, there is a multitude of unconnected
  information systems. As a result

• Information is often passed manually between
  existing systems, which is

• inefficient

10
For example, recording diagnosis at inpatient
discharge on PiMS
Step 3 diagnosis entered into PiMS by medical
records staff
Step 1 diagnosis made and entered into
clinical notes
Step 2 diagnosis entered into Inpatient
Discharge form and sent to medical records
11
Recording diagnosis at inpatient discharge on PJS
Step 1 diagnosis made and entered
directly into clinical records (PJS) on the ward
and thats it!
12
Recording diagnosis at inpatient discharge on PJS
Step 1 diagnosis made and entered
directly into clinical records (PJS) on the ward

• Effects
• information only needs to be recorded once
• ward staff have direct control of what is
  entered and reported
• resources in medical records freed up, e.g. to
  support data quality directly

13
Some key difficulties the PJS will help with

• Currently, there is a multitude of unconnected
  information systems. As a result

• Information is often passed manually between
  existing systems.

• Increased risk.

• Important information recorded in one system or
  at one location, is not available to others.

14
In PJS info is available to everyone that needs
it, when they need it. For example

• Teams/wards share the same set of clinical notes

15
(No Transcript)
16
In PJS info is available to everyone that needs
it, when they need it. For example

• Teams/wards share the same set of clinical notes

• Important MHA administration information is
  available

17
(No Transcript)
18
Some key difficulties the PJS will help with

• Currently, there is a multitude of unconnected
  information systems. As a result

• Information is often passed manually between
  existing systems.

• Increased risk.

• Unnecessary duplication.

• Demographics and other administrative
  information recorded in more than one system
  (often inconsistently)
• Clinical information carefully gathered in one
  team is repeated in full at the next, e.g.
  psychiatric history

19
(No Transcript)
20
(No Transcript)
21
Some key difficulties the PJS will help with

• Currently, there are a multitude of unconnected
  information systems. As a result

• Information is often passed manually between
  existing systems.

• Increased risk.

• Unnecessary duplication.

• Using hard copy clinical records

• Clear, legible info can be difficult to find
• Relevant audits can be difficult to carry out,
  e.g. are routine physical health checks being
  carried out?

22

• System analysts could report exactly who/how
  many have had a Current Physical Health
  Assessment and full Inpatient Physical Health
  Exam
• (for example, Maria has had both)

23
(No Transcript)
24
Supporting the Bold Ambition

• Knowing what we do to test against the best
• Using efficient clinical information access to
  improve information to users, carers and our
  local population
• More efficient use of resources to improve choice
• System will support management and leadership
• underpin systematic service redesign and the
  roll-out of evidence based treatments

25
(No Transcript)