Transcript Slide 1

Clinical Documentation Library (CDL) Highlight Report - December 2009
Accomplishments
D
Key Milestones
 Authorisation process delivered and tested
Server Development and
configuration
 The technical process to migrate existing electronic clinical documents into the CDL. The software
to automatically populate historic clinic documents with patient number has been delivered and
tested
30/06/09
COMPLETE
Agreeing templates for pilot units
19/06/09
COMPLETE
 Scanners have been delivered
Xanadutec end to end system
implementation
13/08/09
COMPLETE
CIMS end to end implementation
13/08/09
COMPLETE
Key Issues & Risks
Mitigating Actions
1. Agreement to rationalise templates for each
unit for all clinical units
1. The project team is working with the clinical
units taking part in the pilot.
PHASE 1
2. Agreement from GPs to provide surgery email 2. Commissioning team are liaising with the
addresses for emailing discharge summaries
commissioners.
Authorisation process
30/09/09
COMPLETE
3. Delivery of functionality to automatically
populate Clinical team details.
3. Currently individual templates will be used
until the functionality is developed
Populating Clinicians details
On hold
4. Lack of single referral management process
to ensure that referrals are captured on
arrival.
4. It has been agreed with the Director of
Operations that this process will be piloted in
Centralised bookings
Testing - Supplier testing to be
completed. CDL will be outstanding
04/12/09
Slipped 5w
5. Ability to scan referrals and attach them to
the appropriate patient.
5. Suppliers have developed the functionality
and it will be delivered on the 18th November
Final software and hardware
configuration
11/12/09
Slipped 5w
6. Issues with adding historic documents if not
appropriately filed and named
6. Units will have to rename files to meet the
file naming requirements to enable them to
be processed
Deliver training
04/01/10
Slipped 8w
Adding historic documents for the 3
pilot units – software delivered
01/12/09
Slipped 6w
Pilot go live with 3 units
11/01/10
Slipped 8w
Go live for remaining units (one unit
at a time)
01/02/10
Slipped 8w
Pilot- Scanning of referrals process
04/01/10 March 2010
7. Setting up Clinical Documentation library on
the Intranet with advance search facility.
8. To redesign the Clinical Documentation
Library Interface (Phase 2)
7. Discussed with the supplier and awaiting a
delivery date.
8. Discussed with supplier and awaiting a
delivery date
Upcoming Activities
 Completing final testing for all supplier functionality
 Develop e-learning training material – this is an ongoing task
 Test the scanners with the referral scanning functionality
Corporate Document Library Project – December 2009
Accomplishments
Key Milestones
 Installation of Infrastructure and system completed
 Training in the module has been provided to the key administrators
 The workflow mapping has been completed
 Pilot policies for IM&T loaded but not published
Training for
Administration Users
COMPLETED
Completion of Workflow
Mapping
06/11/09
COMPLETED
Integrate IM&T Policies
13/11/09
COMPLETED
Key Issues
Mitigating Actions
1. Confirmation of the commencement of the
workflow development
1. This has been discussed with the developer
and confirmation of start date has been
discussed. Awaiting delivery date from
supplier
Policies and Procedures
PHASE 1
Add all Policies and
Procedures to the library
TBC
2. Resources may not be consistently available
to deliver the remaining policies into the
library
2. Need to ensure that resources are allocated
to ensure timely delivery of a consistent
location for all policies and procedures
Go live
TBC
Upcoming Activities
 IM & T policies to be published on RNOHWeb Policy and Procedures (delayed due to staff illness)
Policies and Procedures
PHASE 2
Develop Workflow
Processes (Awaiting dates
from supplier)
13/11/09
(SLIPPED)
TBC
 Test the search facilities
Test Workflow
(linked to above)
 Further development of the module to provide full workflow to support our requirement
Go live
TBC
 Test the workflow processes
 Update and upload the Policy on Policies Document to include the requirement for search criteria to
be identified in all policies
 Develop a Communication Plan for the Trust Go Live
 Incorporate all policies into the Corporate Document Library
 Incorporate all departmental documents into the Corporate Document Library and lock down access
to K drive
Corporate Documents
Transfer all documents
from K drive
TBC
Real Time Patient Feedback Project - December 2009
Accomplishments
Key Milestones
 Proof on concept for design and functionality on the application has been delivered
 Final sets of questions have been received from the Nursing team
 An administrator has now been confirmed
Proof of concept
21/08/09
COMPLETE
Demonstration to
stakeholders
21/08/09
COMPLETE
Key Issues
Mitigating Actions
1. Finalise the design of the patient survey
1. Feedback has been given to suppliers on the
design and functionality and they are working
on the development
Finalised form factor
21/08/09
COMPLETE
2. Provide specification of internal and external
management reports required
2. Clinical Governance team are providing this
information
Approve Design
30/10/09
COMPLETE
3. Complete integration of response data with
Data Warehouse
3. Suppliers working on the integration
Confirm Data Items
30/10/09
COMPLETE
Create application
08/11/09
Slipped.
Revised date
to be
confirmed
Create reports
20/11/09
Testing
27/11/09
Deliver training
04/12/09
Go live
07/12/09
Upcoming Activities
 Awaiting delivery if the final design of the application
 Testing the application
RNOH 1+1
Single Sign On and Context Management Highlight Report - December 2009
Key Milestones
Accomplishments
 Push 1 of the Roll out has been completed (Information, Commissioning, Medical Records,
Histopathology, Orthotics and Centralised Booking) – we have rolled out to over 100 PCs. Feedback
has been largely positive and no major issues have been raised by
 All training documentation (including an e-learning tutorial) is complete and has been posted to the
RNOH Web
 Single Sign on functionality for RNOH Insight has been completed
Key Issues & Risks
Mitigating Actions
1. Users may not like the “Shared”/”Public”
workstations functionality and the limited
access
1. As part of the roll out the users will be
educated about the reasons for the shared
approach and the ability to fast user switch
2. It has not yet been possible to roll out Single
Sign on and Context Management for LSS
Infoflex (used by the Bone Tumour Unit) due
to some technical issues
2. The Bone Tumour Unit is the main user of
LSS Infoflex. This has now been deferred
until the issue has been fixed. The issue has
been referred to the supplier for resolution
3. IT Resources
3. A gap in the roll out schedule has been
provided to allow for the conflict of IT
resources required for Bolsover Street
Project Schedule and Preparation
Activities
15/05/09
COMPLETE
Bridge Development Environment
Established
18/05/09
COMPLETE
Vergence Design Complete
22/05/09
COMPLETE
Bridge Development Complete
24/07/09
COMPLETE
Roll out Strategy/Planning
Complete
14/08/09
COMPLETE
Testing Complete - Trust
Acceptance of Functionality
19/10/09
(SLIPPED)
Pilot Phase 1
4/09/09
COMPLETE
Bridgeworks Training
24/09/09
COMPLETE
Pilot Phase 2
30/10/09
COMPLETE
Push 1
2/11/09
COMPLETE
Push 2 (Slope)
13/11/09
Push 3 (Slope and Bone Tumour
Unit)
12/12/10
(tentative)
Push 4 (Outpatients)
11/01/10
Push 5 (Bolsover Street)
18/01/10
Push 6 (Imaging, Eastgate house
Execs)
TBC
Upcoming Activities
 Completion of Single Sign on and Context Management functionality for LSS Infoflex through
resolution of associated technical issues (this is a prerequisite for Push 3)
 Completion of Push 2 and 3 (another 200 PCs targeted) and associated post implementation support
 Development of Single Sign on and Context Management functionality for RIS (this is a prerequisite
for Push 6)
RNOH INSIGHT Status Update – December 2009
Key Milestones – Phase 1
Linking with QlikTech (for PAS data in DW)
19/08/09
COMPLETE
Completion of PAS Data Transfer
30/11/09
Completion of RadCentre Data Transfer
Feb 2010
PAS Interface Post Implementation
Support Model defined
18/12/09
 Agreement has been reached with the supplier for RIS data migration at no additional cost
RIS Interface Post Implementation
Support Model defined
May 2010
 Analysis of RadCentre Data
Workstreams to deliver Requirements
30/06/09
COMPLETE
Completion of 18 Weeks Reporting
Solution
1/07/09
COMPLETE
Completion of the Prosthesis Reporting
Solution
24/07/09
COMPLETE
Completion of Daily Discharge Monitoring
Report
28/07/09
COMPLETE
Completion of New to Follow up ratio
11/08/09
COMPLETE
Completion of Coded/Uncoded Lists
Report
21/08/09
COMPLETE
Accomplishments
Data Warehouse
 Validation of the PAS data into the Data warehouse
 Data Cleansing of to address Outpatient Data Quality issues complete
 Creation of RadCentre clone (required for the transfer of Imaging data into the Data warehouse) now
complete
 Automated Data Cleansing of Inpatient Episodes missing referrals has been completed
 The Project Board have agreed the systems for the next phase of the data migration
Insight Reporting
 The Information team has been trained on report design and creation so that they can work with the
project team to deliver Phase 1 Business Intelligence reports
 Commenced work on Data Warehouse sourced Phase 1 Reports (based on the requirements raised by
the workstreams)
Key Issues & Risks
1. Issue – The Data Validation exercise has revealed a
number of discrepancies between PAS and the Data
warehouse, which require thorough investigation. This
may further impact the project delivery timescales
Mitigating Actions
1. All issues are being captured and
undergoing close investigation by the
Project Team and the Supplier. All impacts
on the overall solution and plan are being
assessed
Upcoming Activities
Phase 1 Business Intelligence Reports
Completion of Operational Workstream
Reporting Solution
May 2010
 Completion of Data cleansing effort and validation of PAS load and automated update process – Sign off of
PAS Data transfer in the Data warehouse
Completion of PBR Clinical Coding
Reporting Solution
June 2010
 Definition of a Support/Operations Model for the Data Warehouse for the ongoing management after go
live
Completion of Clinician Workstream
Reporting Solution
June 2010
 Commencement of Imaging data transfer into the Data warehouse
Completion of Executive Information
Workstream Solution
July 2010
Completion of Data Quality Workstream
Reporting Solution
July 2010
Development of Phase1 reports and
Business Intelligence Output
July 2010
Data Warehouse
 Initiate discussions on required data for PLC and for Therapies into the Datawarehouse.
Insight Reporting
 Deliver Phase 1 Business Intelligence reports directly from the Datawarehouse
 Design Review
RNOH INSIGHT Detailed Workstreams Report – December 2009
RNOH Insight Phase 1 Business Intelligence Workstreams
Operational Workstream (led by Claire Euesden)

A series of requirements has been delivered and reviewed by the project team.

A number of interim reports (using excel and access database sources) have been created to meet those requirements and published on Insight (new to
follow up ratio for Inpatients and Outpatients, Discharge Monitoring , Pre Op Assessment and Screening activity)

The project team is now in the process of creating the reports that are reliant on PAS sourced data from the actual Datawarehouse. These will be ready in
December for review by the workstream
Executive Information Workstream (led by Saroj Patel)

A number of interim reports (using excel and access database sources) have been delivered and published on the Insight portal for the Executive team

The project team is now working on creating these reports using the Datawarehouse (end state solution)
PBR Clinical Coding (led by Andrew Wheeler)

A series of requirements have been received and reviewed by the project team

An interim report (sourced from an access database) has been created and published on the Insight Portal

The project team is currently working with the clinical coding workstream to generate Datawarehouse sourced reports to meet their requirements
Clinician Workstream (led by Dr Maya de Souza)

The Project team has met with Dr de Souza and agreed a series of high level information requirements

The team are producing sample reports from the Datawarehouse (these are closely based on the Operational workstream reports). These will be then
reviewed by Dr de Souza and following her feedback and approval, will be circulated for review to other clinicians
Patient Level Costing Workstream (led by Cai Morgan)

The PLC Reporting Solution has been deferred to Phase 2 at the request of the workstream lead

Analysis has commenced on the required data attributes for PLC and their required source
Data Quality Workstream (led by Colin Waller)

A Data Quality working group consisting of key personnel from across the various units and areas in the trust they have met twice. A number of key
objectives have been agreed:

Obtain engagement across the Trust on the Data Quality agenda

Raise awareness of the importance of Data Quality

Define and develop Data Quality reports

Define and implement solutions to address procedural or system issues which affect Data Quality

Implement and embed the Data Quality Policy

To carry out periodic Data Quality audits

To develop targeted programmes
Orthotics Paper Light Project – December 2009
Key Milestones
Accomplishments
 Wireless survey completed and order place for completion of the installation
Delivery of completed application
30/10/09
Application testing
30/11/09
Install wireless and network
points
21/11/09
Interface software
20/11/09
Test interfacing software
27/11/09
Deliver training
01/12/09
Pilot Go live
Dec 2009
Go live
Jan 2010
Post Implementation Issues and
Support
Mar 2010
 Delivery of interim version of the application to Orthotics for review and initial testing.
 Some testing has been completed and feedback provided to the supplier and further updates
delivered
 Equipment survey has been completed
Key Issues
Mitigating Actions
1. Delivery of wireless and other network
points
1. This is being scheduled with the original
supplier as resource conflict resolved.
2. Delivery of equipment requirements. The
tablets will be the main issue as a decision
on which model has still not been taken.
2. The equipment list has been completed and
is currently being ordered. A sample tablet
has been provided for review however the
timescale for their delivery is around four
weeks.
3. Interface software to be purchased
4. Integration of faxing software
3. The order has been placed and is awaiting
Finance to approved payment method.
4. This is currently being tested using the free
service offered by NHSMail
Upcoming Activities
 Final Testing Scenarios and Test Scripts to be completed
 Testing to continue on the interim version of application including HL7 testing
 Delivery of further updates to the application
 A test wireless to be installed to test tablet PCs
 The live wireless and other network points to be installed
 Provide template for demographic data load
July 15
PAS Discharge Summary Project – December 2009
Key Milestones
Accomplishments
 Discharge summary completed
Application and process testing
15/01/2010
Key Issues
Mitigating Actions
Training for pilot users
25/01/2010
1. Embedding of process changes in areas
and with personnel where Discharge
Summaries are to be completed
1. Discussions with key stakeholders are
taking place with a view to implementing
this process
Pilot Go live
27/01/201
2. Some changes may be required for Go live
2. Raise the changes with PAS supplier with a
view to prioritising early development
Go live
01/03/2010
3. Access to clinical staff to provide
information and testing
Upcoming Activities
 Obtain drug codes, diagnosis codes, procedure codes for drop down list selection
 Set up standard phrases as appropriate
 Obtain clinical sign off to the process
 Establish training plan
 Deliver training
July 15