Transcript Integration Strategy Newcastle

Integration Strategy
Newcastle
Robert Shaw
The Newcastle Upon Tyne
Hospitals NHS Trust
Agenda
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About the Trust
Why Integration and messaging approach
Network support
Architecture
Examples of projects with benefits
– Electronic Referrals
– PACS
• National Programme
• Future ……..
Who are we
• Dr Foster Hospital of the Year
• Large Teaching, Tertiary Acute Trust
– £0.5 Billion turn over
– 12,000 employees
– Over 2,000 beds, 58 theatres
– 120 specialities and sub specialties
– Local, Regional and National services
Why integration
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Delivery of business critical information
Uncertainty of future
Volume of Multiple specialties
Interoperability with other Health and
Social Care
• Put Trust in control of which systems are
changed
Network infrastructure …….
Summary Architecture
Audit
P.A.S.
LANTIS
Primary Care
Pathology
Middleware
Integration
Engine
MPI
PACS/RIS
Web
Pharmacy
Casemix
Order Comms
Theatre
Clinical
Mgt
Master Patient Index
• Patient Identification
•NHS Number
PAS
•Hospital Number
MPI
(SQL Server)
•System Number
Migration
•“Back room” system but
the most system critical
Biz Talk
Server
30 + systems
•40,000 per day
• 1.8 million records in MPI
Delivering the benefits …..
• Patient
– There details follow them across the Trust
• Business
– Reduced CNST payments
– Clean set of patient demographics
Praxis example
Draw architecture of PRAXIS
Delivering the benefits …..
• Patient
– Know what is happening
– Information
• Clinician
– Speed of access of referral
– Integrated into record
• Administration
– Rich source of data
Integrated PACS/RIS project
Architecture of PACS
SAN
SAN
Switch Fabric
DICOM Message Handling Validation and Integration
Temporal
Temporal
Web viewer
Temporal
Multiple
Modalities
and
Manufactures
DICOM / Integration
of all existing modalities
DICOM
Conformance
“Compliance” or “Conformance” to
a standard doesn’t always mean
that it will work
Metrics
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5.4 Million images since May 04
Estimate 8.5 Million Radiology p.a.
3,582 users, approx 1,400 concurrent
Hardware
– 48 Tb stretch SAN - HP
– Fx Channel Disks
– 2 Gbps average access rate from SAN
Delivering the benefits ……
• Patient
– Quicker access to diagnosis
– Quicker through the system
• Clinician
– More than one clinician can access the same
picture
– Delivery in all clinical environments
• Business
– Financial
Mermaid …….
Integrated into
Pathology
Radiology
Clinical Notation
•Becoming the clinical front end
•3,000 letters per day
•Future
•Link to clinical document
archive
•Integrate Digital Dictation
with Telecoms switch
National Programme ……
• Vision & Values
• Delivery …… ?
• Only 40% of Trust systems
– Version 2.x ………. Not going away !!!
• Inter operability …….
The Future ………