e-Care Order Comms to go live at GDE in April

NHS, Five Year Forward View
“The e-Care programme board have confirmed that e-Care Order Comms functionality will go live date on Saturday 8 April 2017,” latest West Suffolk NHS Foundation Trust board papers show

GDE trust is moving into phase two of EPR delivery

[West Suffolk, UK] The EPR Order Comms functionality will go live in April at the West Suffolk NHS Foundation Trust (WSFT), one of NHS England’s 12 known Global Digital Exemplars (GDEs).

“The e-Care programme board have confirmed that e-Care Order Comms functionality will go live date on Saturday 8 April 2017. From this date we will use e-Care to request, collect and/or receive and endorse all pathology samples,” board papers published following the meeting on 3 March reveal, although the initial transition to phase two of the e-Care programme was planned for the end of March.

Sepsis and acute kidney injury alerts will also be activated within the Cerner system, which will ‘run algorithms in the background’ to warn a clinician whenever a patient’s condition is thought to be deteriorating.

The same documents show funding expected to be received for the GDE scheme will be allocated to further develop e-Care: “This will see the system fully integrated with those used by GPs, social services, other hospitals and care providers so that everyone can share the same records, avoiding duplication and making life easier for clinicians.”

GDEs to receive funding next month?

Senior NHS sources have told BJ-HC that GDEs will receive funding from the beginning of April as a Five Year Forward View follow-up document is set to be published at the end of March.

WSFT is expected to ‘align’ IM&T initiatives with main goals set out for improving patient care, seeing ‘digitisation’ as an ‘enabler’: “We have a clear organisational strategy, discussed with and countersigned by colleagues across the care economy and the wider public sector.”

The trust will work with local partners to provide ‘mentorship in all aspects of deployment’, increasing digital maturity across both Cerner and non-Cerner sites: “We will achieve this goal through strengthening existing partnerships such as those with Cerner, the Eastern Academic Health Science Network (ESHSN) and our teaching partner Cambridge University. We will also build new partnerships locally and internationally with other exemplar sites or IP development partnerships.”

The documents also include details regarding cybersecurity roles, with the finance director also being responsible for ensuring all IT systems are used appropriately, mitigating risks of potential external breaches.

“The Finance Director shall ensure that risks to the Trust arising from the use of IT are effectively identified and considered and appropriate action taken to mitigate or control risk. This shall include the preparation and testing of appropriate disaster recovery plans.”

Jon Green, Chief Operating Officer at the trust, revealed there had been a few technical issues with ‘the ability of the data warehouse’ to ‘collect and report information’ regarding the referral to treatment (RTT) reporting function, although the trust is reportedly working with Cerner to resolve this.

“These issues have masked underlying data quality issues creating a complex picture in terms of addressing these issues. As a result the Trust has not had a functioning Patient Tracking List (PTL) and had therefore used a variety of assumptions supported by other data sources and some soft intelligence to manage the risk to patient and provide estimated reports.”

New CIO wants to improve patient journey

The trust appointed a new Chief Information Officer in January this year, Mike Bone, who revealed on LinkedIn he was ‘quickly getting into the thick of the work’ to deliver a ‘world-class’ EPR system, along with the GDE scheme.

“The GDE will see technology truly used as an enabler across the whole health economy in West Suffolk. At the heart of this will be my desire to improve the patient journey by joining up (as far as possible) all elements of the patient's health record.

“I also expect to work closely will clinicians so that technology can enhance their experience and be seen as a truly beneficial provision in all elements of their work,” the CIO wrote on LinkedIn.