The document discusses various digital health initiatives across the West Midlands region of the UK. It describes projects using mobile technology in patient care, electronic patient records systems, Choose and Book for referrals and appointments, Picture Archive and Communication Systems for sharing medical images, and Map of Medicine for standardizing clinical pathways. The overall goals are to improve patient care, safety and outcomes through more integrated digital health records and services.
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MAP
OUR VISION . . .
The West Midlands Programme for
IT (WMPfIT) is working towards
providing the NHS in the West
Midlands with:
• New IT systems which will help to
deliver better, safer and more
connected care.
• Better information will lead to
better health and care - for every
patient.
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Quality, Innovation,
Productivity and Prevention
(QIPP)
• Improve quality of patient care
• Create a climate of sharing
• Greater integration of care
• Mapping & Recognition of good practice
• Gems
Lab
date
GP
Hospital
medical
records
PACS
Eye
Van
Investigations
Opticians Pharmacy
Screening
MAP
4. 4
Gems Criteria
• ‘Quick wins’
• Easily transferable
• Cost effective
• Beneficial
• Current practice
MAP
6. 6
Mobile Working
• Nursing Home ward round:
“by the way, whilst you are here, do you mind
seeing Mrs Smith?”
• Real time access to patient records at
point of care
• Real time sharing of record with other
clinicians and increased clinical activity
“ I now have to see six more patients when
I get back, as I am able to finish all my
clinical documentation at the Nursing
Home”
GP Registrar, Bellevue Medical Practice
“Much better than the previous system,
where I had limited or no access to patient
information until I returned to the surgery”
GP, Hall Green Health
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Choose & Book
• Sandwell PCT - top rated PCT in the
West Midlands;
• 90% referral target;
• Directly bookable appointments at local
acute trust;
• Advice and guidance functionality;
• Directory of Services includes updated
referral criteria;
• Reduces DNA rates, appropriate referral;
• More likely to be successful if care is integrated
between primary, community and secondary care;
• Map of Medicine integrated into C&B within
North Staffordshire.
MAP
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Map of Medicine (MoM)
In the West Midlands there are various local health
communities using the MoM to assist them with
various transformational projects:
• North Staffordshire and Stoke-on-Trent have
localised a number of Musculoskeletal (MSK)
and Chronic Obstructive Pulmonary Disease
(COPD) pathways in order to support their ‘Fit
for the Future’ Programme
• A web based visual representation of evidence-
based patient care journeys
• Provides doctors with the information they need to
make informed decisions based upon national
guidance and also local processes
• Accessible for patients to see through the NHS
Choices website
• Empowering patients to give them choice
and control
“The Map provides doctors with the information they need to
make informed decisions based upon national guidance and
also local processes.
It is accessible for patients to see through the NHS Choices
website. This empowers patients to give them choice and
control.”
Quote from James Davies, NHS North Staffordshire
MAP
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Lorenzo Podiatry
• Clinical notes: record consultations,
upload photos of wounds, treatment
plans and facilitates work flow.
• Forms: monitor wounds, assess foot
risk, record nail surgery assessments
and treatments.
• Clinical documents: letters back to
referrers and referrals onto
consultants.
• Very stable and reliable, even when
used out and about in patient’s homes
via 3G mobile broadband.
Revolutionised how the team works: “we no longer relying on paper
documents, never lost a note, and never failed to find a patient.”
Amanda Cadge, Head of Podiatry at NHS South Birmingham
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• Calls to ambulance service are
recorded through an Electronic
Patient Record.
• Information is sent to the ambulance
which is fitted with a Panasonic
Toughbook to view patient details and
access to decision support software,
helping to improve patient care.
• The collated information is used to
assists with commissioning processing,
operational efficiency, an electronic
database for clinical audit.
West Midlands Ambulance ‘award winning ’Emergency Care System
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Accident and Emergency Department
• Able to view Ambulance ECS patient information on
the Webex Application within in the A&E department
at University Hospitals Coventry and Warwickshire
(UHCW);
• Able to improve efficiency and safety in the A&E
department:
“You know what to expect and the information
helps in terms of planning”
Dr Ward, Consultant in Emergency Care Medicine at UHCW
• Technology updates should allow for data to be
assimilated into NHS Care Record Service
compliant A&E records.
MAP
“An extremely impressive and ambitious use
of technology”.
HSJ Awards, 2006.
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• Enabling clinical images to be
stored electronically and viewed
on screen;
• Access at the touch of a button,
patients can benefit from much
speedier diagnoses and more
informed consultations;
• PACS enables the comparison of
old and new patient images -
measuring the effectiveness of
their patients' treatment and
monitor their progress;
• Images are easily accessed and
can be shared;
• Able to view images at home,
changing the way people work.
“The best thing that has happened in radiology in the last 20 years”
Dr Richard Wellings, Consultant Radiologist at UHCW.
Picture Archive and Communication System (PACS )
MAP
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Electronic Discharge Summary
(EDS)
• NHS Hereford has developed Electronic
Discharge Summary system with all its GP
practices using DOCman.
• EDS significantly speeds up communication
between clinicians. Able to share EDS with
wider team. Community Matrons and District
Nurses are also able to access the information.
• Improving the quality and quantity of
information sent to a patient's GP.
“We are looking at expanding EDS to
include Clinic Letters to improve
communication with the practices.”
Dr Jake Burdsall, Consultant Gastroenterologist
at NHS Hereford.
MAP
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Using Choose and Book to
book a physiotherapy
appointment
• A GP or patient can book physiotherapy
appointments using Choose and Book at
University Hospitals Birmingham and
NHS Hereford;
• Offers the patient an appointment at a
time and place convenient to them.
MAP
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NHS Mail – electronic discharge
information
A secure means of sharing clinical data:
• SMS text reminders for appointments
• Electronic Discharge Summaries taken from
NHS Mail straight into patients GP records (via Docman)
• NHS South Birmingham :
- DESMOND Diabetes Education Programme,
self- referral - hghdesmond@nhs.net
- Cancel Appointments - hghcancelappts@nhs.net
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The West Midlands Quality, Innovation, Productivity and
Prevention Challenge
• To improve patient care we need to share information;
• The spread of innovation will improve quality;
• Technology can help improve patient safety;
• The examples shown on the map can be shared across West Midlands to
reduce inequalities in healthcare;
• The sharing of the treasures on the map will help to address the challenges.
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To Come:
Adding to the Treasure Map. . . .
• Wider sharing of PACS images;
• Summary Care Record;
• HealthSpace;
• Communicator;
• Telehealth.
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For further information, contact West Midlands Clinical Leads:
Masood Nazir: masood.nazir@nhs.net
Karen King: karen.king@westmidlands.nhs.uk
“We will wield technologies
wonders to raise health care
quality and lower its cost.”
Barack Obama’s inaugural speech, January 2009.
MAP
