EHI Awards theatre
For the first time, six of the winners and finalists from the EHI Awards 2010 in association with BT are being given their own stage at EHI Live 2011. They will outline the work that made them winners, the impact it has had, and the latest developments in their projects. These sessions are free for all visitors, and will give them a chance to meet the winners of EHI’s own awards and take back inspiration for their own trusts.
Monday 7 November
Health Informatics Strategy for the Management of Specialist Services : Haemophilia , a case study
Rob Hollingsworth, head – Medical Data Solutions and Services (MDSAS)
Management of specialist services (rare disorders) in the NHS can benefit enormously from a tailored health informatics strategy to support all aspects of service delivery. This session will use the national haemophilia service as an example of a successful strategy that can be applied to other specialised services. Haemophilia is a life-long bleeding disorder for which treatment with replacement blood products is required. Treatment is expensive, with product costs around £170m a year. The strategy developed for it incorporates four integrated IT systems, including a treatment centre management system, a national registry and a national online reporting portal.
The NHS Haemophilia Informatics Strategy developed with MDAS won the excellence in major healthcare IT development category of the EHI Awards 2010 in association with BT.
Recent extensions to PICS – the rules -based clinical decision support and e-prescribing system at University Hospitals Birmingham NHS Foundation Trust
Ian Clark, head of the Wolfson Computer Laboratory – University Hospitals Birmingham NHS Foundation Trust
Although PICS is probably known outside University Hospitals Birmingham for its e-prescribing functions, the system has many other clinical uses. Functionality is reviewed regularly and updated as required and the software continues to be extended into new areas. This presentation will outline the functionality that has been developed in the past year or so, which includes extensions to observations charting, major changes to allow deployment in outpatients and ambulatory care, and the inclusion of operation notes and digital pen technology.
The PICS team at University Hospitals Birmingham NHS Foundation Trust were shortlisted in the Healthcare IT team of the year category of the EHI Awards 2010 in association with BT.
Improving healthcare using computer modelling and simulation
Claire Cordeaux, lead for healthcare - SIMUL8 Corporation
This session will explain what computer modelling and simulation and how it can benefit the health service. It will draw on SIMUL8 Corporation’s global experience in developing and using simulation models in different aspects of healthcare, from nursing processes in the ward, to managing A&E flows to meet performance indicators, to the efficient management of operating theatres, to care pathway redesign across organisational boundaries to whole system strategic planning. The session will use case studies to show how simulation technology can be applied to test plans to improve resource utilisation, bring down cost and waiting times and improve patient outcomes to improve evidence-based decision-making.
Simul8 Corporation was a runner up in the healthcare IT product innovation category at the EHI Awards 2010 in association with BT.
Telemedicine for Stroke – the East of England Experience
Lynda Sibson, telemedicine project manager – NHS East of England
The East of England had a number of difficulties in providing 24/7 thrombolysis for the management of ischaemic stroke. The rurality and geography of the region meant 60 minute ambulance travel times, while the region’s hospitals were unable to provide a 24/7 hyper-acute stroke and thrombolysis service. These factors led to the development of an alternative model of health care delivery, using a telemedicine system. A Telemedicine Stakeholder Partnership was established to oversee the development and implementation of a stroke telemedicine service, providing out-of-hours access to expert stroke consultants via a videoconferencing link.
NHS East of England was the winner in the best use of telehealth and telecare category at the EHI Awards 2010 in association with BT.
DNA Algorithm to reduce the number of outpatient 'Did Not Attends'
Daniel Ray, director informatics & patient administration – University Hospitals Birmingham NHS Foundation Trust
The aim of the DNA algorithm is to reduce the number of outpatient appointments missed without notice, which means that they cannot be allocated to anybody else. Reducing “did not attends” reduces the outpatient waiting list; makes sure that patients get seen sooner; and allows the hospital to maximise resource usage and see a financial benefit. Identifying the key characteristics of patients who DNA, and applying these to patients on the outpatient waiting list, means that patients can be highlighted as a potential DNA. They can then be contacted for confirmation of attendance.
The DNA algorithm was a runner up in the excellence in healthcare information management category at the EHI Awards 2010 in association with BT.
Reducing length of stay in acute hospitals using RealTime
Jim Gabriel, CEO – RealTime Health Ltd
RealTime Health helps the NHS to reduce length of stay and improve patient care in acute hospitals, using a proven and repeatable methodology of clinical process improvement backed up by the RealTime patient flow management and decision support software product. RealTime focuses on making sure that patients can reach the point of being clinically fit for discharge at the earliest possible opportunity, by enabling all aspects of inpatients' journeys from pre-admission to discharge to be clinically driven and collaboratively managed. The RealTime methodology has been developed in the US by senior clinicians and rolled out for more than 20 years.
RealTIme Health is a finalist in the EHI Awards 2011 in association with BT.
Tuesday 8 November
Adrian Kearns, service improvement facilitator – Pan Birmingham Cancer Network
The aim of this project was to develop an in-house, revenue neutral IT mechanism to facilitate the deployment of a keyworker following the emergency admission of a known cancer patient to hospital. The keyworker makes sure that patient is in the care of the appropriate team, so they can have a speedy discharge with outpatient and community support. The alerts are based on a simple concept. Once a patient is known to the cancer team they are flagged on the Lorenzo patient administration system. Any admission then generates an e-mail to the keyworker that can be accessed via a computer or a smartphone.
The keyworker alerts project is a finalist in the EHI Awards 2011in association with BT.
One step further – using technology to assist in the recognition and referral of the acutely ill patient
Sarah Ingleby, lead nurse acute care team,
Steve Jones, consultant physician – Central Manchester University Hospitals NHS Foundation Trust
The session will focus on a drive to improve patient safety using technology, using the Patientrack bedside observation, recognition and alerting system, which calculates early warning scores for patients whose condition may deteriorate and allows nurses and other staff to contact the most appropriate responder. The session will focus on why and how Central Manchester chose the tool, standard setting, making the change, he barriers that were overcome, and the lessons learned from the project.
The controlled trial of Patientrack by Central Manchester University Hospitals NHS Foundation Trust was the winner of the best use of IT to promote patient safety category of the EHI Awards 2010 in association with BT.
Scottish Care Information -Diabetes Collaboration – supporting the NHS Scotland healthcare quality strategy
Scott Cunningham, technical consultant – University of Dundee
The Scottish Care Information - Diabetes Collaboration (SCI-DC) is a web-based clinical information system, supporting the care of people with diabetes. This session will show how SCI-DC has aligned its clinical functionality to NHS Scotland's healthcare quality strategy and its six dimensions of quality. The data presented will outline the effect of diabetes care on process and long-term outcomes, explain how it has been used to highlight areas for clinical improvement, and how it has influenced recommendations for national health care policy and planning. Areas of ‘secondary use’ will be discussed including epidemiological research and patient access. Across the UK and beyond, SCI-DC is considered a 'gold-standard' system unrivalled across chronic disease areas.
The SCI-DC team were shortlisted in the healthcare IT team of the year category of the EHI Awards 2010 in association with BT.
Innovative use of technology delivers improved patient choice and access
Enid Povey, associate director clinical information and development – NHS Direct and Robert Dunlop, clinical director – InferMed
In December 2009, InferMed was chosen as prime contractor to lead a consortium of UK partners (Rackspace, Sitecore, and Eduserv) to rebuild, enhance and host the NHS Direct web site and its digital health services. The key focus of the project was to enhance NHS Direct’s online Health and Symptom Checker service, using InferMed’s Arezzo clinical decision support technology. The managed service went live in July 2010, and Health and Symptom Checkers covering a wide variety of symptoms and conditions are available to patients in the first quarter of 2011. By May, the service was available as an app on Android phones.
The NHS Direct and Infermed project is a finalist in the EHI Awards 2011in association with BT.