Airedale NHS Foundation Trust has gone live with SystmOne’s new acute functionality with data hosted by CSC.
TPP and Accenture signed a three-year agreement with Airedale to implement TPP’s hospital system earlier this year.
The trust told eHealth Insider the contract did not go out to OJEU because the total value was under the threshold, which is £113,000 for supplies or services.
They have now deployed the SystmOne patient administration system across the trust along with an A&E system and bed management functionality in the Medical Admissions Unit.
The PAS was switched on overnight last Sunday followed by the A&E functionality on Wednesday. The trust’s iPM PAS has been switched off.
“Staff from TPP and Accenture were on hand throughout the deployment process and will continue to shadow staff on the wards and monitor progress over the coming weeks,” a TPP statement said.
Airedale will now begin planning for the roll-out of order communications, e-prescribing and e-discharge functionality across the hospital in 2013.
SystmOne works with just one electronic care record. It is already used by about 80 general practices, 10 palliative care organisations and more than 100 community services in the Bradford and Airedale region.
TPP clinical director Dr John Parry said introducing acute functionality seemed like the logical way forward for the company to achieve integration across care systems.
“Strategically it’s very important. We are able to capitalise on the experience of the last 14 years because we have the architectural structures to deliver a single patient record in a multiple care context,” he said.
Dr Parry said TPP will continue to develop its acute offering, but will be pursuing more work “in the very near future.”
“I’m absolutely sure that there’s an affordability gap in the market in that some of the major systems are very expensive, but this is also unique because of the integration of primary care data with secondary care. This should produce a revolution of connected care,” he added.
TPP has successfully migrated 500,000 of the trust's patient records into the system and all data will be hosted securely by CSC.
“I can already in my GP record see a particular patient has had several admissions for treatment for their cancer, but I can also see upcoming appointments. That’s a huge leap forward in terms of joint management of patients,” Dr Parry explained.
He said CSC runs the data centres, but does not monitor or maintain the servers or deliver software to the servers.
“The hosting of the servers doesn’t preclude work with other partners,” he said.
“We do foresee working with partners like Accenture in the future and do foresee packages that will enable benefits to be realised quickly within the term of the contract to make it affordable.”
Airedale has more than 450 beds and around 3000 staff.
© 2012 EHealth Media.
But what terminology does it use?personal opinion 112 weeks ago
I was under the impression that the Information Standards Board had decreed that all new systems should use SNOMED CT, but as far as I am aware SystmOne still uses CTV3 (READ codes).
Certainly all hospital EPR systems which are now being deployed comply.
How does TPP square this circle?
I would also be interested to know how SystmOne fills the gap between the restricted CTV3 content and the richness of SNOMED CT - I do hope it is not by adding even more 'Y' codes (TPP specific codes) as this is neither sustainable nor it is in line with the guidance published by CfH.
IMHO, the READ codes (READ v2 and CTV3) are not suitable for use in a hospital system as their content was (and is) aimed specifically at primary care purposes. In addition all new data and interoperability standards are being specified in terms of SNOMED CT.
Therefore any acute hospital trust that takes on system usisng either of the READ terminologies for clinical records is taking themselves down a blind and probably very expensive alley.
Mapping to SNOMED CT is not the answer to get you out of the blind alleypersonal opinion 112 weeks ago
Please do not suggest that mapping is the answer. Any of the primary care suppliers who have been around for a while will tell you that this is not sustainable in the long term.
Translation (or mapping if that is what you want to call it) is fraught with dangers.
Remember when J F Kennedy visited Germany and said "Ich bin ein Berliner", which translated as "I am a doughnut".
That just made him look a fool, but I would hope that an error like this would not be made in my medical records as it could have much more serious consequences. Imagine what would happen if a diagnosis of hypotension was mistranslated as hypertension and then medication was given based upon that mistranslation.
DO IT ONCE, DO IT RIGHT and DO NOT TRUST SYSTEMS to change what you say. That way you minimise the chance of error, safeguard your patient, and protect your reputation.
Kennedyin arduis fidelis 112 weeks ago
Point of order, as Kennedy was from an outsider from America what he said was the only grammatically correct way in the German language he could declare he was "a citizen of Berlin", the jelly doughnut reference in that context is a myth
YesSarahTPP 112 weeks ago
TPP do already provide a social care system (integrated with finanical system Controc) which integrates seamlessly with all our SystmOne modules for the NHS. We'd be more than happy to work with individual trusts to meet any additional requirements and look at other integrations on a case by case basis.
To discuss further, please do contact us on 0113 20 500 83.
e-prescribingKamalTPP 112 weeks ago
The SystmOne e-prescribing solution includes complex prescribing e.g. syringe drivers, sliding scale prescriptions, warfarin prescribing and monitoring and patient controlled analgesia (PCAs). All complex infusions can be prescribed, adjusted and then monitored using inbuilt drug and observation chart functionality. As a result, we believe that our advanced e-prescribing functionality will support all acute sector specialties.
If you would like to see more of the e-prescribing solution, please call us on 0113 20 500 83 and we can arrange a date to show you the functionality in more detail.
At last!!Soothsayer 113 weeks ago
At last, someone has seen the obvious way forward for (relatively) low cost electronic health records in secondary care. If CfH had been better advised (or used some naus) they could have paid a billion to TPP and EMIS to enhance their existing GP systems to meet the needs of secondary care.
When it is boiled down to basics, recording TPR is the same across the piste, likewise most clinical noting & correspondence, RIS/PACs & 'ology are already integrated, basic prescribing exists. Add in IV prescribing and all the Meds Admin functions and you're almost at Nirvarna. The complexities of theatres and critical care are already met with specialist systems, so just need integration.
Now where do I collect my fat consultants fee?
Simples - sorry, I think notpersonal opinion 112 weeks ago
So you "just need integration".....
Thats like the Government saying that the answer to its financial problems is "just get everyone to pay their taxes"
Very easy to say but very difficult to acheive.
Also as you will see from a later posting of mine, if the systems you want to integrate don't talk the same language then you are adding further barriers.
Totally agreein arduis fidelis 113 weeks ago
A good point well made. In fact I seem to remember hearing somewhere back in 2005 that a University Hospital in Canada was using EMIS LV as a PAS/EPR. When GP clinical systems have had coding, appointment modules, care plans, cradle to grave patient records, prescribing/dispensing etc since before NPfIT, it has always begged the question which so called "experts" did they ask for advice on on delivering EPR systems to Acutes.
Perhaps they were all blinded at the time by Emperor Lorenzos "New Clothes".
Thanks...SarahTPP 112 weeks ago
..for your comments. However it's worth pointing out that SystmOne isn't just a 'GP clinical system'. We have had fifteen years experience in delivering primary care systems and we’ve built from the ground up what we believe is a best of breed acute system based on the benefits of our existing products. We have over 20 different modules of SystmOne, all tailored to the setting they're installed in. Our acute system is just that, a complete clinical and admin system with specific coding and functionality for hospital trusts. If you'd like to see the differences between the GP and Acute system, we'd be happy to give you a demonstration.