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Sep 12, 2022 15 likes •126 views

Mapping Your Journey to Paperless Care Liverpool Heart and Chest Hospital Lorna Green RN BSN Healthcare Informatics Executive Advisor Hyland Software creator of OnBase 1. Paperless is a by- product of IT Enabled Healthcare 2. Bold

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SLIDE 1

Lorna Green RN BSN Healthcare Informatics Executive Advisor Hyland Software creator of OnBase

Mapping Your Journey to Paperless Care

Liverpool Heart and Chest Hospital

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SLIDE 2

Key Messages

1. Paperless is a by-product of “IT Enabled Healthcare” 2. Bold and clear vision is key 3. Find industry partners not suppliers 4. Go for best of breed 5. This is transformational organizational change

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SLIDE 3
  • Specialist tertiary care center
  • Coronary heart disease / PCI
  • Cardiac Electrophysiology*
  • Cardiac devices (PPM/ICD/CRT)*
  • Respiratory Inc. CF*
  • Cardiac surgery*
  • Thoracic surgery*
  • Upper GI surgery
  • Aortic surgery

*Amongst the largest centres in UK

  • Highest overall patient

satisfaction (CQC inpatient survey) for 7 of last 8 years

  • HSJ Hospital of Year 2012
  • Patient and Family Experience

Vision is a core value

Liverpool Heart and Chest Hospital

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SLIDE 4

How Can EPR/EMR Improve Patient Care?

  • Clinical decision support
  • Data availability
  • Closed loop systems
  • Quality assurance
  • Patient experience
  • Process efficiency
  • … but we didn’t always have such a clear understanding…
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SLIDE 5
  • 2010
  • Basket case” would be over-stating it, but overall we were in a sorry state
  • Npfit & Lorenzo were still “default position”
  • Visioning – The art of the possible
  • Visits to UK & US sites
  • Comprehensive requirements document
  • 2011
  • Selected partners = Allscripts, with Hyland as EDMS supplier - Sept 2011
  • 2012
  • Project commencement April 2012

LHCH EPR Program

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SLIDE 6

EPR/EMR Project Scope

  • Allscripts Sunrise Clinical Manager
  • Clinical documentation & nursing workflows
  • Electronic prescribing and medicines administration
  • Order entry / results reporting
  • Allscripts Patient Flow
  • Other features (SHM, Patient portal, Clinician Portal)
  • Hyland OnBase EDMS (integrated sub-project)
  • Use as ECM (Enterprise Content Management), not just EDMS
  • Carestream PACS (parallel integrated project)
  • Interface and integrate existing systems
  • Silverlink (iCS) PAS
  • LSS (LHCH Scheduling System)*
  • Radiance ABG from ITU*
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SLIDE 7
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SLIDE 8
  • Paperless care

= no

  • Arguably closest UK approximation to it

= yes

  • Key enablers in place

= yes

  • HIMSS 6 candidate status
  • Joint highest CDMI

Our Present Status

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SLIDE 9

EPR Vision – Underlying databases

PAS Perfusion Database Incident Reporting RIS Stock Mgt

“EPR” System PACS EDMS

Cardiac PACS

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SLIDE 10

Conclusions

Allscripts Sunrise Clinical Manager

  • Clinical documentation & nursing workflows
  • Electronic prescribing and medicines administration
  • Order entry / results reporting
  • Allscripts Patient Flow
  • Other features (SHM, Patient portal, Clinician Portal)

Hyland OnBase EDMS (integrated sub-project)

  • Use as ECM (Enterprise Content Management), not just EDMS

Carestream PACS (parallel integrated project) Interface and integrate existing systems

  • Silverlink (iCS) PAS
  • LSS (LHCH Scheduling System)*
  • Radiance ABG from ITU*
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SLIDE 11

Thank You!