north east ambulance service global digital exemplar · 111 cad, nhsn, scr, cpis,mig 999 cad, nhsn,...
TRANSCRIPT
Ambulance GDE
North East Ambulance Service
Global Digital Exemplar
Lynne Hodgson
April 2019
➢ Emergency & Urgent Care Review
➢ Three Ambulance Services Identified
➢ Local GDE Proposals Shared / Reviewed
➢ NEAS Background – NE 10 CCG’s, 7 FT
Acute & Comm.
Introduction
GDE progress to date
Context
Local Digital Roadmap Alignment
➢ Multiple LDRs
➢ A mix of solutions across each
region
➢ Ambulance trusts working on
different schemes at local pace
➢ Funding to STP has local, not
regional, focus
NEAS GDE
WS1 - Electronic Health Record
WS3 - Interoperability
WS
2In
teg
ration
WS
4In
form
ation
An
aly
sis
WS
5A
sset
Man
ag
em
en
t
• Building on existing foundations
• Integrating existing NEAS systems
• Enabling interoperability through
open standards
• Enhancing the Analysis of our
information
• Smart management of our assets
NEAS GDE
Jul
Aug
Sep
Oct
Nov
Dec Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec Jan
Feb
Mar
WS1 Electronic Health record
WS2 Integration
WS3 Interoperability
WS4 Information Analysis
WS5 Asset Management
£0
Milestone
Payment 1
Milestone
Payment 2
Milestone
Payment 3
Milestone
Payment 4
£315,000
Assurance
Milestone 5
£0
Assurance
Milestone 6
Funding Milestones
£175,000 £423,000 £635,000
Q4 21Workstream
Q2 18 Q3 18 Q4 19 Q1 19 Q2 19 Q3 19 Q4 20 Q1 20 Q2 20 Q3 20
111 CAD, NHSN, SCR, CPIS, MIG
999 CAD, NHSN, SCR, CPIS, MIG
ePCR CAD, NHSN, SCR, CPIS, MIG
NRLSMental Health
NRLSAmbulance
DOSIntegration
Primary CareToC Messaging
Urgent & Acute CareToC Messaging
ePCR Video to Operations Center
Video to Care Homes
ePCR Video to Remote Clinician
Pathfinder Application
Info Exch.Engine 2
Zoll Bluetooth Integration 1
Simulation
Simulation Application 1st Trust
IntranetRefresh
Business Intelligence
CAREProject
RFIDMedicines Barcoding
111 SNOMED Coding
999 SNOMED Coding
ePCR SNOMED Coding
P1-4 P1-4 P1-4
P5 P5
P6
P7 P7 P7
P8 P8
P9 P11
P10
P12 P12P13 P13
P14
P15 P16
P17 P17 P17
Zoll Bluetooth Integration 2
P11
Info ExchEngine 1
P10
3 Year programme made up of 17 projects
GDE Projects and Dependencies
Ref Description of deliverableDescription of dependency with
other GDE ambulancesGDE Ambulance Trust
P1 NHS Number Retrieval None - NEAS to develop Blueprint NEAS
P2 CP-IS Retrieval None - NEAS to develop Blueprint NEAS
P3 SCR Retrieval None - NEAS to develop Blueprint NEAS
P4 MIG Retrieval None - NEAS to develop Blueprint NEAS
P5 NRLS Integration
NEAS to Develop / Collaborate with
WMAS & NTW / TEWV Mental Health
Trusts to develop Blueprint
NEAS / WMAS &
NTW / TEWV Mental Health
P6 DOS IntegrationNEAS to Develop / Collaborate with
WMAS to develop BlueprintNEAS / WMAS
P7 Video Consultation
None - NEAS to develop Blueprint
SCAS / Gateshead / Sunderland
Vanguard to collaborate with Care
Home Elelement
NEAS / SCAS &
Gateshead / Sunderland
Vanguard
P8 TOC Integration
NEAS to Develop / Collaborate with
WMAS / SCAS and Norh Tees Hospital
to develop Blueprint
NEAS / WMAS / SCAS
& NTEES
P9 Pathfinder ApplicationNEAS to develop Blueprint
NEAS to collaborate with YASNEAS / YAS
P10 Information Exchange EngineNEAS to Develop / Collaborate with
WMAS to develop BlueprintNEAS / WMAS
P11 Zoll Bluetooth IntegrationNEAS to Develop / Collaborate with
WMAS to develop BlueprintNEAS / WMAS
P12 Simulation Software None - NEAS to develop Blueprint NEAS
P13 Enhanced Business Intelligence
NEAS to develop Blueprint (for specific
area of BI)
Collaborate with all Ambulance GDEs
NEAS / WMAS / SCAS
P14 CARE Project None - NEAS to develop Blueprint NEAS
P15 Equipment RFID None - NEAS to develop Blueprint NEAS
P16 ePCR Barcoding None - NEAS to develop Blueprint NEAS
P17 SNOMED CodingNEAS to Develop / Collaborate with
WMAS to develop BlueprintNEAS / WMAS
• Working with staff and Patients to ensure
we capture the challenges.
• Working close with other ambulance
GDE sites to shape overall ambulance
solutions.
• Working in collaboration with Acute
Hospitals to enhance our interactions.
• Working in Partnership with suppliers to
understand and shape future challenges
and solutions.
Project 15 – Equipment RFID
Aims
• High value, large size equipment.
• Proactive alerting when equipment
missing
• Remote alerting / auditing of
equipment
• Equipment tracking across vehicles
Considerations
• Passive or Active Tags
• Administration
• Monitoring
Project 15 – Equipment RFID
Benefits
Benefit Name/Description National Objective Beneficiary Benefit Type
Improved asset management resulting in lower
losses of equipment
Better Care
Better Quality of information
Staff
Wider Health System
Public / Patient
Cash releasing
Qualitative
Improved information sharing between internal
functions within NEAS (Fleet, Equipment etc).
Better Quality of informationStaff
Wider Health System
Public / Patient
Non-cash releasing
Qualitative
Improved efficiency by promoting lower
ambulance cost avoidance / reduced downtime
Better Care
Better Quality of information
Staff
Wider Health System
Public / Patient
Cash releasing
Qualitative
Help to prevent further harm by ensuring the
appropriate equipment is managed on
ambulances. Better Health
Better Care
Patient
Staff
Wider Health System
Public / Patient
Non-cash releasing
Qualitative
Project 16 – ePCR Barcoding
Aims
• Drug administration
• Batch tracking / Recall
• Alerting (OOD / Dosage)
• Stock management
Considerations
• User acceptance
• Process alignment / practicalities
• Administration
• Monitoring
Project 16 – ePCR Barcoding
Benefits
Benefit Name/Description National Objective Beneficiary Benefit Type
Improved information sharing by using
a common coding system to compare
Better Care
Better Quality of
information
Patient
Staff
Wider Health System
Public / Patient
Non-cash releasing
Qualitative
Improved efficiency by reducing
ambulance cost / avoidance / downtime
or comparing outcomes.
Better Care
Better Quality of
information
Staff
Wider Health System
Public / Patient
Cash releasing
Qualitative
Help to prevent further harm by
ensuring outcomes can be commonly
viewed (same coding)
Better Health
Better Care
Patient
Staff
Wider Health System
Public / Patient
Non-cash releasing
Qualitative
• NHS Number (P1)
– Identifying patients
• Transfer of Care (P8)
– Hospital integration
• SNOMED Coding (P17)
– Common coding across settings
Joining up
Timeline
• RFID
– Started June 2018
– Two systems trialled on Ambulances
– Neither system meets fully the functionality or financial envelope envisaged.
– Reviewing Scope
• Barcoding
– Started January 2019
– Reviewing Scope
• Likely to combine both programmes of work and extend the scope as a result of
initial assessment.
Questions &
Thank You