Informatics Harnessing the power of technology to improve patient care and make our working lives easier - Barts Health NHS Trust
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Informatics Harnessing the power of technology to improve patient care and make our working lives easier 1 BARTS HEALTH INFORMATICS PRIORITIES TIMELINE ABOUT WHERE WE ARE WHERE WE’RE HEADING
Over the coming months, you will notice big changes to
the way we work with technology across the Trust. Our
informatics team are driving these changes to tackle key
issues in our computing infrastructure. This will improve
the working lives of our staff and enable them to deliver Upgrading the service desk
Enabling staff to submit and
with enhanced Providing access to patient records to Barking
improved outcomes for our patients. monitor progress of IT issues
self-service options
Additional East London Patient
and Dagenham, Havering and Redbridge
CCGsRecord
GPs and partnerships
healthcare partners
Across the world, digital systems in healthcare are transforming patient care and
staff experience. The goal of Barts Health informatics is to use digital systems to
improve everything we do. As we make digital improvements, we will see
a reduction in complexity, better clinical services and an ability to
serve patients better through research outcomes.
Our informatics priorities are:
Great for our organisation’s growing
Migrating to cloud-based data Quicker logins,
bandwidth, plus enhanced security and
centre hosting Completing thecloud-based
rollout of
Deploying flexibility for staff storage and prevention from
Eliminationhundreds
of paper more
drug VDI computers
daily cyber attacks
mobile computers
charts, for bedside
instant records
and simplified
clinical care fordrug
use, including patients
carts
Millennium
All clinical to be in
information
usedplace,
one for patient medical
plus real time
bedinformation
management
Introducing
Improved electronic
medicines safety
prescribing and medicines
for patients through barcode Replacing
More our
reliable usenetworks
of mobile
matching and access to digital No more paper patient
administration (EPMA) via Paperless
records, whichworking at
are sometimes devices and clinical
including clinicalmonitors
WiFi
patient records, including allergies
Powerchart Unifying telecommunications
Simplicity for staff currently lost all sites
or damaged
using multiple
systemsdevices.
2 BARTS HEALTH INFORMATICS PRIORITIES TIMELINE ABOUT WHERE WE ARE WHERE WE’RE HEADING
Informatics timeline Still to come…
November April
Network infrastructure Single digital dictation
replacement for The and voice recognition
Royal London and St system (G2) for clinical
June Bartholomew’s commences letters implemented
Cyber security July October
remediation May Network replacement September Paperless documentation November
Barts Life Sciences
commences, including Workstations on Wheels for Whipps Cross and PACS workstation introduced; starting with Service Desk system
March November infrastructure and
technology upgrades (WOWs) roll out CAP-AI projects commence Newham finishes refresh starts nursing processes upgrade and online March
Paperless working fully technology
portal for staff Office 365
embedded across all
November August January September hospital sites upgrade
June
Barts Charity grants Network VDI computers installed October November April September
ELPR views surpass Millennium DNA CPR
£500k for infrastructure at Mile End Hospital, Trustwide extension Trustwide rollout January Business case Clinical Wi-Fi
100,000 per month! function goes live
workstations on wheels replacement starts The Royal London of Millennium’s of Virtual Desktop Windows 2010 for unified PAS upgrade at Whipps
August to enable clinical at Whipps Cross Hospital and Prescot automated vital signs Infrastructure (VDI) upgrade telecommunications functionality Cross and Newham
VDI goes live
at Whipps Cross
paperless working and Newham Street offices
@ recording completes completes completes upgrade commences
2015 2016 2017 2018 nhs.net
2015 – 2018 2019 Still to come… 2020 2021
and beyond:
September May February May July December
August March Further cyber-security improvements
East London Patient Record VDI goes live New trust-wide NHS Mail JAC pharmacy system St Bartholomew’s Wi-Fi
East London Electronic prescribing for Cyber Essentials Plus.
extension to East London at Newham MDT video switchover goes live unification complete network replacement finishes
Patient Record and medicines Find out more here
Foundation Trust conferencing
September solution goes live (ELPR) expansion to administration
Completion of single practices in Barking (EPMA) and medical
August and Dagenham, October documentation via Full Millennium
system mergers May
March Bedside medical device Havering and Procurement for Millennium goes live code upgrade
across the trust: one One London data
Patient Wi-Fi goes live integration (BMDI) trial at Redbridge CCGs migration to Fully integrated
instance of Millennium, exemplar programme
St Bartholomew’s ITU commenced cloud hosting Digital Pathology
pathology and imaging awarded
goes live!
3 BARTS HEALTH INFORMATICS PRIORITIES TIMELINE ABOUT WHERE WE ARE WHERE WE’RE HEADING
About our informatics service
What does the informatics team do? Over the next 5 years, business cases
The informatics team comprises both The Clinical Systems team exceeding £20 million have been
the Clinical Systems and ICT teams looks after the systems used allocated for cloud hosting and
working together. in clinical settings, largely replacement of our physical networks.
This includes improvements to our
Our ICT service is largely focused on Millennium, and its connectivity to
our imaging, pathology and several WiFi for clinical use and developments
all the foundational infrastructure
required to run hospital systems other clinical systems including in our patient record systems.
every day, like the network and voice dictation, eLPR, community The informatics team has three focus
security, datacentres, servers, PCs, EMIS and more. The team also areas, which are based on the mission
telephony and printers. It manages covers application support including and needs of the Trust: a single
the Trust’s central service desk and testing and change requests systems approach, connectedness
end-user computer support. for Millennium. and use of information.
Having single systems means one
system and one patient record across
all sites: Millennium, Sectra (imaging), patients to conduct research, treat
WinPath (pathology), and JAC disease and maintain health.
(pharmacy). We will attract patients to our Trust
Connectedness is about providing by having responsive services that
technology to staff for seamless are at the forefront in healthcare and
provision of excellent care, and national policies, including the NHS
connecting with other service providers digital objectives from the NHS Long
to share data. We will turn data into Term Plan, Personalised Health and
Our informatics team information and generate actionable Care 2020 and a Paperless NHS
insights for health professionals and by 2020.
4 BARTS HEALTH INFORMATICS PRIORITIES TIMELINE ABOUT WHERE WE ARE WHERE WE’RE HEADING
What we’ve achieved to date
For Barts Health to deliver our There is now one instance for each of
ambitions of providing outstanding these systems using the latest versions,
care for patients, we need robust and which means all health professionals
reliable infrastructure underpinning our now use the same patient record no
systems, including staff devices, and a matter what site they attend.
strong shared network between our
hospitals and our local GP practices. It’s been a difficult journey with
frustrations faced by all staff. The
With Trust funding and grants from informatics team appreciates the
NHS England, the informatics team has patience of colleagues, as well as the
already made important improvements assistance from staff who have led
to cyber security following the changes to our technology. Behind
WannaCry cyber-attack of May 2017. the scenes a quiet revolution is taking
Significant investment in infrastructure place with several improvements
occurring in 2018-19 and many
replacement has increased our
more to come!
resilience and stopped daily threats to
our network. In addition, Barts Charity
funded some new initiatives, including
Workstations on Wheels and
CAP-AI projects.
Following our Trust merger in 2012,
the informatics team has unified
multiple versions of similar
systems, including Millennium,
imaging, pathology and pharmacy
systems, and over ten data warehouses.
5 BARTS HEALTH INFORMATICS PRIORITIES TIMELINE ABOUT WHERE WE ARE WHERE WE’RE HEADING
Where we are now
Over the 2018-19 fiscal year, the Trust improved experience for our patients,
focussed on initiating infrastructure and the migration of 20,000 accounts
remediation and the management of to NHS Mail (nhs.net) was successfully
core technology services. This completed. Staff can now easily send
included new models of maintaining secure emails which contain patient
and supporting: identifiable information to others who
• Network, security and patient WiFi
also use NHS Mail, utilising access to a
national NHS Mail directory.
• Virtual Desktop Infrastructure
• Cloud hosting With a single unified instance of our
• Support services for staff
Barts Health Millennium, sites can now
view patient records in real-time
• Delivery of statutory requirements
from any location, irrespective of
such as NHS Mail. where the patient has come from or is
The installation of Virtual Desktop being transferred to within the Trust.
Infrastructure (VDI) has been Millennium is our primary system for
completed at Whipps Cross, Newham, clinical care and the administration
Mile End and The Royal London of patient care, and is used to
Hospitals and corporate sites. improve patient safety through the
Implementation at St Bartholomew’s review of online data. Consistency of
Hospital is currently underway. This terminology for problem and diagnosis
means quicker log-in times, greater listing within Millennium is improving.
mobility for clinical staff and the ability This will assist with handover, summary
to support remote access for staff documents and messages to GPs and
working away from the Trust. other NHS organisations. In cases
where Millennium cannot provide a
In early 2019, patient WiFi was suitable solution within the clinical
upgraded in all hospitals, providing an setting, our approach is a single system
6 BARTS HEALTH INFORMATICS PRIORITIES TIMELINE ABOUT WHERE WE ARE WHERE WE’RE HEADING
integrated to Millennium, such as 100,000 views per month. ELPR David Van Heel, Deputy Chief Clinical Information
the imaging and pathology systems. is one of the UK’s most advanced Officer, using a WOW (workstation on wheels).
In early 2019, the pharmacy systems implementations of health information
were unified across sites and all stock exchange, with sharing across our
management is now recorded and east London providers for over 200 GP
controlled once. Digital dictation practices, neighbouring acute providers
systems will also continue to be (Homerton), mental health (ELFT
rationalised, with G2 being rolled out and NELFT), hospice care and social
in its latest version. care (London Borough of Newham)
and community. We remain national
Recently, our East London Patient leaders in achieving this scale of digital
Record (ELPR) portal reached the cooperation across such a diverse set
amazing milestone of hitting over of providers.
7 BARTS HEALTH INFORMATICS PRIORITIES TIMELINE ABOUT WHERE WE ARE WHERE WE’RE HEADING
Where we’re heading
The future looks good; in the next how to use new technology and
Staff using a Workstation on Wheels.
three years Barts Health will have make the switch to digital. Our
completed our VDI rollout, completed digital tools will provide automation,
a full network replacement and calculations, alerts and warnings to
upgraded our Service Desk to include a staff, ensuring, for example, no missed
self-serve portal for staff. medication doses. The rollout will
also include a further deployment of
Big things are planned in 2019-20 as computers for bedside clinical use.
all hospitals become paperless and Ultimately, these changes will provide
record all clinical data electronically. our staff with more time to spend
Starting with the migration of nursing providing an outstanding level of care
documentation to Millennium in to our patients.
autumn 2019, followed by electronic
prescribing, medicines administration With the continuing support of our
and physician documentation in the local partners and commissioners,
spring of 2020. This will allow detailed the East London Patient Record
health records to be shared between is being extended to GP practices
medical practices and provide staff in Barking and Dagenham, Havering
a more structured workflow. It will and Redbridge CCGs, and other HIEs
also introduce barcode matching for across London.This means we will soon
patient medication, paperless referrals, be looking beyond the boundaries of
new patient tracking and alerts. All of east London to continue our journey
this will quickly improve the quality of of delivering patient information, no
care we provide to patients. matter where they find themselves
needing healthcare.
These changes will require
commitment from all staff to learn
8 BARTS HEALTH INFORMATICS PRIORITIES TIMELINE ABOUT WHERE WE ARE WHERE WE’RE HEADING
“
Replacements of the main network Our size and scale means others
across the Whipps Cross and Newham will look to learn from us, and
Hospital sites were completed in 2019 contribute to greater gains with I want to say thank you to all
and deliver infrastructure stability forays into research and population
and improved security. An additional health initiatives, which will in turn
our informatics teams
business case to replace The Royal add to the improvement of patient and colleagues who are with
London and St Bartholomew’s Hospital outcomes in east London. Fully utilising us on this permanent journey
networks has also been approved, as new technology systems requires
well as staff WiFi upgrades for all sites.
to improve Barts Health. We
departments, teams and individuals
to adopt and embrace electronic ways want to be enablers of the care
Our Barts Life Sciences programme
of working. We are making good that takes place here every day
combines research, innovation and
progress and have already begun to and we thank the teams who
technologies to transform health
see significant clinical and operational
and care services. It is the space
benefits. Barts Health is now on its
help make it happen, as well as
where research, health and industry the ones who help support it.
journey of being recognised as a
come together to spark new ideas
leader in digital ways of working. Sarah Jensen,
and innovations in a powerful Charles and Sarah
creative environment. As an enabler Chief Information Officer
“
to Barts Life Sciences, the Trust’s
longstanding education and research
collaboration with the Queen Mary
University of London medical school Digital care really matters to our patients. It is the way
is strengthening through joint that patients and their families can use hospital information
informatics and data programmes.
for looking after their health. It is everyone’s responsibility
This includes working with partners
to enable data sharing to support to make great use of clinical IT systems.
research for the benefit of providing Charles Gutteridge,
better patient care. Chief Clinical Information Officer
9 BARTS HEALTH INFORMATICS PRIORITIES TIMELINE ABOUT WHERE WE ARE WHERE WE’RE HEADINGThe Barts Health group: We are guided by the five principles outlined
Our vision is to be a high-performing group in our clinical and organisational strategy for
of NHS hospitals, renowned for excellence 2017-21, Sustaining Safe and Compassionate
and innovation, and providing safe and Care. As we evolve our group operating model,
compassionate care to our patients in east and its network of advisory clinical boards,
London and beyond. We aspire to achieve this in we are constantly reviewing our strategy for
everything we do, by living our We Care values developing services and sites to sustain high
of being welcoming, engaging, collaborative, standards. The outcome is an emerging suite of
accountable, respectful and equitable. strategic delivery plans setting out our medium-
term goals in eight areas that are critical to
As medicine advances, health needs change, the provision of modern healthcare – quality,
and society develops, the NHS has responded people, finance, transformation, informatics,
with an ambitious national programme to estates, inclusion, and research. Each of these
future-proof our health care system over the documents acts as a bridge between our
next decade. The Barts Health group of hospitals over-arching group strategy and our annual
is playing a major part in that long-term integrated operating plan.
transformation by working with local partners.
Alwen Williams,
Group Chief Executive
Officer, Sarah Jensen, Contact the ICT Service Desk:
Chief Information
Officer and Ralph
For anything urgent, please call
Coulbeck, Group 020 7377 7680
Director of Strategy
For non-urgent issues and change requests please email
ICTServiceDesk@bartshealth.nhs.uk
Published September 2019
Designed and produced by the Barts Health Informatics team
© Copyright Barts Health NHS Trust
PRIORITIES TIMELINE ABOUT WHERE WE ARE WHERE WE’RE HEADING
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