Improving Patient Care with Technology Debbie Guy Clinical

How Are we using IT to Improve Good Patient Care Clinically Driven The right tools for the right person Improve information flow and sharing Reduce duplication Remove unnecessary Delays A number of external publications, studies and Awards NICE Validated QIPP case study 2 ACCA Studies on H@N and Mobile Handover Royal College of Physicians Future Hospital Case Study BMJ Healthcare Awards 2011 -Transforming Patient Care by using Technology HSJ Awards 2013 – Enhancing Care by Sharing Data © 2013 Nervecentre Software Ltd. 2

Mobile Clinical Workflow for Doctors and Nurses Clinical Systems Clinical Workflow Task Management User Management Fully integrated with Clinical Systems PAS, Clinical Portals, Order Comms, Pathology Observations, Handover, H@N, Assessments Collaboration and escalation enabled Tasks, alerts and notifications Daytime, OOH, cascading escalations, business rules Presence and Collaboration Presence, Location, Role, Workload, Availability, relationship to patient Native Apps for Mobile Devices Apple, Android, Blackberry, Cisco © 2013 Nervecentre Software Ltd. 3

Task Management § Recording and management of all hospital activities § Escalations – cascading and presence enabled § Applications include: Hospital at Night Day-time wards ED Specialist Referrals Alerts e. g. AKI Porter Management © 2013 Nervecentre Software Ltd. 5

Cascading Escalations • Nervecentre tracks who is present in the hospital Dr Smith F 1 • Job title Nurse Wallis Outreach • Location • Workload • Status Patient Nurse Moss NIC • And relationship to patient Dr Smith Registrar • Driving accountability • And applies business rules based on time of day Dr Jones F 1 • In Hours / OOH / Weekends © 2013 Nervecentre Software Ltd. 6

Hospital at Night Benefits ACCA May 2011, BMJ Study March 2012 • 70% Reduction in Clinical Incidents • Average Length of Stay Down 12% (Bed costs are ~ £ 400 / day) • 8, 000 Hours pa of Senior Clinical Time Released back into Patient Care • £ 100 k pa Cash Releasing benefits through improved staffing information © 2013 Nervecentre Software Ltd. 7

An example process © 2013 Nervecentre Software Ltd. 9

e- Portfolio Evidence © 2013 Nervecentre Software Ltd. 11

Observation Frequency § Obs due timers Frequency set by policy based upon EWS and patient circumstances Strict enforcement or ward round based Alerts or list-based approach § Obs overdue timers Informs NIC in real-time to allow immediate response to policy breaches § Reporting Reports on ward compliance with observation policies © 2013 Nervecentre Software Ltd. 13

Simple Collection § Previous values are displayed automatically § Automated insertion of ‘/’ and ‘. ’ in BP and temperature § Prevents entry of invalid or out of range values § O 2 auto-sets litres and % § Contribution to EWS is shown beside the observation § Immediate alerts based upon policy, e. g. Temp > 40 ”Consider sepsis” © 2013 Nervecentre Software Ltd. 14

Collection and Escalation Flow © 2013 Nervecentre Software Ltd. 15

Observation Charts © 2013 Nervecentre Software Ltd. 16

Mobile Handover § Reduce handover related incidents § Record key patient information as it happens Morning Ward round No 5 pm Peak § ACCA report into deployment at Leicester report 30 mins saving per doctor per day § Fully integrated with H@N Task Management Handover of care is one of the most perilous procedures in medicine. © 2013 Nervecentre Software Ltd. Safe Handover, Safe Patients Professor Sir John Lilleyman Medical Director, NPSA 18

Summary § A whole hospital workflow capability § Can improve any aspect of hospital process where communication introduces risks and delays § Some very impactful and cost effective quick wins e. g. H@N © 2013 Nervecentre Software Ltd. 21