Master Patient Index MPI Project Update Presentation to

Master Patient Index (MPI) Project Update Presentation to NADB Nick Elcock 14 th January 2009

The Business Need • Patient Safety – To reduce duplicate records (resulting in partial clinical records) – To improve demographic data quality and reduce clerical errors. • To support Trust Merger – To ensure that each patient has only one identity in the newly formed Trusts – To allow new information systems to be implemented across the whole Trust • To support the implementation of the Welsh Clinical Portal – A single source of patient identity – Pointers to the location of clinical information

Data Quality Business Processes

WCP and the MPI

Why Not Use the WDS? • WDS only holds demographic data and not the references to link to episodes of care. • WDS is only populated with patients registered at Welsh GPs • WDS is only updated by GPs

A National MPI As services start to be delivered as a national level: • National MPI to supplement or supersede local MPIs • National systems will link into the national MPI. (LIMS, PACS integration ? Future versions of WCP)

Approach Three stages but a detailed plan is only required for stage 1 1. Specification of Scope and Requirements 2. Procurement / Development 3. Implementation & post implementation review Stage 1 - Specification of Scope and Requirements 3 streams of work: – – Process Definition Requirements • • • – Data Definition Functional Catalogue Technical requirements Procurement/Development Planning • • • Market evaluation In-house development proposal(s) Options appraisal and Business Justification Followed by a decision – AW procurement or In-house development

Resource & Governance Proposed Structure

Progress to date • Project team in place with good representation across the Trusts • Business Processes largely documented • Functional and Technical requirements agreed • Information requirements agreed • Option appraisal has been developed.

Next steps MPI project board on 9 th January agreed: • To work with NHS Trusts to develop a more detailed design • To develop more detailed procurement plan • To widen the project team to include WAST, HSW/ Velindre and Swansea University. • To link into All Wales Medical Records Manager Group • To ensure links into the single Record Project board and Patient Safety Group(s)

Budget • No budget is in place currently for the MPI project. • Initial estimates are for an average sized Trust: – Contract costs (if procured) : £ 250, 000 – Local implementation costs : £ 200, 000

Approval Sought • To agree to this approach