CareCentric goes live in Poole and across Dorset
17th March 2014
Poole Hospital NHS Foundation Trust has successfully gone live with the CareCentric shared care record software from Graphnet Health, the whole system replacement for the Graphnet software it first deployed in the year 2000.
Around 5,000 users across Dorset - at the acute Trust, in clinical networks, GP practices, social services, community teams and community hospitals – are now live on the new software.
The deployment was a substantial undertaking. On average the electronic patient record system is accessed over 9,000 times each day, with peak daily access volumes of around 14,000. On the deployment weekend, some 47m documents were migrated across, with total system down-time of just over half an hour.
Dr Rupert Page, consultant neurologist and clinical IT lead at Poole Hospital, explained that the hospital had decided to move across to CareCentric in order to pave the way for forthcoming developments designed to support continuous improvement in the quality of patient care.
“The upgrade was carried out smoothly and ahead of plan thanks to the detailed planning and phenomenally hard work of both the hospital’s IT department and Graphnet staff”, Dr Page said. “We expect CareCentric to remain at the heart of future developments as we focus on finding new and more effective ways to deliver safe, high quality clinical care to our patients.”
Data fed in automatically to the Poole EPR includes PAS activity and outcomes, pathology results, radiology reports, GP referral letters, A&E discharge information, neurophysiology results, medical photography, cardio-respiratory results and digital dictation.
In addition, Poole has built a large number of specialist clinical solutions around the EPR using Graphnet’s form building capability. There are now 65 specialist data collection form sets in use, contributing to an extremely rich clinical record.
The new CareCentric software offers the Trust improved integration with existing systems in use across the health economy. The system is already accessed by the SW Ambulance Service Trust, for example, to allow the co-ordination of community care when patients are discharged from Poole Hospital. Social services are similarly alerted when appropriate.
With the new levels of integration, clinicians at the 620-bed Poole Hospital now have access to patient content stored in the Ascribe system at the Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust, and vice versa.
Other new features include customised care summaries to suit every care setting, and the ability to use workflow and data collection forms to create applications in support of clinical processes.
CareCentric also gives Poole the platform for deploying mobile access to the shared care record, and for embedding it in host systems, such as GP clinical systems.
Users of the Poole EPR include:
- Most clinicians and clerical staff at Poole Hospital
- Specialist clinicians at other local acute Trusts including Royal Bournemouth & Christchurch Hospitals NHS FT, Dorset Healthcare University NHS FT and Dorset County Hospital NHS FT. Clinicians in Hampshire have been given access to it for cross-border patients
- 500 users across 50 GP practices
- Community hospitals (eg in Swanage, Wimborne)
- Specialist community services and clinics (eg children’s)
- Social services
- South West Ambulance Service as part of the Single Point of Access process (SPOA)
Andy Bratt, managing director of Graphnet, said the company was delighted that the deployment had gone so smoothly.
“The Poole EPR is a fantastic example of how shared care records can be used across a large health community. The Trust has developed an extremely rich record which is tailored specifically to support its care pathways and working practices.”
By providing more complete information, and reducing the time spent casting around for information, the EPR at Poole delivers important benefits both in terms of the quality of care provided and the efficiency of Trust services.
See notes to editors, below, for a resume of key benefits.
Notes to editors:
1. Graphnet Health Ltd is the UK’s leading provider of IT solutions for the delivery of shared care services across whole health economies. Its CareCentric software is a health integration engine which combines data from GP practices, mental health trusts, social services departments and hospitals into a secure electronic health record. CareCentric connects to most major health and social care IT systems in use in the UK, is used by over 30,000 care professionals and holds data on more than 17m patients.
Graphnet is a Shearwater Healthcare Investments partner company. (www.shearwaterhealthcare.com).
2. Benefits at Poole NHS Foundation Trust:
Quality of care
- Instant access to a detailed care record, with information on treatment, medications and tests. All fed from multiple sources to ensure the information is up to date and accurate. No loss of records
- Information is entered once and shared with relevant parties, ensuring accuracy, a rich record and an improved patient experience
- Tabular trends and results graphing – allows ‘out of range’ results to be highlighted, facilitates tumour marking, charting facility makes it easier to spot deterioration in vital signs and acts as early warning system
- Alerts ensure timely intervention
- The Immediate Discharge Summary (IDS) allows a pharmacist to sign off drugs – which means they have a complete picture including allergies, conflicts etc
- Easy identification of results that have been viewed but not signed off by clinical staff leads to greater accountability
- Improved communication between stakeholders supports better patient safety achieved through multi-disciplinary care pathways
- Duplicate requests are flagged in the EPR, leading to a reduction in appropriate procedures and minimising unnecessary patient discomfort
- Supports new legislation, best practice and guides staff through the clinical processes
- Audit trail of use of documents
- Considerable time-savings have been identified as a result of staff being able to view records on the EPR – no more chasing notes or test results
- There is a significant reduction in paper - eg the filing of paper results slips from pathology for inpatients has been eradicated
- Electronic requesting – eliminates duplicate requests, prevents handwriting errors, ensures all request forms are complete
- No loss of records
- Bar-coded wristbands are produced on the ward by CareCentric. Ensures instant access to the patient’s records, and reduces the risk of wrong-pulled patient notes.
- Multiple feeds from other electronic systems in the CareCentric EPR has reduced duplicate data entry
- The Immediate Discharge Summary uses traffic light reports to make sure pharmacists are kept up to speed with discharge priorities which brings forward discharge times
- Supports new legislation, best practice and guides staff through the most effective clinical processes
- Use of BI tools to audit activity data means that overheads associated with the collation and analysis of audit information has been significantly reduced.