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Poole Hospital NHS Foundation Trust marches towards fully-integrated electronic records

2nd June 2015

Poole Hospital NHS Foundation Trust has gone live with an electronic document management system embedded into its CareCentric electronic patient record. The scanned notes are available both to Poole Hospital and to The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, which means clinicians can view scanned records at all hospitals operated by the two Trusts, from the same view as the rest of the electronic patient record.

Poole Hospital is scanning its entire paper notes into the system as well as incoming paper referrals. The scanned paper sits in the Kainos EDMS alongside information on a patient’s activity, alerts, results, X-rays, e-forms, letters and so on, all of which is already held in its electronic patient record.

Poole Hospital uses Graphnet’s CareCentric software at its core electronic patient record system. As well as being used by most hospital clinicians and clerical staff, it is also accessed by clinical networks, GP practices, social services, community teams and community hospitals across Dorset, with over 10,000 users across the county.

By embedding Kainos Evolve within CareCentric, it means scanned records can be accessed by clinical staff looking at a patient’s records within CareCentric, in patient context and without having to sign out of CareCentric and into a separate system.

The result is a rich record of patient information for use by clinicians working within the Trust and those outside in the wider health community.

Dr Rupert Page, consultant neurologist and CCIO at Poole Hospital, said the development was a significant advance for clinicians. "When seeing a patient, you need to be able to see their full medical record. Incorporating the scanned paper into Graphnet’s EPR means that this is available whenever and wherever the patient is seen, in addition to the already clinical rich record that is available natively in EPR. The ability to move seamlessly between native electronic and scanned documents such as external correspondence, and to do so locked in patient context, is essential for clinical safety – particularly when seeing large numbers of patients as in an outpatient setting.

"This type of change is very challenging to implement, but the integration of EDMS into Graphnet’s EPR is undoubtedly beneficial to both clinical ease of use and patient safety at the same time as helping eliminate paper."

The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust is using the same instance of Kainos Evolve, which means that clinicians in Poole also have access to scanned documents originating in Bournemouth. The two Trusts are independent entities but share a common IT department and a common strategy for achieving government targets for eliminating paper. There is also significant patient movement across the two Trusts, with Poole handling most unscheduled care and Royal Bournemouth focusing on elective treatment.

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.

"Our experience is that clinicians are much more likely to view information if it is integrated with single sign-on and can be viewed within patient context," said Graphnet director Markus Bolton. "The ability to offer our customers this sort of tight integration is a key feature of the CareCentric portal. We want to bring as many systems as possible into our portals in this way."

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