Integrated Digital Care Record
Proof of Concept
Update - May 2017
Introduction
• The requirement for a Doncaster Integrated Digital Care Record
(IDCR) was clearly identified in the Local Digital Roadmap and the
Intermediate Care Case for Change
• It was agreed that a Proof of Concept for the IDCR would be
developed focussed on the Rapid Response Pathway
• We agreed with our partner organisation that the CCG would take
the lead on the procurement of the Proof of Concept solution
• A budget was secured from the BCF fund and CCG non-recurrent
monies
• Support for the procurement of the system was engaged from
Channel 3 Consulting
The Vision for the Integrated
Digital Care Record
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Timely sharing of accurate health and social care information
An IDCR solution that can interface with all systems in use in the Doncaster region
A shared assessment and plan which will move with the patient
A reduction in paper based activities which can ultimately be eliminated
Access to the IDCR from any location
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The option, where appropriate, for patients & carers to have access
Engagement
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Engagement sessions (group and 1-1) ran January and early February
Very positive engagement with clinicians, service managers and technical staff. All
keen to support the process and setting ambitious goals for the IDCR
“A solution that supports
effective care delivery through
timely & appropriate access to
the holistic health and social
care record.. supporting
integration, alerting,
communication and workflow
on any device, at any place and
time..”
Specification
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Output Based Specification, Requirements Catalogue and Invitation To
Tender developed and approved during February
It was agreed the Proof of Concept would aim to link up the following
System Name
Purpose
Organisation
systems:
SystmOne Community
Community Services System
RDaSH
SystmOne Mental Health
Mental Health System
RDaSH (from 2018)
CareFirst
Social Care System
DMBC
Adastra
Out of Hours System
FCMS
MIG
Primary Care Gateway
General Practices
Symphony
A&E System
DBTH
JAC
Pharmacy System
DBTH
Procurement
• Procurement exercise for the PoC ran during March using
London Procurement Partnership Framework
• Evaluation team of 20 people across all IDCR partners, with
mix of clinical , managerial and technical staff
• 6 suppliers made bids, including all well recognised IDCR
suppliers
• 3 eliminated on capability
• 3 identified as acceptable suppliers
• Of these 3 Orion Health scored best and had the lowest cost
over 5 years
Procured Solution
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Orion awarded Preferred Supplier status 10th May 2017
12 month fully hosted Proof of Concept solution
6 interfaced systems (JAC removed)
Implementation design and configuration service
Software licences, support and maintenance for 350
users
• Implementation training
• Orion/EMIS integration for 20 practices
Contributing Information to the Doncaster IDCR:
GP
GP / INPS
EMIS
GP
/
•EMIS
Events
•SystmOne
Procedures
EMIS
/ INPS
• Diagnosis
Events
• Examinations
Procedures
• Investigations
Diagnosis
• Medications
Examinations
• Problems
Investigations
• Risks/Warnings
Medications
• Demographics
Problems
• Risks/Warnings
• Demographics
DMBC – Adult Social
Care
OLM Group – Care First
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Demographics
Episodes
Assessments
Referrals
Alerts / Risks
Service User Groups
Allocated Worker / Team
Support Plan
Care Package
Communication Needs
DBHFT – Acute
EMIS Health - Symphony
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Demographics
ADTs
Alerts
Documents
TTOs
ECP Service
Advanced - Adastra
• Demographics
• ADTs
RDASH - Mental
Health Data
RDASHCommunity Data
TPP - SystmOne
TPP - SystmOne
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Demographics
Alerts
Allergies
Diagnosis
Referrals
Appointments
Admissions
Discharge
Conditions
Risk Summary
Care Coordinator
Mental Health Summary
Care Plans
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Demographics
Admissions
Discharges
Transfers
Current Problems / Client
Categories
Allergies
Relationships
Special Notes
Tasks
Care Plans / Care Plan
Goals
Proof of Concept Timeline
- Implementation
June 2017
• System
Deployment
Commences
• Project
Management
and Clinical
Engagement
initiated
September 2017
• Clinical portal
go-live
• Release 1a:
contains GP
data, Events
& Alerts
December 2017
• Release 1b:
contains
Hospital,
Community,
Social Care
and OOH
data
Proof of Concept Timeline
- Evaluation
August 2017
• Benefits
Management
work stream
commences
December2017
• Finalisation
of Benefits
Model
• Commence
development
of Business
Case for
IDCR
retention or
expansion
February 2018
• Business
Case
completion
Project Management
• Project Team to be established
• Sub-work streams:
– Project Management
– Clinical Engagement
– Technical
– Information Governance
– Communications
– Business Intelligence
Governance
• Governance structure under development
• Suggested that the Project Team to report to:
– Intermediate Health & Social Care Project Board
– Doncaster Health and Social Care Interoperability
Group
• Programme Board
– Chief Officer/CIO level recommended