London hospital launches ambitious project to optimise the use of technology and improve patient care with Dell Services • Services “The changes we’re about to make based on Dell Services’ recommendations will bring many benefits to patients through improved communication, increased productivity and better use of resources.” Stuart Black, Chief Business Architect, Bupa Cromwell Hospital Customer profile Company: Bupa Cromwell Hospital Industry: Healthcare Country: United Kingdom Employees: 570 Website: www.cromwellhospital.com Business need Bupa Cromwell wanted to enhance the patient experience by supporting better communication between staff, using resources such as medical equipment and beds more effectively, and improving productivity. Solution Certain that a new hospital information system (HIS) would help achieve these goals, Bupa Cromwell engaged Dell Services to conduct a detailed needs assessment and define a solution. Benefits • Hospital gains trusted advisor in Dell Services • Detailed assessment process builds scope for new hospital information system • Enhanced information system will help hospital improve outcomes • Hospital minimises project risks with informed decisions Bupa Cromwell Hospital has been providing primary care, health screening and walk-in family medicine services since 1981. It has 128 beds and employs 400 consultants, many of whom attend the city’s top teaching hospitals. The hospital’s specialties include oncology, cardiology and paediatrics. “We liked the fact that the Dell Services engagement was not orientated towards any particular technology or vendor.” Stuart Black, Chief Business Architect, Bupa Cromwell Hospital The hospital aspires to the highest levels of patient care, with a rigorous approach to clinical governance and an ongoing quality improvement programme covering infection control, patient feedback and other critical aspects of care delivery. A forward-looking approach to technology is vital to Bupa Cromwell Hospital’s continuing commitment to excellent care and its status as one of London’s most popular private hospitals. When the management team wanted to implement a new Hospital Information System (HIS), it realised that expert input was required to create a detailed, accurate picture of the hospital’s requirements and its readiness for change. Stuart Black, Chief Business Architect, Bupa Cromwell Hospital, says: “Broadly speaking, we wanted an HIS that would create an improved patient and consultant experience, and help us further enhance our standards of patient care. We were aware that we didn’t necessarily have the skills to know what our detailed requirements should be or who within the marketplace we should consider as a technology partner. Getting objective, trustworthy, structured advice from an experienced consultancy provider was our first step.” Hospital gains trusted advisor in Dell Services Black and his colleagues wanted a framework that would map the hospital’s strategic goals to specific capabilities, in turn linking these to technical features or systems. “Based on a positive experience in an earlier project, we asked Dell Services to help us. We talked to another potential partner, but we had a good feeling about working with Dell Services because the consultants clearly had our interests at heart,” says Black. Bupa Cromwell Hospital also required demonstrable healthcare experience. “Our trust in Dell Services was reinforced by the extensive intellectual property it owned, based on numerous hospital projects,” he says. The two organisations agreed that the Dell Services team, which included the Dell Chief Medical Officer and Chief Technology Officer, would gather and document the hospital’s requirements. They would then pin down the solution’s core components. Bupa Cromwell Hospital was to manage the vendor selection process and implementation. “It was important to us, as a business unit within Bupa, to lead the project after the due diligence phase. Dell Services gave us detailed, objective guidance that empowered us to make the right decisions and secured the support of our stakeholders,” Black says. Detailed assessment process builds scope for new HIS “We couldn’t mitigate against the risks of the project until we knew what they were. Dell Services gave us the insight we needed, and the confidence to move ahead.” Stuart Black, Chief Business Architect, Bupa Cromwell Hospital The first step for Dell Services was to talk to each user group within the hospital. This due diligence process created an understanding of their roles and the changes that would help them optimise patient care. The consultants conducted 84 workshops with 100 staff, including clinicians, administrative staff, technical staff and management. The process followed Dell Services’ SCORE framework for healthcare organisations, meaning that the consultants assessed Bupa Cromwell Hospital’s needs based on: • • • • • Safety and quality Clinical adoption Operation efficiency Return on investment Evidence-based decision-making “We started off with a broad picture of what we needed to achieve, but the level of investigation and analysis required to turn this into specifics was enormous. Dell Services gave us a structured set of deliverables with defined outcomes,” says Black. Recommendations included a single scheduling system across all departments to give staff greater visibility and prevent conflicting appointments. This would improve communication and patient satisfaction, optimise use of clinical capacity and save staff time. The HIS will also deliver electronic patient records. This alternative to paper-based records gives multiple care providers a simultaneous real-time view, supporting better collaboration and decision-making. “The solution will open the door to further innovation. For example, we’re looking at the installation of screens in each patient room so staff can access patient records at the point-ofcare without having to carry a device,” says Black. Hospital minimises project risks with informed decisions The process gave Stuart and his colleagues the insight they needed to set the project in motion. “We have big ambitions – we wanted to get to a place that we couldn’t get to on our own. Dell Services proved to be the right partner to take us there,” he says. In particular, the documentation gave Black and his colleagues an understanding of how much time technical staff would need to commit to the implementation, and how other staff might be affected by the process. Black says: “We couldn’t mitigate against the risks of the project until we knew what they were. Dell Services gave us the insight we needed, and the confidence to move ahead.” For example, discussions between the two teams looked at how to minimise unexpected costs, how to schedule the deployment, which elements would provide the foundation for others, and which offered the most value. On completion of the due diligence process and review by Bupa Cromwell Hospital, Dell Services provided a list of potential solution providers. “We liked the fact that the Dell Services engagement was not orientated towards any particular technology or vendor,” says Black. “Our trust in Dell Services was reinforced by the extensive intellectual property it owned, based on numerous hospital projects.” Stuart Black, Chief Business Architect, Bupa Cromwell Hospital Having successfully taken the framework to market and appointed a solution provider, the hospital plans to start the deployment process soon. Black says: “The changes we’re about to make based on Dell Services’ recommendations will bring many benefits to patients through improved communication, increased productivity and better use of resources. We see Dell Services as a trusted advisor – and that’s something you have to earn.” For more information go to: dell.com/casestudies/emea and dell.co.uk/casestudies View all Dell case studies at: dell.com/casestudies Availability and terms of Dell Services vary by region. For more information, visit: dell.com/servicedescriptions © December 2010, Dell Inc. Dell is a trademark of Dell Inc. This case study is for informational purposes only. dell makes no warranties, express or implied, in this case study. Reference number: 10008910.
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