GS1 UK Healthcare Conference - Masterclass Presentation - Andrew Raynes
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Transcript of GS1 UK Healthcare Conference - Masterclass Presentation - Andrew Raynes
‘’ImplementingGS1ThroughaHealthRecordsTrackingSolutionatBarking,Havering&RedbridgeUniversityNHSTrust’’Partofour‘’Digitalbydesign’’programme
AndrewRaynesITProgrammeDirector,BHRUT
FIND-IT
WHAT IS FIND-IT?
• OurprojecttoimplementRFIDbarcodesandtagsusingGS1GLNstandardstotrackHealthRecordsatBHRUT
• WenamedtheProjectFIND-IT becauseoftheobviouschallenges!
WHAT PROBLEMS WERE WE TRYING TO SOLVE?• CQCreportwhichchallengedourhealthrecordsmanagement
• Thelabour-intensivetraditionalhealthrecordslibrarymodel
• Limitedunderstandingofthewhereaboutsofrecords
• PoorandtimeintensiveuseofPASTracker(Medway)
• Complexflowsofhealthrecordsmeaning40%outofcirculationatanyonetime
• Upto10%ofrecordsnotbeingavailableatclinics=Cancelledclinics
Combinedtogetherthisresultedin:– Notesdifficulttofind;cliniciansdon’thavetheinformationtheyneed,large
numbersoftemporarynotes– Poorstaffmoralewithintheservice,frustratedcliniciansandpatients– Inefficient‘stickingplasters’withaheavyfinancialimplication– CQCinspectionlooming
IMPLEMENTING “FIND-IT”• Utilising iFIT from6PM• 5Monthprojectwent‘live’on28November2015• Notjustasuperficial‘add-on’oftechnology• Completeprocesschangeinthewaywemanagehealthrecords:
– Radicalchangeinourfilingmodelwithsupportingtechnology– Changefromterminaldigittolocationbasedfiling.600,000recordsbarcoded– StaffcanquicklytrackusingiFITsoftwareandGS1barcodes forlocationsand
trackingmanagementofhealthrecords– Reducestheamountoftimerecordsspendoutofthemainfile– RFIDtechnologyincludingGS1certifiedGDTItaggingofcasenotes,mounted
readersandhandheldscannerswilltrackandlocatehealthrecordsaroundthebuilding
WHAT WILL IT ACHIEVE?
• Focusedonmainhealthrecordandmaternityrecords
• Morehealth recordsshouldbeinfile,(andweshouldknowwheretheyareiftheyaren’t!)
• Reducesthetimetakentopull,trackandfindrecords
• Shifttolocationbasedfilingmeansrecordsdonotneedtobesortedpriortofiling
• Theoverallprocesswillbestreamlinedallowingustoreleaseresources
• GS1complianceutilisingGLN,GDTI,GRAI,GSRNandSSCCidentificationkeysandcontributiontoourIGtoolkit
• NotesavailableWHENANDWHERE theyareneeded
HOW DOES TAGGING WORK?
ReadersareplacedatkeylocationsaroundthehospitalandtrackrecordsusingGS1GLNsshowingdirectionoftravelasthesystemisupdatedwithtagmovement.
WHO HAVE BEEN AFFECTED?
• Staff:Healthrecordhandlersaffectedassearchingbecomesmoreefficient
• Patients:TheRFIDiTrackingsolutionisacontingencyshouldahealthrecordbecomelostandnotbeareplacement fordaytodaytracking
• ConsultationswithstaffintheirareaswillmaximisetheimpactofFIND-IT
KEY BENEFITS• Circa135,000recordsarebarcodedandhaveRFIDtags,enablingbetter
intelligenceoflocation
• Recordfilingspeed isnow85perhourcomparedtopre-iFIT35perhour
• Thelocationbasedfilingsystemismuchquicker:
– Pre-iFIT,usingthemanualprocess(4+staff) tookasmanyas5daystofilecirca2000records
– Day1postgo-liveiFITenabled3membersofstaffinhealthrecordstofilecirca2000recordsinasingleday
• Thereisimprovedusersatisfactionwiththemajorityofuserspreferring thesystemtoMedway
• Infrastructure isnowinplacewhichsupportsall7GS1IdentificationKeysforcomplianceandprovidescapabilityoftaggingothertrustassets
• Cashreleasingsavingsachieved inphases
CONCLUSIONGoodoverall• Didweachievewhatwesetouttodo?YES andongoing• Go-Livewasasuccess• Somebenefitsrealised– wehaveoversightofourrecords!• Localandnationalusergroups• Appetitetorolloutwideruseofthetaggingfunction
GS1Specific Issues• GS1prefixmeantsizeofbarcodeschanged.Wehadtoincreasethefontsizeusedon
labels inorderforbarcodescannerstoreadeffectively• BHRUT’sGS1tagsmustbecustomprinted,increasingleadtimetoprocurestock• AsaPFIneedtojoinupthedotswithFM,internalsuppliersandTrustManagement
Issuesremaining• Initial increaseoftemporarynotes• Over-productivityinrecords• Staffnotfollowingbusinessprocesses(Pulllists,FulfillingRequests)• Reporting• NeedtoworkonourEDM