Integrated Care Partnership
Proposed IT Solution
Integrated Care Partnership
Proposed IT Solution
Siobhan Hanna
AD Informatics
Mark Hindle
Managing Consultant, immix
2y November 2012
The ProblemThe Problem
The ProblemThe Problem
Some immediate issues•Duplication•Version control•Access control•Difficult to follow up actions•Distribution
The SolutionThe Solution
Options AppraisalOptions Appraisal
Recommendation – a bespoke solutionRecommendation – a bespoke solution
Initial requirements
Online ICP functionality - with access to view and collaborate for any
legitimate care professional with an interest as well as the patient
Limited interfacing / connectivity to other systems but enough to avoid
duplication around patient detail and hospital information
Handling of all of the notifications and alerts to all who 'need to know' when a
patient is on a care plan
Task management of actions arising from care plans with updates when
complete etc
Publish this system online to remove organisational and technical barriers to
access
Aim to have this available by March 2013
More advanced requirements
Link to a Population Based Risk Stratification and Case Finding tool - identify
cohorts and tailor care plans around those 'upstream’
Mobile access to care plans – an 'app' for patients on care plans and an 'app'
for care professionals to look up care plans
Inbound - Full integration with as many systems as we can source the data
out of to populate as much of the care plan as possible using technology
? Integration with Telehealth
? Integration with the Community Information System (CIS)
… etc
Outbound - Exposing the care plan to other IT systems
Develop full referral pathways with links to other systems and a feedback loop
as to what happens in those systems coming back into the care plan
Recommendation – a bespoke solutionRecommendation – a bespoke solution
Recommendation – a phased approachRecommendation – a phased approach
March / April 2013 July 2013 Oct 2013
(Timescales are indicative and subject to availability, planning and approval)
Example screenshotsExample screenshotsIntegrated Care Partnerships (ICP) – a bespoke web application
Patient demographicspopulated automatically
Register an interest
Care plan content
Care plan subscribers:
•Dr J Smith (GP)•Mr V Anders (Pharm)•Mrs S Jones (Cons)•Dr H Ponson (Assoc Spec)
Add/Remove
Recent documents:
1.Medicine Use Review2.Patient Consent
Tabbed pages
Add / associate a pharmacy
Medicinesinformation
A Bespoke ICP Solution - PrinciplesA Bespoke ICP Solution - Principles A bespoke ICP ‘web app’ solution using simple, modern technology
Host it ‘in the cloud’ (securely, using the internet) – accessible online
Promote a design principle of generic ‘care plan’ functionality – create
multiple ‘templates’ in the future (beyond care of the elderly)
Provide for patient access – allow them to log on and view their care plan
and see the next planned actions / updates on previous ones
Build phase 1 functionality ‘foundations’ then enhance to provide more
advanced functionality on top
Design an architecture that is ‘agnostic’ in terms of other systems used by
the various care professionals
Keep a design principle of ‘all data about the patient available to be
accessed by all with a legitimate relationship in respect of the care of the
patient’.
Next Steps & ActionsNext Steps & Actions
Agreement from ICP Steering that this is preferred way forward
Business case development and approval to spend
Commissioning someone to develop this via TPA to fast track procurement
Agreement on pilot and timeframes to pilot (not long I think)
Agreement on process
Agreement on post project evaluation criteria to measure success and
further roll out
Project plan
Integrated Care Partnership
Proposed IT Solution
Integrated Care Partnership
Proposed IT Solution
Siobhan Hanna
AD Informatics
Mark Hindle
Managing Consultant, immix
2y November 2012