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Vision roadmap 2018 v12.1 december published
- 1. The Vision roadmap. Copyright © 2018 In Practice Systems Ltd DOI: Oct-18
- 2. NHS pinch-points. 34% GPs to retire by 2020 £30 billion gap by 2020/21 70% NHS budget taken by long term diseases 40% cancer cases avoidable 80% heart disease, stroke and type 2 diabetes cases avoidable 26% GP appointments potentially avoidable 2x over 85s by 2035 300 practices could close
- 3. Collaborate Share data, work together Localise Be smart, be nimble Prevent Process data in smarter ways NHS strategy.
- 4. Smarter. Faster. Better. Healthcare systems are complex and cumbersome. Sophisticated but simple, Vision lets you focus on your patients.
- 5. How is Vision better? • Modern user interface • Clutter-free so it’s simple and nimble • Anywhere, anytime access to patient records and collaborative tools • Great experience for end-users and patients • Designed for shared care
- 6. Anywhere, anytime. Windows desktops, laptops, convertibles and tablets iPad and iPhone Android™ phones and tablets iPhone is a trademark of Apple Inc., registered in the U.S. and other countries Android is a trademark of Google LLC.
- 7. Deploy native apps, straight to the device. Or use modern IT tools, if you prefer. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc., registered in the U.S. and other countries. Google Play and the Google Play logo are trademarks of Google LLC.
- 8. A progressive transition. • New apps introduced over time • Use the new apps alongside Vision 3 • eLearning tools available online • does NOT require rip and replace • Replacing desktop virtualisation with app virtualisation to access Vision 3
- 9. 2018 2019 2020+ Vision 3 Vision 360 Vision apps
- 10. 2017 2018 2019 2020+ Introduce new web services platform Boost performance of Vision Anywhere Improve Vision Anywhere so it has direct access to Vision data Update Vision Appointments frequently End feature development in Vision 3 and Vision 360 browser solutions Add new software to app stores Show IT teams how to deploy from app stores Reduce priority of LAN developments Release Vision Tasks End feature development on Windows 7 apps Build new apps for Windows 10 Migrate all Windows 7 software to Windows 10 Pilot elements of a scalable practice solution on public cloud Access Vision 3 from own desktop via ‘remote app’ for hosted practices All apps on Windows 10 Retirement starts for Daybook, Vision 3 Appointments and Vision 360 web interfaces Vision Anywhere and Appointments become GP Connect consumers Selected Apps also available for iPad, iPhone Android™ End Support for Windows 7 apps in Q1 2021 DOI: Oct-18
- 11. App 2018 2019 2020 Q3 Q4 Q1 Q2 Q3 Q4 H1 H2 Vision Anywhere Appointments Tasks Reports Mail & Workflows Registration Decision Support Community Patient Services Regular updates. Planned Release Confirmed Release
- 12. Date App Version Description Q4 2018 Vision Anywhere 3.2 • SNOMED, Referral Letters & Printing Vision Reports 2.0 • Practice Level Reporting (England) Q1 2019 Vision Anywhere 3.3 • Prescribing, Encounter Management, Data Entry & Win10 Vision Appointments 2.0 • Access shared appointments (as per Vision 360) Vision Patient Services - • Update capability for Address and Spoken Language Vision Community 2.0 • Offline working & mobile caseload Q2 2019 Vision Anywhere 3.4 • Partner Integrations/Interop., Encounter Management, Data Entry & Patient Record Vision Anywhere 3.5 • Additional Prescribing, Interoperability, Encounter Management & Patient Record features Vision Tasks 1.4 • Shared Care, Replacing Daybook Q3 2019 Vision Anywhere 3.6 • Comprehensive in-practice consultation experience Vision Mail 1.0 • Pathology Review Processing 2019 Roadmap Summary. DOI: Oct-18
- 13. Platforms for new apps. App HTML Windows 7 Windows 10 iPad and iPhone Android™ Vision Anywhere 2017-2019 2019 2017 2017 Vision Appointments 2017-2019 2019 Vision Tasks 2017-2019 2019 2020 2020 Vision Reporting 2019 Vision Mail 2020 Vision Registration 2020 Patient Services 2017 Vision Community 2017-2019 2019 2019 2019 Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version
- 14. Vision apps
- 15. Roadmap guide. Rolling 12 month horizon from Date of Issue (DOI). Short Current Quarter (1-3 months) Medium Next Quarter (4-6 months) Long Back Half (7-12 months) Theme(s) of releases Theme(s) of releases Theme(s) of releases • Committed Content • Planned Content • Intended Content Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version DOI: Oct-18
- 16. Smart consultations and prescribing for every encounter. Complex IT systems tie GPs to the consulting room desk. Vision Anywhere enables nimble encounters for every patient, at the GP practice and beyond. Vision Anywhere
- 17. Vision Anywhere Purpose Features Platforms Consultations at: • Shared care organisations • GP practices • Home visits • Nursing homes • View records • Add clinical notes • Prescribe • View appointments • Windows • iPad • iPhone • Android™
- 18. Windows.
- 19. iPhone, iPad and Android™
- 20. Vision Anywhere roadmap. Q4 2018 Q1 2019 Q2 2019 Q3-Q4 2019 Prescribing Print prescriptions, duplicates and reorder form Encounter Management Create Referral Letter from a template TQuest Test Requesting (in- practice) Clinical Terminology SNOMED CT Prescribing Print bar-coded prescriptions (2DRx) RBAC for prescribing Data Entry Integration of cross- platforms templates and calculators Platform supported Win10 Prescribing Batch prescribing Private prescriptions Interoperability ScriptSwitch/OptimiseRx Encounter Management eMed3 SOAP-based data- entry QRisk calculator Patient Record Improved Encounters view National Services WCCG/GPTR 2019 WCCG/GPTR 2020 Generate and view recalls Call display & self check-in More RBAC Dosage code abbreviations Easier data entry Pharmacy Manager integration Holistic patient view View more test results History of patient medications Patient alerts (red triangle) Medication review Practice formularies Problem orientation Edit/delete consultations Better prescribing Post dated prescriptions Improved appointments Document attachments Tasks Integration Alerts for missing QOF, LES, DES Graphing of test results Integration with Docman10 Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version DOI: Oct 18
- 21. Configure, book and change appointments faster than ever before. Appointment admin is the job you dread. It's fast and easy with Vision appointments. Appointments
- 22. Appointments Purpose Features Platform • GP and nurse appointments • Shared care appointments • Book, change and cancel appointments • Smart search across many GP practices • Intelligent filters • Windows
- 24. Appointments roadmap. Q4 2018 Q1 2019 Q2-Q3 2019 Appointments ‘back office’ allows practices to plan, implement and manage their appointment books. Shared care for multi-practice and federated services. Comprehensive Appointments Functionality • Weekly Plans & Templates • Session Views • Week Planner • Extension Plan • Create and Edit Sessions • Session View Usage • Shared Care through ‘V360’ capabilities. • Print Evacuation Report/ Appointments list. • View patient records from Appointments • Events • Branch Sites • Back Ups • Filter By Location • Support Triage process Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version DOI: Oct-18
- 25. Communication and collaboration, all in one place. Healthcare teams correspond by fax, phone, email and paper. Consolidate your communications with Vision tasks, at your practice and with other health and care services. Tasks
- 26. Tasks Purpose Features Platforms • Manage tasks at practices, across GP networks and with external services • Communicate and collaborate • Add, allocate and complete tasks • Conversations • Restrict visibility of sensitive content • Windows • iPad and iPhone • Android™
- 27. Assign a task.
- 28. Tasks roadmap. Q4 2018 Q1 2019 Q2–Q3 2019 Shared Care • Add, Allocate and Complete Tasks across healthcare services • Adding Tasks search Replacing Daybook • Notifications in clinical system • Clinical write-back on Task completion • Patient record links in Tasks • Patient banner incl. contact details Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version DOI: Oct-18
- 29. Rapid reporting. Practice reporting is a dark art. Tracking clinical activity and appointment utilisation with Vision Reports is easy. Reports
- 30. Reports Purpose Features Platform • Simple reporting model tracking appointment utilisation • Create bundles of metrics and combine them • Practice, CCG, regional and national reporting • Windows
- 31. At a glance dashboards.
- 32. Reports roadmap. Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version Q4 2018 Q1 2019 Q2-Q3 2019 Delivery of General Practice and Appointment Utilisation for the NHS England Vision Estate. • Roll out of General Practice Appointment and Utilisation Reporting for NHS England Vision sites. DOI: Oct-18
- 33. Soothe your inbox fatigue. Nobody likes an overflowing inbox. With patient records and clinical data just a click away, you can process your incoming items quickly with Vision mail. Mail
- 34. Mail Purpose Features Platform • Modern replacement for Mail Manager • Faster and easier to deal with mail • Based on Vision Tasks • Display relevant clinical data alongside the message • Add tasks • Windows
- 35. Mail roadmap. Q4 2018 Q1 2019 Q2-Q3 2019 Pathology Review. (Integrated with VA only) • Tasks for all path results; notifications in Tasks and Vision Anywhere • Work through all results w/o returning to task list • One view of results, patient details, associated clinical info • View trending over last 10 results • Launch full Vision Anywhere clinical record • Raise and view linked action tasks • Comment on and fix results • Auto and manual filing • Migration of actions, full auditing Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version DOI: Oct-18
- 36. Fast and responsive population- level healthcare. Collecting data from every GP practice is challenging and takes too long. Outcomes Manager collects the data for you, and it's available for analysis straight away. Outcomes Manager
- 37. Outcomes Manager Purpose Features Platforms • Population- level healthcare • For CCGs, health boards, federations and other GP networks • Standardise data entry across clinicians and practices • Integrates with Vision, EMIS and SystmOne • Cloud-based dashboards • Decision support and data entry forms • Windows
- 39. Outcomes Manager roadmap. Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version DOI: Oct-18 Q4 2018 Q1 2019 Q2/3 2019 CCN076 (Scotland). Calculators for Vision Anywhere QOF v36 Wales and NI CCN076 (Scotland) SNOMED deployment QRISK3 Anticoagulation printout QOF 2019 Wales/NI Warfarin Monitor rewrite Appointment location in SMS Vision+ • Mail merge filtering • Reporting by Registration period • QOF v36 Wales and NI Outcomes Manager Web App • HTML5 Home screen & widgets • Notifications • Guideline and workflow • Streamline preview • Sort website by relevance • Revamp workflows & guidelines Vision+ • Co-morbidity recall • Templates – “no data” highlight • Patient printout for Anticoagulation Manager • SMS running on server • QOF v39 England • QRISK3 calculator QRISK3 and other calculators for Vision Anywhere Vision+ • Warfarin Monitor as a user-defined calculator • Appointment location in SMS Outomes Manager Web App • Rewrite Tiles using new controls • Admin changes for internal support/account management
- 40. Safe and secure interoperability. Information governance is the primary challenge when deploying interoperable healthcare solutions. Vision's local sharing agreements precisely control what you share, and who with. Shared Care
- 41. Shared Care Purpose Features Platforms • Data hub and rules for interoperable solutions • Sharing agreements • Patient index • User index • Integrates with national services • Feeds data for shared care across Vision apps
- 42. Shared Care roadmap. Q4 2018 Q1 2019 Q2-Q3 2019 Platform Uplift Data Sharing Extensions Patient Services Integration Data Sharing Improvements • No releases – regression test on new Platform (Oracle 12.2 / Weblogic 12.2) • Allow enhanced configurability of Data Sharing Agreements • 3rd Party Integration support (Decision Support systems) • WDS integration in Wales • Smartcard authentication • PDS Integration in England • National CHI integration in Scotland • SNOMED data sharing agreements Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version DOI: Oct-18
- 43. 24/7 patient access to GP services. People love the convenience of GP online services. They want to interact with their GP practice online at any time, wherever they are. Our responsive websites optimise this experience on smartphones, tablets and computers. Online services for patients
- 44. Online services for patients Purpose Features Platforms • Give patients access to GP services, at any time, wherever they are • Save time at GP practices • Responsive website design • Book and cancel appointments • Request prescriptions • View records • html
- 45. Online Services roadmap. Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version Q4 2018 Q1 2019 Q2-Q3 2019 Better shared care. Improve contact between patients, practices and federations. Better shared care. Enhanced Record Access • Amend written and spoken language • Allow patients to update their main address • Allow a patient’s parent or carer to manage their healthcare online (proxy access) • Access full clinical record including documents and free text • Detailed coded record - additional notes DOI:Oct-18
- 46. Agile and collaborative care in the community. Paper-based care is inefficient. Save time and pull your healthcare team together with Vision community. Community
- 47. Community Purpose Features Platforms • Paper-free care in the community • Drag & drop caseload management • Manage and track workload • Patient notes • GP referrals • Windows • iPad and iPhone • Android™
- 49. Community roadmap. Q4 2018 Q1 2019 Q2-Q3 2019 Anytime, anywhere community consultations /Mobile caseload Anytime, anywhere community consultations /Mobile caseload Reporting. Sharing and integration Clinical data entry: • Wound management • Catheter care • Moving & Handling (risk assessment) • Waterflow Pressure sore scoring • Abbey Pain Scoring • Nursing assessment form • Patient care screen Cloud storage of attachment links Full Offline working Offline individual caseload Offline Patient care Offline clinical forms Reporting for teams federated communities Sharing data with GP Integration with ICE test request Adastra for GMED OOH Write back to TRAK UK compliant & additional Mobile platforms NHS Digital Community dataset integration OR App(s) for iPad or iPhone or Android™ (tbd) Correct at date of issue, details may change. Contact the Vision Product Manager for the latest version DOI: Oct-18
- 50. The NHS is changing. So are we. We understand the NHS pressures. Vision’s new, intelligent software enables shared care and collaboration for the modern ways of working.
Editor's Notes
- Statistics about the NHS challenges to facilitate some story telling about why the NHS must change. The NHS is set up to treat individual conditions. But people are living longer and need a wider range of health services over a longer period of time. Many elderly patients have several long-term conditions – typically treated by different people in different places, which is disjointed. This is inconvenient and frustrating for patients, and inefficient and expensive for the NHS. It is 12 years since Derek Wanless wrote his health review. It said that if we don’t take prevention seriously then the NHS will face a sharply rising burden of avoidable illness. That warning was largely ignored and the NHS now faces the problem that Wanless predicted. Preventable disease is widespread – the majority of illnesses the NHS treats are caused by obesity, smoking or alcohol, and many of these illnesses, such as heart disease or diabetes are preventable. Many people are living with conditions that might have been prevented with earlier education and intervention. This also has obvious cost implications for the NHS because money is being spent treating patients for illness that could have been avoided. There is increasing pressure on primary care. The number of GPs is reducing, yet more services are being moved from hospital so they are localised. GPs will remain the focal point so we need to find smarter, more efficient ways of working Sources 80% of cases of heart disease ,stroke and type 2 diabetes, and 40% of cancer could be avoided: WHO 2005. Kings Fund 300 GP practices face possible closure: Guardian, 3 March 2016 34% GPs retiring. BMA survey reported in Pulse March 2015 £30 billion gap: NHS Five Year Forward View Long term diseases take 70% of the NHS budget: NHS Five Year Forward View 26% of GP appointments potentially unavoidable: 2x over 85 year olds: Office for National Statistics National Population Projections 26/10/2011
- Published in October 2014, the 5 Year Forward View describes how the NHS must change to meet the needs of patients and the increasing pressure on the NHS. Prevention Prevention initiatives include national action on lifestyle advice such as smoking, alcohol and other major health risks. It also involves analysing data to identify patients at risk of developing long term diseases and intervening to reduce that risk. Collaboration New partnerships and organisations are being set up to break down the barriers between primary and secondary care, physical and mental health, and health and social care. Examples are: Multispeciality Community Providers Primary and Acute Care Systems New urgent and emergency care services Primary care will continue to be the focal point, and so GP practices will be at the centre of these partnerships Localise care The partnership approach will allow more care to be delivered locally and at patients’ homes. Collaboration is a running theme. The Five Year Forward View talks about breaking down the barriers between general practice and hospitals, between physical and mental health, and health and social care. All of these people will be encouraged to work together to provide a quality health service that is more efficient, more effective and better for patients. Most patients with long term conditions prefer to be treated at home instead of going to hospital or nursing homes. Teams including people from GP practices, community teams and social care will work together. This approach is cheaper for the NHS too so there is a need to move treatment out of hospitals towards patients’ homes and their local area.
- For details of each product release, please refer to https://vision.jiveon.com/docs/DOC-6955 on Jive
- Delivered in Q1: Boost performance True side-by-side coexistence with Vision 3 enabling true collaboration for a single patient record Deliver in Q2: Enhanced prescribing Synchronise repeat [prescriptions Test requesting (in-practice) Improved representation of EMIS data
- BlueBay schedule for delivery of components for integration into Vision Anywhere (Calculators, Pathways etc) https://vision.jiveon.com/docs/DOC-18537 Notes: Added a new theme called ‘Patient Record’ to accommodate the feature ‘improved encounters view’ which was previously under encounter management theme – this is inline with the terminology NWIS used in their requirements document. I did not mark it red to show it’s a new theme Smaller font size to fit all items in this column
- Change History April 2018 Adjust appointment books for unplanned changes: Improve filters, Manage ad-hoc sessions delivered in Q1 2018 Federated working planned for early Q4 2018 (provisionally late Q3 in January roadmap) August 2018 Federated working planned for Q4 2018. (Date at risk due to loss of 1 Developer (Lorraine) and lack of a working Test Environment). Inclusion of EMIS Welsh requirements. October 2018 Added to Q4 Print and populated Q1 & Q2/3 2019 with the enhancements required to take the front office appointments product to the next level and offer customers a viable replacement to current V3 appointments. Newly appointed PO (ER) will take time to get a focused understanding of future Appointments Priorities so above is subject to change.
- Change Control: Dec 2018: Shared Care and Replacing Daybook (1.4) moved out to Q2 (May) to reflect latest expected dates Oct 2018: SL: Shared Care and Wales enhancements combined into one Q1 19 release; extended to cover workflows and MM replacement during 2019. April 2018: Shared care moved from Q1 to end Q2
- Change Control: April 2018 (from Jan 2018) CCN076: Management Information about General Practice – scheduled for Q4 2017, delivered Q1 2018. Provide Practice Level Reporting (CCN075) - moved from Q1 to Q2 2018 Enhancing the practice reporting experience - moved from Q2 to Q3 2018 Clinical reporting and reporting for GP networks - was H2 2018 to Q1 2019, now Q4 2018-Q1 2019.
- Change History April 2018: Separation of Pathology Review workflow into separate module (80% of mail traffic)
- Change Control April 2018 Update templates/ Improve access to templates. (QOF Business Rules, eFI calculator, Frailty Enhanced Service – Risk Stratification, Upload templates for sharing, Template library) delivered in Q4 2017 CCN076 (Scotland), SNOMED compliance. (Mail merge practice lists to allow month of birth recall, QRISK licence update, SNOMED code sets, SNOMED write back to GP systems, SNOMED code sets for QOF indicators in Vision Anywhere) delivered in Q1 2018 SNOMED compliance moved out to Q3
- Change Control: April 2018 Q1-18 Deliverables (SNOMED, GPSoC bulk extract API, Central Services read/write SNOMED) delivered on plan Test requesting service added to Q2 2018. August 2018 Moved Smartcard Authentication to Q3 Added Password services / Federated Reporting / Bulk Extracts updates
- Change Control April 2018: PFS roadmap. Q1 items moved into Q2. Messaging requires NWIS board approval and still awaiting services for change language All other items moved to H2 2018 (Val)
- Change Control: April 2018 Single point of referral. Manage staff & caseloads delivered in Q1. Add attachments - moved to Q2 as cloud storage links UK Compliance added to Q4-Q1 2019 Q4-Q1’19 Selected Apps to be available for iPad, iPhone or Android™ (which to be determined)
- Final slide. Years ago we understood how the NHS was changing. We invested heavily in developing new technology to address the challenges such as preventing avoidable diseases and freeing up time so clinicians can focus on caring for their patients. We are all patients too. Our motivation is to create simple solutions that are good for the NHS and patients.