Computerised Theatre RegisterMinimum Dataset Project inAcute Hospitals in Cork & Kerry                                    ...
Background   A review of theatre activity in 2008 in all HSE hospitals in    Cork and Kerry was conducted under the Recon...
Key Data Management Recommendation:“A standardised computerised theatre logbook     system developed in all hospitals.”   ...
Extracting data for THEATRE review, auditor service planning is extremely difficulto time consumingo labour intensiveo ine...
Project Purposeo Requirement for high quality information.o The HSE needs to be able to source, analyse andinterpret routi...
The advantages of an electronic logbook:• More efficient data access• Higher data quality• Increased ability to conduct qu...
ScopeEstablishment of Computerised MinimumDataset (CMD) GroupThe scope of this project was as follows:1) Minimum Dataset (...
iSoft Operating Theatre Module   MDS Collation                  Systems in use Meetings with Meetings with   Meetings with...
MDS Theatres – Current picture                                 9
Systems in use Nationally  Table 1 Results of Operating Theatre Telephone Questionnaire                                   ...
Fact Finding Mission – Meetings with Theatre Managers• HSE WEST IPMS Operating Theatre presentation   • Roll-out of IPMS T...
CUH IT – IPMS Operating Theatre ProjectIPMS Theatre IT Project driver in CUH• Theatre 3 Neurosurgery – fully implemented 2...
Legal status of Log Books“there is no legal reason why we cannot moveto a fully computerised Theatre Log Book”            ...
IPMS Screen Shots – Theatre Overview CUH                                           14
CUH IT – IPMS- In-Theatre Details Tab                                        15
Data DictionaryIPMS                         16
TPOT Project – The Productive OperatingTheatre group  TPOT is interested in …  data that could or would be useful when  lo...
New South Wales Health Department,Operating Theatre Management Project Report  Only 29 facilities were using the same defi...
Where we are at now……    CMD                                             TPOT                             IPMS            ...
It is our recommendation that ..• All Acute Hospitals computerise the theatre register• Where available IPMS be used as th...
CMD Group MembersDr. Orla Healy – Project Lead ReconfigurationJudy Cronin Health Informatics Manager DPHHeather Hegarty Se...
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Computerised Theatre Register And Minimum Dataset Presentation - Judy Cronin

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Computerised Theatre Register And Minimum Dataset Presentation - Judy Cronin

  1. 1. Computerised Theatre RegisterMinimum Dataset Project inAcute Hospitals in Cork & Kerry Judy Cronin Dr. Orla Healy Heather Hegarty Dept. of Public Health, HSE South Presentation to HISI Thur Nov 17th 2011
  2. 2. Background A review of theatre activity in 2008 in all HSE hospitals in Cork and Kerry was conducted under the Reconfiguration of Health Services. Theatre logbooks or registers varied from place to place All were manually entered, paper based systems Computer systems existed, they did so in parallel with paper based systems Similar but not standardised data 2
  3. 3. Key Data Management Recommendation:“A standardised computerised theatre logbook system developed in all hospitals.” HSE Performance Report February 2009 (2nd April 2009); page 32 3
  4. 4. Extracting data for THEATRE review, auditor service planning is extremely difficulto time consumingo labour intensiveo inefficiento expensiveo a major logistical challenge 4o security concerns
  5. 5. Project Purposeo Requirement for high quality information.o The HSE needs to be able to source, analyse andinterpret routine data to inform key decisions.o Standardised and computerised theatre registers willfacilitate quality assurance, performance monitoring, audit,look-back and research.o We can’t keep manually counting and re-counting logbook entries for patient recalls/reviews 5
  6. 6. The advantages of an electronic logbook:• More efficient data access• Higher data quality• Increased ability to conduct quality improvementand clinical research activities. 6
  7. 7. ScopeEstablishment of Computerised MinimumDataset (CMD) GroupThe scope of this project was as follows:1) Minimum Dataset (MDS):o Agree MDSo Develop data dictionary2) Computerisation:o Identify what computer systems are currently in use in hospitals and theatres relevant to computerising theatre registers. 7
  8. 8. iSoft Operating Theatre Module MDS Collation Systems in use Meetings with Meetings with Meetings withacross all Hospitals Nationally Theatre Managers CUH IT TPOT Group Cork & Kerry 8
  9. 9. MDS Theatres – Current picture 9
  10. 10. Systems in use Nationally Table 1 Results of Operating Theatre Telephone Questionnaire 34 (61.8%) No Computerised Operating Theatre System Dual Paper-based AND 6 (11%) Computerised Operating Theatre System Fully electronic Operating 8 (14.5%) (2 Theatre System Hospitals very unhappy with similar system) Electronic Orthopaedic 5 (9%) Operating System only No Reply 2 (3.6%) Total 55 (100%) 10
  11. 11. Fact Finding Mission – Meetings with Theatre Managers• HSE WEST IPMS Operating Theatre presentation • Roll-out of IPMS Theatre module in Letterkenny, Sligo & UCHG • Senior Management and IT support critical. • Used ICD-10 HIPE Codes • Recommends a succession plan post implementation (add a procedure)• On-site visit to Tallaght • High level Governance group & excellent IT support (dedicated IPMS IT Project Co- Ordinator) • Product Initiation Document and Cost Benefit Analysis Report. Extra data points, PC’s – Thin Client and washable keyboards. • Used ICD-10 HIPE Codes – manually inputted. • Procedure codes associated with each Consultant – system monitors time & adjusts time. • Used widely for audit and has vastly improved efficiency. 11
  12. 12. CUH IT – IPMS Operating Theatre ProjectIPMS Theatre IT Project driver in CUH• Theatre 3 Neurosurgery – fully implemented 24/7• CUMH Gynae/Obstetrics – fully implemented 24/7• Theatre 1 and 1A Cardiothoracic – one year, then stopped.• Currently used for theatre bookings or elective list in 1, 1A, 5, 6 & 7, 8.OBSTACLES• Key Theatre staff drivers (willing to run with this)Governance (at Mgt. level to push project forward) 12
  13. 13. Legal status of Log Books“there is no legal reason why we cannot moveto a fully computerised Theatre Log Book” In-house HSE Barrister“Theatre register should be kept in everytheatre to record essential details of allsurgical procedures. It can be eitherpaper, book format or electronic.” Standards & Recommendations for Safe Peri-Operative Practice (Pg 28Afpp 2007) 1.12.2. 13
  14. 14. IPMS Screen Shots – Theatre Overview CUH 14
  15. 15. CUH IT – IPMS- In-Theatre Details Tab 15
  16. 16. Data DictionaryIPMS 16
  17. 17. TPOT Project – The Productive OperatingTheatre group TPOT is interested in … data that could or would be useful when looking at making improvements in the future. the same core data collected via IPMS is at the centre of both projects. 17
  18. 18. New South Wales Health Department,Operating Theatre Management Project Report Only 29 facilities were using the same definitions. The report states that “establishing common data definitions was essential to ensure comparability of activity data.. A revised MDS be mandated across NSW Health System”New South Wales Health Department, NSW Health Operating Theatre Management 18Project Report, NSW, 2002
  19. 19. Where we are at now…… CMD TPOT IPMS Combine our efforts. CUH • Local Theatre Manager drivers identified • Orthopaedics is now the Productive Theatre “Showcase Theatre” • Implementing IPMS Operating Theatre module Theatre by Theatre TGH • Building their Theatre IT systems/scheduling system in Kerry from paper basis. • Eager and ready to move to IPMS Nov 2011 Kerry General is scheduled to go-live MUH & SIVUH • Just implemented IPMS across the Hospitals (with the intention of making the Operating Theatre Module available) 19
  20. 20. It is our recommendation that ..• All Acute Hospitals computerise the theatre register• Where available IPMS be used as the system to achieve automation • Where other IT systems are employed, the same core MDS is collected• TPOT review the minimum dataset and data dictionary agreed by this group with a view to national adoption.• TPOT review the extra key data items recommended by this groupand consider what other items will be required for performancemonitoring in the future• TPOT liaise with the HSE National iSoft Liaison link to negotiate aconsistent coordinated approach to IT development in Theatres andminimise the costs involved 20
  21. 21. CMD Group MembersDr. Orla Healy – Project Lead ReconfigurationJudy Cronin Health Informatics Manager DPHHeather Hegarty Senior Research Officer DPHCatherine Buttimer Theatre Manager MUHDonnacha Jordan Theatre Manager MUHEilish Daly CNM2 for Theatres SIVUHFionuala O’Gorman Perioperative Facilitator CUHAndrea Kennedy CNM1 for Theatres CUHCaitriona Hayes CNM3 for Theatres KGHMary O’Regan-Barsum CNM2 for Theatres BGHMargaret Angland, A/Clinical Nurse Manager 2 SMOH OrthoLorraine O’Connor Clinical Nurse Manager 2 for CUMH TheatresGeraldine Keohane Director Of Midwifery CUMHSheila Spillane Nursing IT CUH 21Mary-Rose Dennehy IT CUH

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