Exploring efforts to Connect Health & Social Care in Leeds , while building towards an Open Platform

1. Connecting – Leeds
Work towards an open EPR/platform
Dr Tony Shannon, CCIO, Leeds NHS
Richard Pugmire, Technical Architect, Leeds NHS
Flickr.com/photos/62766743@n07

2. 200+
CUI Clinical Portal
TIE
A
B
C
1
2
3
4
5
PAS
Orders Results
Clinical Docs
Summary Care Record
Leeds: Starting Point & Options

3. 21st C NHS – Open Platform required

5. 3 key levels
•Single Patient
–Clinical Care – One on One
•Multiple Patients
–Patient Cohort
–Managing Ward, Clinic etc
•Aggregate Patient Data
–Research & Audit

7. LeedsTH EPR: PPM+ Platform

8. PPM+ Letters

9. PPM+ (inc. Order Comms)

10. PPM+ MPV

11. PPM+ MPV

12. Scale of Challenge
The LTHT Electronic Patient Record
The Leeds Care Record initiative (leedscarerecord.org)
Patient Pathway Manager (Regional Oncology)
~10,000 LTH users
~1,000 GP, community and social care users
~300 YCN users
Our “One patient, one record”

13. •Refactor EPR using modern, scalable and standards-based technologies
•Flexible approach to electronic data capture and persistence
•Open source vision
•Responsive ‘Agile’ development process
The Challenge

14. Our solution

15. Flexible Persistence…
Unstructured
Computable
Structured/Normalised
Structured and Archetyped
SQL
XML Store
File system
Clinical Data Repository (e.g. openEHR)
Data Capture Form

16. Team set up
Developers
Development cells
SCRUM Sprint
Scrum Master
EPR (core)
Tech Co- ordinator
Senior Dev
Senior Dev
Senior Dev
Senior Dev
Senior Dev
eForms
Development Lead
Senior Dev
Junior Dev

17. forms4care.com website
http://forms4care.com

18. eForm in action

19. eForm in action

20. PPM+ multi-patient view (wards)
100 wards – 79% of admissions have modified record

21. PPM+ - July 2014
13,509 uses 1.89 M patients

22. PPM+ Reporting View

24. 200+
LTH Clinical Portal
Integ
Engine
A
B
C
1 2 3 4 5
Orders Results
ePrescribing
Summary Care Record
Leeds Care Record- Approach
Leeds Care Record

25. PPM+ Leeds Care Record Viewer

26. Leeds EPR/LCR Development
•Clinically Led
•User Centred
•Agile Development
–2 weekly Sprints
•Joint NHS & Commercial SME Team
–Answer Consulting & XML Solutions
–Service Based Model

27. Leeds & Integration Pioneers
•Open Requirements
•Open Governance
•Open Citizen
•Open Source Viewer
•Open APIs
•Open Record Architecture

28. Towards an eHealth ecosystem
International Standards
Local Frontline Innovators
National eHealth Bodies & Vendors
Regional

29. Thank you
tony.shannon@nhs.net
richard.pugmire@nhs.net
www.frectal.com
@frectally