This document discusses the GO-DIGITAL and GDE initiatives at a large NHS trust located across 4 sites. It provides context about the trust, including annual patient contacts and services provided. It outlines that the trust has been using Cerner since 2011. The transformation and GDE plan to leverage electronic health records, data, and technology to innovate and connect patient care across organizations is described. A timeline for Years 1-5 and Years 5-10 is presented, outlining goals and initiatives around decision making, EPR modules, the longitudinal record, clinical dashboards, population records, remote services, and self-care/monitoring. Metrics for judging the results are proposed, focused on cost reductions from less duplicate data entry and

1. The GO-DIGITAL and
GDE?

2. • Trust Context;
• Transformation and GDE;
• Planning and timeline;
• ’Go-Digital’ how will we judge the results.
Topic covered

3. • Large DGH, Tertiary Referral Centre and an
Academic Centre, located on 4 sites (3 in Oxford,
1 in Banbury);
• Turnover of £1bn;
• A Cerner site since 2011;
• Implementation of Cerner has been a slow but
steady development, which created the right
building blocks.
Trust context (2)

4. • 1.3 million patient contacts
• 145,000 Attendances at our emergency departments
• 108,000 planned inpatient admissions
• 21,500 referrals with suspected cancer
• 271,000 diagnostic tests
• 1.75 million patient meals provided
• 8,700 babies delivered
Trust context (2)

5. Where we are today?

6. Transformation and GDE

7. Go Digital – leveraging electronic health records,
data and technology to innovate and join up how
we provide patient care across organisational
boundaries and support self-care and research.
Transformation and GDE

8. Planning and Timeline
Year 1
• Transparent decision
making mechanism
for Digital
investments in place;
• EPR modules
completed and
exploitation of the
connected clinical and
reporting systems
with partners;
• Creation of the
longitudinal record
view in local clinical
systems.
Years 2 -5
Years 5-10
• Clinical dashboard
and insight;
• Implementation of
population records to
support planning,
clinical safety and
research;
• Supported remote
clinical digital
services;
• Self-Care and remote
monitoring at home,
use of sensors.
• Apps innovation
framework live.
• Artificial
Intelligence clinical
decision support;
• Innovation of
applied research
into practice
supported by digital
faster;
• Personalisation of
health care as a
norm.

9. What will the digital health economy look like?

10. • Eradication of duplicate data enter (£);
• Right information available at the right time to
the right person (£);
• Going paperless and reduction of required real
estate (£);
• Information quality assured to an agree level
(Quality);
• Number of patients having access to good
information and services at home (Quality)
How will judge the results?