1 investing in technology to improve the patient experience chris cook, group it director, nuffield...
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Investing in technology to improve the patient experience
Chris Cook, Group IT Director, Nuffield Health
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KEY ISSUES & TRENDS ACROSS HEALTHCARE
Technology !Technology !Technology !Technology !
Care ImprovementCare ImprovementCare ImprovementCare Improvement
• Patient safety—technology enabled change
• Clinical outcomes and operational excellence
• New care delivery models
• Patient safety—technology enabled change
• Clinical outcomes and operational excellence
• New care delivery models
Access to Patient HealthAccess to Patient Health& Care Information& Care InformationAccess to Patient HealthAccess to Patient Health& Care Information& Care Information
• National, regional, community electronic health records
• Integrate health, social services and local government
• Patient identity, securityand confidentiality/privacy
• National, regional, community electronic health records
• Integrate health, social services and local government
• Patient identity, securityand confidentiality/privacy
Rising Cost of HealthcareRising Cost of HealthcareRising Cost of HealthcareRising Cost of Healthcare
• Move to Shared Services • Shift to pay for performance• New contracting
models–risk sharing• Quality monitoring
• Move to Shared Services • Shift to pay for performance• New contracting
models–risk sharing• Quality monitoring
Ageing Population, Ageing Population, Obesity, Obesity, & Chronic Diseases& Chronic Diseases
Ageing Population, Ageing Population, Obesity, Obesity, & Chronic Diseases& Chronic Diseases• Patient segmentation• Technology enabled
proactive care management • Patient tools for self-care • Patient wellness programs• Cost reduction pressures
• Patient segmentation• Technology enabled
proactive care management • Patient tools for self-care • Patient wellness programs• Cost reduction pressures
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NUFFIELD HEALTH
• Largest not-for-profit healthservices provider in the UK
• 31 hospitals with 5,000 end users
• 750,000 inpatient visits per year
• Provide integrated healthcareservices for the UK NationalHealth Service (NHS)
• 150 health and fitness centres
• Business strategy is dependent on IT
“As Britain’s longest standing not-for-profit group of independent hospitals, Nuffield Health (formerly Nuffield Hospitals)is committedto providing healthcare excellence thatis accessible and affordable toas many peopleas possible”
“As Britain’s longest standing not-for-profit group of independent hospitals, Nuffield Health (formerly Nuffield Hospitals)is committedto providing healthcare excellence thatis accessible and affordable toas many peopleas possible”
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Single purpose
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The UK Healthcare market
• A time of change
• “Patient Choice”
• More competition
• New entrants
• UK NHS improving
• Increased focussed on preventative healthcare
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The transformation required
• Simpler, faster, fitter
• Offer services across the healthcare spectrum
• More productive
• Standardised processes
• Lower cost base• Shared services
• Procurement control
• Materials management
Highest priority is still Patient Care
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IT to support the transformation
Nuffield IT in 2003
Nuffield IT in 2008
PAS: iSoftMIS: Business ObjectsRisk Management: DatixPathology Labs: CliniSysImaging: Agfa PACS/RISCRM: MicrosoftMaster Patient Index: InitiateIntegration: BridgeForward
Basic IT Market leading,best of breed IT
ERP?
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ERP requirements
• Enterprise-wide (31 hospitals and 100+ sites)
• Modern technology
• Web-based for ease of deployment and access
• Scalable
• Financials
• Procurement
• Requisition self service
• Materials management
• Management reporting
• Workflow
• Best practice in Health Care
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Best practice in Healthcare
• 500+ healthcare customers
• 4,500+ customer sites
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What we bought
• Lawson S3 version LSF9 / SQL Server:• Financials
• Procurement
• Requisition Self Service (RSS)
• Inventory Management
• Mobile Supply Chain Management (MSCM)
• Lawson Business Intelligence (LBI)
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Business process design
• 300 business processes designed
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Integration
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Schedule
2006 2007
Design / Config /Testing
Pilot3 sites
Set upShared AP
Rolled out to 37 hospitals
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WHAT WE’VE ACHIEVED
More focus on patient More focus on patient carecareMore focus on patient More focus on patient carecare
• Process improvements allows mean focus on our highest priority: Patient Care
• Process improvements allows mean focus on our highest priority: Patient Care
Procurement savingsProcurement savingsProcurement savingsProcurement savings
• Major cost savings achieved through procurement controls:
• Approved vendors• Authorisation controls
• Major cost savings achieved through procurement controls:
• Approved vendors• Authorisation controls
Improved decision makingImproved decision makingImproved decision makingImproved decision making
• Enterprise-wide management information reporting
• Enterprise-wide management information reporting
Shared financial services Shared financial services Shared financial services Shared financial services
• An enterprise-wide system to support the implementation of shared financial services
• An enterprise-wide system to support the implementation of shared financial services
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Questions?
Thank You!
Chris Cook
Group IT Director, Nuffield Health, UK
+44 7900 048 898