eclipse live - berkshire west clinical commissioning group · eclipse live menu your alerts are...

www.eclipsesolutions.org Optimising Cost-effective Care

Implementation Plan

l i v e

Eclipse Live

A d v a n c e d N H S S o l u t i o n s

www.eclipsesolutions.org


Implementation Plan

Page 04 Objectives

Page 05 The Eclipse Live Project

Page 07 Eclipse Live Menu

Page 08 Technical Specification

Page 10 Information About Eclipse

Page 11 Data sharing agreement

Page 12 Website privacy policy

Page 13 Practice Agreement

Page 17 Ten Simple Steps to Activation

Page 18 The Future


e c l i p s eL i v e

Dr Julian Brown (Eclipse Live)[email protected] 101327

Steven Platt (Technical Lead) [email protected] 525529

General Office [email protected]: 0845 280 2301

Eclipse Solutions NRP Innovation CentreNorwich Research ParkColney LaneNorwichNR4 7GJ

Company No: 05913240

Data Protection Registration Number: Z2536678 IG SOC Organisation Code: 8HX18

www.eclipsesolutions.org Optimising Cost-effective Care Objectives Page 4

Objectives

ECLIPSE stands for: “Electronic Checking Leading to Improved Prescribing Safety & Efficiency”. It is utilised in 4000 surgeries in England and we have subscribed to the advanced “LIVE” version to allow true Risk Stratification, Safety Alerts, Centralised Project Management, Integrated Care and Automated Patient Care Plans. The aim is to make your life easier whilst enhancing the safety of our patients. The system is an online interface found at www.eclipsesolutions.org

Risk Stratification: The Eclipse Live system is currently the most sophisticated risk stratification system available with the ability to run thousands of safety algorithms against all of your patients. It will reliably identify those patients at risk of complications / admission and generates user-friendly lists for easy management.

Integrated Care: The Eclipse Live system allows complete integration of care whilst protecting the security and confidentiality of the Patient. GP Practice, Community Services, Pharmacy, Hospital and Patient / Carer can interface with ease through our system with the creation of a completely functionally integrated generic team.

Self-Management Plans and personalised records: These automated self-management plans were first launched in 2007 and were immediately able to reduce admissions in diabetes by more than 50%1. Eclipse Live now can create plans for multiple conditions, enabling patients and carers to be both empowered by education and choices. Patients are able to access their medical records electronically or via paper summary printouts.

1.Diabetes & Primary Care, 2010, Vol 12, No 5, pages 268–276

RESPIRATORY MANAGER1

COPDManager.org.uk

AsthmaManager.org.uk

Reducing costs and improving outcomes.

Performance Tracking: Just how well are you doing?

Prescribing Trends: Analysis of respiratory prescribing within your region.

How to use your essential online Respiratory Manager tool.

1

DIABETES MANAGER

Reducing costs and improving outcomes.

Performance Tracking: Just how well are you doing?

Prescribing Trends: Analysis of Diabetes prescribing within your region.

How to use your essential online Diabetes tool.

One of 8 Chronic Disease Management guides to revolutionise Patient Care

Your essential guide to managing your condition

SELF-MANAGEMENT PLAN

www.eclipsesolutions.org Optimising Cost-effective CarePage 5 The Eclipse Live Project

The Eclipse Live Project

Eclipse Live combines all available datasets to generate its safety reports.

Reports are automatically generated allowing:

Commissioners to Achieve:

• Improved safety of prescribing.

• Cost savings.

• Better formulary compliance.

• Improved outcomes in Clinical Commissioning.

GPs empowered to identify:

• At-risk patients.

• Patients not fulfilling local guidelines.

• Performance tracking.

• Formularies, guidelines and contacts.

*Weekly extracts were taken overnight from the GP systems via automated Apollo extracts.RADAR is a collection of algorithms generated utilising MHRA, NICE, BNF and national guidelines combined to identify at-risk patients.

*

Clinical Commissioning Group

Patient Safety Reports

Clinical Benchmarking

Clinical ProjectReports

Prescribing Data

Radar National Guidelines for Risk Stratification

www.eclipsesolutions.org Optimising Cost-effective Care The Eclipse Live Project Page 6

The Creation of a completely functionally integrated generic team to allow true Patient Care.

The outcome of the interface will:

• Improve the safety of patient care

• Improve education of healthcare professionals

• Reduce inappropriate referrals

• Increase appropriate referrals

• Reduce emergency admissions

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www.eclipsesolutions.org Optimising Cost-effective CarePage 7

Eclipse Live Menu

Your alerts are updated once a week.

The Risk Stratification can be set up centrally or you can add your own ones as needed.

Simply click on the button to view the patients at risk.

Click on the “4 patients” button at the top of the amber alerts to proceed to the next page.

Eclipse Live Menu

www.eclipsesolutions.org Optimising Cost-effective Care How Can I Activate eclipse live? Page 8

Technical Specification

EMIS LV

EMIS PCS

iSoft Premiere

iSoft Synergy

iSoft System 6000

INPS Vision 3

Microtest

• Eclipse Live is accessed as a secure encrypted website.

• Capable of fully integrating with all GP systems.

• No modifications are required to existing systems.

• The Project is capable of significant expansion within the Trust and within the region.

• No personally identifiable patient data is extracted.

• Any data relating to patients that have opted out of the IT is excluded.

• All data is strongly encrypted (a combination of symmetric and asymmetric encryption algorithms, Triple DES and RSA 1024) before transmission and utilises public and private key pairs unique to each project.

*APOLLO EXTRACTS

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www.eclipsesolutions.org Optimising Cost-effective CarePage 9 Business CasePage 9

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www.eclipsesolutions.org Optimising Cost-effective Care Information About Eclipse Page 10

Information About Eclipse

More than 55 PCOs and more than 4,000 surgeries currently have the Eclipse System activated anre are eligible to use

Inspire. Eclipse Live will be implemented in these PCOs as a priority (phase one) but other PCOs can be activated from 1

January 2013.

1. To continually develop and implement interfaces that improve the safety and welfare of patients within the NHS through data integration, risk stratification, local integrated care and automated self-management plans.

2. To provide the most cost-effective software available for the NHS.

3. To provide NHS organisations with completely risk-free contracts including full refunds if cancelled within 6 months, never tying NHS organisations to long-term contracts and complete flexibility in being able to cancel contracts at any time.

4. To always reinvest all revenue back into the project.

5. To only work on projects that will improve either the cost-effectiveness or the safety of patient care.

6. To ensure your data is completely secure and never passed onto third party providers.

7. To work collaboratively with the NHS rather than providing competition to them.

8. To carefully audit all projects implemented to ensure they are genuinely cost-effective.

9. To embrace your ideas and suggestions allowing continual free improvements to your interfaces.

10. To ensure that our software allows your Primary Care Organisation to save revenue, save time and dramatically improve patient care.

Our Mission Statement

www.eclipsesolutions.org Optimising Cost-effective CarePage 11

Data Sharing Agreement

Data Sharing Agreement

www.eclipsesolutions.org Optimising Cost-effective Care Website Privacy Policy Page 12

Website Privacy Policy

www.eclipsesolutions.org Optimising Cost-effective CarePage 13 Practice Agreement

Practice Agreement

Eclipse Live : Practice Commitment

Introduction The Eclipse Live audit is a fully automated process that allows a practice to participate in the elp project easily and with minimal effort. In general terms the process is as follows. The practice signs an authorisation form to permit three things to happen:

Remote installation of necessary software if required Automated running of the elp SQL Suite query Remote login to provide technical support if required

Once set up, the elp query will be scheduled by Apollo to run automatically as required. When run, the Eclipse Live query will produce a .csv datafile containing anonymised clinical data (no names, dates of birth, addresses or personally identifiable data). This file will be automatically encrypted and transmitted to the secure Eclipse Live database. The Process Installation Once a signed authorisation form is received from a practice whose clinical system is compatible with Apollo SQL Suite, Apollo will carry out checks to determine if the practice already has a working version of SQL Suite; if this is the case, Eclipse Live query is scheduled via Apollo’s A3 system to run at the next opportunity. If not, Apollo will contact the practice to arrange installation of the necessary components and then schedule the automated run as above. Automated Running The Eclipse Live query will normally run during the early hours of the morning (typically 0200 – 0700) and does not interfere with system processes such as backups etc. If the query is unable to complete it will simply re-try on successive days until it does complete. For most practices, there is a longer “run window” on a Sunday, typically 0900 – 1900 so even if the query cannot complete during the week it will almost always complete by the Sunday following its scheduled run date. Audit Criteria Patients are selected for inclusion based on the criteria outlined in the extraction specification document.

Please find below a sample agreement that would need to be signed by each practice.

Eclipse Live Project (elp): Practice Agreement

www.eclipsesolutions.org Optimising Cost-effective Care Practice Agreement Page 14

Eclipse Live / Diabetes Manager Audit: Practice Commitment On behalf of the practice named below (“Practice”), I confirm that: I authorise the provision of the Eclipse Live audit in accordance with the conditions specified within this document. I have read the conditions applying to the provision of the Eclipse Live audit and understand and accept the role and responsibilities of the Practice in connection with the provision of the Eclipse Live audit, especially the necessity to leave switched on at all times, the Practice PC onto which the software is installed. I have made my partners and other stakeholders at the Practice aware of the Eclipse Live audit and the conditions relating to its provision. I am authorised to approve the Eclipse Live audit on behalf of the whole Practice. I confirm I have received information about the type of data that will be extracted from the practice system and transmitted to the Eclipse Live database, to facilitate reporting on the extracted data. The Practice agrees to the installation and operation of the Eclipse Live audit software and accepts the terms of the Software licence agreement. I understand that it may be necessary for an Apollo technician to remotely install and maintain the Eclipse Live audit software components and I authorise, when required, remote access to the Practice system to allow installation of the software and for the provision of any necessary technical support.

I confirm that I agree to the five practice commitment points above: Name of practice Address of practice

Lead GP: Post Code:

Practice Manager: Tel no of practice: Authorised Signatory (GP 1 – Print name) .............................................................................................................. Signature ................................................................................................ Date........................................................................................................ Authorised Signatory (GP 2 – Print name) .............................................................................................................. Signature ................................................................................................ Date........................................................................................................ If single handed practice please ensure GP1 also signs and dates GP2 signature to confirm Practice Manager Name .............................................................................................................. Signature ................................................................................................ Date........................................................................................................ If No Practice Manager in practice please ensure GP1 also signs and dates PM signature to confirm


Practice Details –Eclipse Live Primary Contact for audit (ideally PM or IT Lead (must be available for Service installation)

Primary Contact Direct Telephone No:

Best times to call Primary Contact on Direct Number

Primary Contact Email Address:

Practice National Code (must be 1 letter followed by 5 digits e.g. A12345)

Clinical System Supplier (e.g. EMIS)

Clinical System Version (e.g. EMIS LV)

For EMIS systems only, EMIS CDB No

The name and location of the PC onto which SQL Suite is to be installed

Please state the Operating System on this selected PC

Windows

7

Windows

2000

Windows

XP

Windows

Vista Please circle one answer as appropriate

If you are unsure of any of the above, simply state “unsure”.

Page 15 Practice Agreement

www.eclipsesolutions.org Optimising Cost-effective Care Practice Agreement Page 16

Eclipse Live Authorisation Document: End User Agreement END USER REQUIREMENTS AGREEMENT This End User Requirements Agreement (the “Agreement”) is made between Apollo Medical Systems Ltd (“us/we”) and you as the end user (“you”). “Software”: means the Apollo SQL Suite, Version [] (and such updates that we may provide to you from time to time) and associated documentation. By installing, or using this software, you agree to be bound by the terms of this agreement. If you do not agree to the terms of this agreement, do not install or use the software. 1. OBLIGATIONS 1.1 We hereby grant to you a non-exclusive, non-transferable, limited right to use the software for your own internal purposes only, provided that you must not: 1.1.1. decompile, reverse engineer, disassemble, or otherwise reduce the software to a human readable form, except as permitted by law; 1.1.2. modify, sell, rent, transfer, resell for profit, distribute or create derivative works based on the software or any part of it; or 1.1.3. make copies of the software other than one copy in machine readable form solely for back-up purposes. 1.2 You hereby give us express permission to disable the software remotely in the event of your unauthorised use of the software and/or following the expiry of this agreement. 2. OWNERSHIP 2.1. We own the copyright in the software and of any authorised copies you make. 2.2. You own only the CD-ROM or medium on which the software is recorded or fixed. 3. WARRANTY 3.1. We warrant that the medium on which we supplied the software to you will be free from defects under normal use for a period of thirty (30) days from supply. If a defect within the warranty period occurs you will be entitled to either a replacement or a full refund. 3.2. The software is provided to you without technical support or warranty of any kind from us including, without limitation, a warranty of satisfactory quality, fitness for a particular purpose and non-infringement of third party intellectual property rights. 4. LIABILITY 4.1. Neither we nor any of our directors, officers, employees, subcontractors or agents shall be liable to you (including without limitation, incontract, negligence and tort liability) for any loss of profit, loss of revenue, loss of opportunity or goodwill or for any consequential or indirect loss or damage in connection with this agreement. You acknowledge that the software has been priced on the basis of this restriction of liability. If you require us to accept a higher level of liability you may contact us and we will provide you with a revised quotation for the software. 4.2. Notwithstanding the foregoing, our liability for (1) death and personal injury or (2) fraudulent misrepresentation is unlimited. 5. TERMINATION 5.1. This agreement will terminate automatically on expiry of the term indicated on-screen during the installation process or otherwise set out in the associated documentation, whereupon you must cease using the software and either take appropriate steps to renew your agreement (either by contacting us or one of our authorised agents) or delete and destroy your copies of the software. 5.2. This agreement will terminate automatically if you fail to comply with any of these provisions. 6. GENERAL 6.1. This agreement contains the entire agreement of the parties and supersedes all prior or contemporaneous agreement or understandings, whether written or oral. 6.2. Any person who is not a party to this agreement shall have no right to enforce any term against us under the Contract (Rights of Third Parties) Act 1999. 6.3. This End User Agreement is subject to English law. Copyright 2010 © Apollo Medical Systems Limited. All rights reserved.

www.eclipsesolutions.org Optimising Cost-effective CarePage 17 Practice Agreement

Ten Simple Steps to Activation

Month 1:

Step 1: All practices will be sent the eclipse live implementation pack.

Step 2: Two Partners and your Practice Manager need to fill out and sign pages 15 & 16 of the agreement form.

Step3: Post your completed copy to the PCT/CCG

Step4: Apollo will contact you and arrange for your initial data extraction. (This will contain no personally identifiable data and not extract patients who have opted out of the NHS Spine.)

Step 5: An overnight weekly extract will then be scheduled to keep your eclipse live interface up to date.

Step 6: You Practice Administrator will be able to activate your eclipse live usernames and passwords and will be guided through this simple process by our help desk.

Month 2:

Step 7: Once you have logged in you will be automatically activated to receive your eclipse live workbooks and be able to book an online one to one training session.

Step 8: Weekly Training Webinars allowing up to 16 users will be carried out on Wednesday and Thursday lunchtimes.

Step 9: Your surgery Alerts will be received once a week on the night following your weekly extract.

Step 10: There will be regular general training sessions for your CCG with the ability to feedback any concerns or highlight development opportunities.


The Future

Thanks to this project, lives are already being saved, with more than a million patients already being protected by secondary automated screening and risk alerts.

Integrated care Specialists are now able to track all their patients within the community, GPs are able to discuss cases directly with specialists and community staff are now fully informed.

Patients have access to their health summary, can generate self-management plans and interact with their health care team.




Eclipse Solutions NRP Innovation CentreNorwich Research ParkColney LaneNorwichNR4 7GJ

Company No: 05913240

Data Protection Registration Number: Z2536678 IG SOC Organisation Code: 8HX18

Dr Julian Brown (Eclipse Live)[email protected] 101327

Steven Platt (Technical Lead) [email protected] 525529

General Office [email protected]: 0845 280 2301

www.eclipsesolutions.org Optimising Cost-effective Care A d v a n c e d N H S S o l u t i o n s

www.eclipsesolutions.org

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