joanna smith, chief information officer, the royal brompton & harefield nhs foundation trust
TRANSCRIPT
Out of the wilderness, our journey to transformation
Joanna SmithChief Information Officer
The Royal Brompton & Harefield NHS Foundation TrustMay 2016
IntroductionRoyal Brompton & Harefield NHS Foundation Trust
– UK's largest centre for the treatment of adult congenital heart disease.
– 130,000+ outpatient appointments, >30,000 inpatient & day cases per annum
– UK’s largest specialist heart and lung centre – 2 sites: Chelsea, West London and Harefield, Middlesex– Europe's top-ranked respiratory research centre– Europe's largest unit for the treatment of cystic fibrosis – The cardiac, cardiovascular & critical care teams are rated in
the top three most highly-cited health research teams in Europe.
– >3,000 angiograms & cardiac catheterisations, 1,800 thoracic surgery operations, 2,400 coronary angioplasties, 2,000 treatments for respiratory failure & 1,200 heart bypass operations (including heart and lung transplants)
Joanna Smith• 30 years in pharmaceuticals,
primarily in IT• Global and local roles – business
facing• First role in Public Sector/ NHS
hospital • I&T inc. Imaging IT, IG & BME
The way it was
Under investment in the infrastructure
1/3 PCs had admin rights & no anti-virus
75% of print was colour, < 10% was duplex50% of print was done via local printers
Our I&T Strategy & 3 Year Planfrom here…..
….. to here…..
I&T Strategy & 3 Year Plan approved March ‘14
….. and finally here
Progress so far
Clinical Transformation• PACS Remediation Plan – faster, more resilient, remote access• Clinical Data Warehouse & analytic tools – delivering new
insights and reducing time spent on research• New EPMA – improving safety and effectiveness• New EDM & PAS go live this summer – improving safety,
efficiency and effectiveness and driving towards paperlite and a true EMR
Infrastructure• New core, edge & wifi network – faster and more reliable• New virtualised compute & storage solution – fewer outages• Migration to W7 and PC refresh - faster and more reliable• Exchange upgraded – email archiving, presence, unlimited mailbox, improved OWA• Skye for Business – internal meetings, messaging, remote consultations with patients
and HCPs• Single Sign-on and VDI – faster access to systems including UYOD• New IG services – better value for money• New managed print service – better service, better value, follow-me print• New telecoms contract – converged all voice & data, saving £1.5m over 5 years
Organisation• New structure and roles• Fewer contractors (in BAU roles)• Goals & Objectives• Appraisals & PDPs• Competency framework• Training plans
Impacts• Dialogue has improved• Credibility has increased• Positive feedback received more often• Reduction in outages and time to fix• Helpdesk more effective - more calls
answered and in shorter time• Complexity reduced• # of physical servers reduced by > 20%
In summary
Calls to our helpdesk, are being answered significantly more quickly, improving from, on average >4m to <30s to answer a call
SMARTBOARDS“Quality of the images was excellent”..... “thank you for all of
your work to get us this far”, Professor P.“Overall - Powerful, impressive, will be important when working
with other hospitals”, “This will be contribute to 2015 being a great year”. Professor P.
“Video quality and sharing content very good”, “Great news for our referrals”, Mr M – Divisional Director
CDWIn support of Service Evaluation Myocarditis, “That is amazing – Thank you very much”, Dr. W
ITU Dashboard providing valuable continuous feedback on medication metrics, allowing clinicians to detect trend changes in prescription, “I like
it”, Dr. FUsing the SAS toolset and the Clinical Data Warehouse to identify a cohort
of Lymphangioleimyomatosis patients took 30 minutes, saving
several weeks of investigative work.
REMOTE ECHO CONSULTATIONSOJ - “more than good enough, very good / great example of collaborative work across the teams with innovative, enthusiastic and open minded attitude”
Average boot time from 17s to 11s and average logon duration from 1m 21s to 40s
42% reduction in devices seeing high CPU usage issues
“This upgrade to the Trust Infrastructure will greatly assist CSC in successfully deploying and operating Lorenzo” - Solution Architect CSC UK&I Healthcare
Significant improvement in VTE completion following EPMA roll-out
“@RBandH finally has good Internet! Makes clinic visits a whole lot better. Top marks!! “– via Twitter
“Marked improvement in IT service” –
SJ
Dr S - “EPMA is going to revolutionise the way we work. Electronic prescribing will reduce the amount of paperwork and the administrative burden associated with medicines management. I can’t wait to use it in the rest of the Hospital.”
MS (Nurse) - “ the system has already helped improve care and service in just the first week
New Image Viewer Prof H - it is very, very impressive – in fact no glitches in my trial so far on 3 different devices. Astonishingly quick access to large CT data sets
“Charring Cross Hospital doesn't have Wifi??!! so spoilt on Foulis Ward at @RBandH @CFAware” – via Twitter
• Reduction in manually intensive activities• Improved patient safety and experience• Greater & more effective collaboration inside and
outside of the Trust
• I&T is becoming more aligned and proactive• Faster, more reliable access to services• Greater mobility, x-site and remotely
Coming next:
• Migrate to the Cloud• Asset tagging and fridge
monitoring solution (RTLS)
• Replace legacy bleep solution
• Upgrade AV estate/MDT service
• Migrate legacy PBX switchboard to VOIP
• Implement the Imaging strategy
Key Success Factors& Challenges
• Be seen and practice what you preach
• Be authentic• Be clear that you are here
to help• Pick your battles• Be credible – get the basics
right
• Identify key stakeholders and develop strong relationships with them
• Establish some allies• Learn the business and be
part of it• Talk in business terms and
about benefitsAnd the biggest challenge? Gaining trust and buy-in, particularly from my team
