Lorenzo NHS Engagement Strategic Partners — 1 9/22/2016 12:03:42 AM CSC Alliance

Lorenzo NHS Engagement
Strategic Partners
9/22/2016 12:03:42 AM CSC Alliance — 1
Why is the Strategic Partner approach different
This partnership is critical
to the success of
LORENZO
Sponsorship
LHC
Vision and
Objectives
Changes to the service
Education, Training
and Development
I.T. as an
enabler
Benefits
9/22/2016 12:03:42 AM CSC Alliance — 2
Business decisions
• Business processes
• Policies
• Culture
• Roles
• Skills
• Information flows
• Decision making
• Physical environment
• Functionality
• Methods
The role of the Strategic Partners
The Strategic Partners should be exemplars which all other Local Health Communities
with the NHS can benefit from:
Strategic Partners
Sponsorship
Implementation
Guidance
•What good looks like
LHC
Vision and
Objectives
Changes to the
service
LE3.5 as an
enabler
• How to deliver I.T.
enabled change
• Main considerations
for the service
• Deployment toolkit
• Approaches
• Solution
Benefits
9/22/2016 12:03:43 AM CSC Alliance — 3
Deployment Sites
LHC
Why is this role different to existing channels?

Strategic Local
Health Community
View
R = Responsible, C = Consulted, A = Authorises, V = Validates, I = Informed
Overview of the role for the different channels
End user, Service
operation View
Solution Design
RA &
FD
Strategic
partners
Workshop
Participants
ERG
Northern
Cluster – 15
core team
Solu
Doc’d
V
V
V


C
C
DBT
Tech
Des’n
Build &
Coding
V
Unit
Test
V
Scope
Design
Module
System
Test
Model
Comm
Test
Scalable
Test
V
C
C
R
C
C
C
C
C
C
I
C
Deployment
Release
Testing
Solut.
Build &
Test.
Anaysis
Stage 0-1
R
Design
Stage
2-3
R
Local
Test
Stage 3
Go-live
Benefit
Del’ables
R
A
R
I
I
I
I
C
C
C
C
I
Site Visits
User Groups
C
C
A
A
I
Expert
Resource
Scheme
CfH/Cluster
R
A
A
A
A
A
A
4
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Benefits to the Partnership approach
Partners
• Early identification of improvement opportunities
• Build the case for deployment of the product
NHS
• Ensure product fit for purpose
• Understand the effort to deploy product
• Communicate the benefits of using the product
CSC Alliance
• Access to additional Domain expertise
• Reduce risk of incorrect product delivery
If these benefits are the ones we want we have to make sure our programme
has the right activities to ensure they are achieved.
9/22/2016 12:03:43 AM CSC Alliance — 5
High level Strategic Roadmap
DEFINE
ALIGN
PREPARE
DEPLOY
OPTIMISE
Early Adopters
Service
Assessment
ACTIVITIES
Start
LHC Visioning &
Outcome
Prioritisation
Solution Align
Options &
Selection
Create Training &
Development
Material
Communication
& Team Building
Technology
Assessments
Local Content
and
Configuration
Blueprint &
Process Mapping
Create
Technology
Future State
Critical Success
Factors
Next stage
Planning
Testing plans
Solution Readiness
People Training
Product
Assessment
Process Change
Technical build
Communications
Design Management
Programme Management
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Performance
Management
Transformation
across
organisations
The domain each partner is reviewing
• Morecambe Bay LHC (Acute & 2 PCTs)
– Unscheduled Care
– Scheduled Care – ENT
• Bradford LHC (2 Acutes, 2 PCTs and M.H)
– Mental Health
– Scheduled Care – MSK
• Nottingham LHC (Acute & PCT)
– Long Term Conditions – Diabetes
– Older People
• Birmingham (2 Acutes, 2 PCTs)
– Long Term Conditions – Diabetes
– Long Term Conditions - COPD
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Findings from the define stage.
Key Themes and Findings.
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Top Desired Outcomes
Improved
patient
Experience
Improve
patient
safety
A+E
Avoidance
Admission
avoidance
Reduced
waiting
times
Reduced length
of stay
Improved
Access
9/22/2016 12:03:44 AM CSC Alliance — 9
Re-occurring themes that deliver the outcomes
Improving
Patient
Experience
Improved
Patient
safety
Reduced
Waiting
times
Improve
Diagnosis
Direct Access to
Diagnostics
Access to
alternative
settings
Developing
increased
capacity
Improved
Access
Reduce
inappropriate
referrals
Reduced
Length of
Stay
Efficient
Booking
Pre-op Service
A+E
Avoidance
Admission
Avoidance
Early coordination
Improved
Discharge
Correct
Resource Mgmt
9/22/2016 12:03:45 AM CSC Alliance — 10
Enabled by …..
Enablers
Improve
Diagnosis
Reduced
Waiting
times
Improving
Patient
Experience
Improved
Patient
safety
Improved
Access
Reduced
Length of
Stay
A+E
Avoidance
Admission
Avoidance
Direct Access to
Diagnostics
Access to Patient History.
Direct access to Diagnostics.
Monitor patients with conditions.
Ordering Protocols.
Access to Results.
Decision & Advice for
Community & P.C. Ordering
Access to
alternative
settings
Referral Protocols defined.
Entry Protocols Shared.
Early Assessment of Patient need.
Single Point of Contact.
Developing
increased
capacity
One stop Diagnostic and Treatment
clinics.
View capacity across LHC.
Improved Diagnosis
Reduce
inappropriate
referrals
Efficient
Booking
Pre-op Service
Early coordination
Improved
Discharge
Correct
Resource Mgmt
Knowledge about referral options.
Improve ability to diagnose.
Direct access to alternative settings.
Education patient about alternatives.
Direct Booking
Book next intervention
Direct list.
Improve availability of services
closer to home.
Identify short notice patients.
Patient information leaflets.
Assessment early.
View of capacity across LHC.
Single point of contact
Plan discharge on day of theatre.
Inform others early.
View & co-ordinate capacity across
LHC.
Identify short notice patients.
Patients on correct wards.
Communication between Ward &
Theatre.
9/22/2016 12:03:46 AM CSC Alliance — 11
Illustrative Supporting Functionality ….
Enablers
Improve
Diagnosis
Reduced
Waiting
times
Improving
Patient
Experience
Improved
Patient
safety
Improved
Access
Reduced
Length of
Stay
A+E
Avoidance
Admission
Avoidance
Direct Access to
Diagnostics
Access to Patient History.
Direct access to Diagnostics.
Monitor patients with conditions.
Ordering Protocols.
Access to Results.
Decision & Advice for
Community & P.C. Ordering
Access to
alternative
settings
Referral Protocols defined.
Entry Protocols Shared.
Early Assessment of Patient need.
Single Point of Contact.
Developing
increased
capacity
One stop Diagnostic and Treatment
clinics.
View capacity across LHC.
Improved Diagnosis
Reduce
inappropriate
referrals
Efficient
Booking
Pre-op Service
Early coordination
Improved
Discharge
Correct
Resource Mgmt
Knowledge about referral options.
Improve ability to diagnose.
Direct access to alternative settings.
Education patient about alternatives.
Direct Booking
Book next intervention
Direct list.
Improve availability of services
closer to home.
Identify short notice patients.
Patient information leaflets.
Assessment early.
View of capacity across LHC.
Single point of contact
Plan discharge on day of theatre.
Inform others early.
View & co-ordinate capacity across
LHC.
Identify short notice patients.
Patients on correct wards.
Communication between Ward &
Theatre.
9/22/2016 12:03:46 AM CSC Alliance — 12
Requests and Results
Requests
and Results
Task Management
Task
Management
EPR Views
EPR
Views
Clinical
Documentation
Referrals
Clinical Documentation
Access Planning
Contact Management
EPR View
Outpatients
Access planning
Contact Management
Day Care Management
Access Planning
Caseload Management
Contact Management
Outpatients
Day Care Management
Caseload
Management
Outpatients
Outpatients
Clinical
Documentation
EPR View
Advanced Bed Mgmt
Clinical
Documentation
Access Planning
Theatres
Clinical Documentation
EPR
View
Theatres
Referrals
EPR View
Referrals
Inpatients
Questions
Questions?
9/22/2016 12:03:46 AM CSC Alliance — 13