Care Planning Paper to Electronic

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Care PlanningPaper to Electronic

• Mary Clarke RGN
• Inpatient Nurse Manager
• Kate Sant RGN
• Project Clinical Secondee

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How it all began

• 2009 agreement to be care planning early adopter
• March 2010 invited to CAG
• September 2010 Clinical Secondee appointed
• Go Live date set for January 2011

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What we had
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New paper
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Test Patient
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Test Patient
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Test Patient
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Test Patient
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Test Patient
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Test Patient
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Test Patient
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Test Patient
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Test Patient
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What went well

• More comprehensive and up to date care plans
  using standardised content from NHS Connecting
  for Health Library
• Staff more involved in the development of the
  care plans therefore more consistency in patient
  care
• Piloting of paper version invaluable
• Excellent training and support from team
• Better accessibility to computers

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What could have been better

• Timing from pre-op go live to wards.
• Training took place too early and refresher
  training not mandatory
• Did not recognise staff needed basic IT skills
• More support post go live

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Lessons learnt

• Early Involvement of Clinical staff
• Importance of Paper pilot
• Consideration of Business process/patient pathway
• Clinical staff involved with testing
• More Senior Management level involvement
• Dedicated IT support
• Ongoing floor walking support
• Equipment-
• Computers
• Infection control
• Storage
• Security

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Ongoing benefits

• Auditing
• Record keeping
• Comprehensive records
• Version control
• Less paper

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Next steps

• Discharge letters.
• Referral letters.
• Coding.

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Further Information

• Birmingham Womens Hospital
• Electronic Care Planning Project contact
• Mary Clarke, Inpatient Nurse Manager,
  Gynaecology,
• Birmingham Women's NHS Foundation Trust
• Email mary.clarke_at_bwhct.nhs.uk
• NHS Library Care Plan Content
• NHS Care Plan Content project contact
• Su Wilkinson, Strategic Alignment Lead, NHS
  Connecting for Health
• Email knowledgeandstrategicallignment_at_nhs.net
• Access NHS Library of Care Plan Content
  (technical view) registration is free for NHS or
  SNOMED CT licence holders - download the Care
  Planning pack - Via http//www.uktcregistration.n
  ss.cfh.nhs.uk/trud3/user/guest/group/0/home

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Questions