P-130 Implementation of electronic patient records – a hospice journey. (1st March 2017)

• Record Type: Journal Article
• Authors: Patel, Rishi; Lomax, Philip; Phippen, Alison; Roberts, Alison
• Is Part Of: BMJ supportive & palliative care. Volume 7:(2017)Supplement 1
• Page Start: A48
• Page End: A48
• Publication Date: 2017-03-01
• Subjects: Palliative treatment -- Periodicals; Terminal care -- Periodicals; 616.029
• DOI: 10.1136/bmjspcare-2017-00133.129
• Languages: English
• ISSNs: 2045-435X

Abstract

Abstract : Background: Electronic patient records were successfully implemented at all sites of St Ann's Hospice in September 2016. A scoping exercise selected EMIS Web, and an implementation group was formed in December 2015. Method: The implementation group consisted of 16 individuals including a project lead, multi-disciplinary healthcare professionals and administrative staff. The project lead was accountable to a board; compromising service managers and executive directors. Implementation group meetings occurred fortnightly in the planning stages, then weekly at the configuration stages until the "go live" date. A medical representative participated in greater than 98% of all meetings. Results: The project was summarised into three phases leading to clinical use as described here. As doctors within the group we draw on our reflections of the process. Planning - This was regularly revised to provide realistic timeframes whilst incorporating the views of participants. The importance of clinical leadership became clear at the infancy to support the project lead, who had a non-clinical background. Collaboration between professionals was essential to create a working list of documents requiring transition to an electronic format. Software configuration - We learnt that sound knowledge of software is essential when designing a system, to identify its limitations and identify its potential. Having a clinical leader present with software expertise is crucial to guide non-clinicians through the process of translating documents to an electronic format. Experience of coding is important, given the complexities of data extraction. Staff training - This created challenges, but the completion of standardised learning objectives was well received alongside role-specific objectives. These are currently utilised for staff induction across all professional groups. Conclusion: The process highlighted strong collaborative working practices and recognised the importance of clinical leadership. We identified areas for development, resulting in improved training programmes. A robust and innovative platform has been created for developing future electronic patient records.