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Overview of the hospital’s computer systems www.coch.org Spend c3.0% per annum of Trust income on Information Management & Technology Support 2,000 networked PCs over Wireless network Receive 30,000 calls to the Main Switchboard each week Send 50,000 Pager ‘bleep’ messages to our doctors & nurses every month www.coch.org Admission (elective or emergency) The Patient Journey Recovery Assessment/ Diagnosis X-ray, blood test, etc Surgery www.coch.org Discharge from hospital Follow up with GP Details are registered on the hospital system as soon as the patient reaches the hospital Information includes name, address, next of kin, etc Details from any previous visits will already be in the system www.coch.org A&E staff use the ‘tracker’ to manage patients while they are in A&E and to ensure we consistently hit our ‘4-hour maximum’ targets www.coch.org If a blood test, x-ray or any other test is required, these are ordered on the system & results are returned electronically If the patient requires regular tests, we build a record of these so the consultant can compare results and look back at the results history www.coch.org PACS Picture Archiving & Communications System Captures, stores, distributes and displays static or moving digital images such as electronic X-rays or scans Takes away need to print on film or distribute images manually - images are created and can instantly be sent and viewed across several NHS locations simultaneously. www.coch.org The nursing staff complete assessment forms designed to assist the assessment & monitoring of the patient’s nursing needs www.coch.org The Patient Care Enquiry facility allows clinicians to view all details relating to an episode of patient care www.coch.org MedisecNET 1010 4101 1430 0500 002 Patients’ hospital letters are accessed on the system The Countess of Chester Health Park Liverpool Road Chester CH2 1UL Email: [email protected] Tel: 01244-366426 Fax: 01244-366455 DIANNE Y BULGEN MB BS FRCP CONSULTANT RHEUMATOLOGIST Outpatient Clinic Attendance Our Ref. GEH/VP/CC00031041 Date Typed: 24.05.04 Dr S P Smith Helsby Health Centre Lower Robin Hood Lane Helsby Warrington Cheshire WA6 0BW Dear Dr Smith Re: IRENE JONES 32 SPRINGFIELDS MICKLE TRAFFORD, CHESTER CH2 4EG DOB Hosp No. NHS No. 10/12/1929 CC00031041 4404543492 DATE/TIME OF APPOINTMENT CLINIC TYPE OF APPOINTMENT 20 May 2004 at 11:00 DR BULGEN THU AM CA ASSISTANT Old Diagnosis: Seropositive rheumatoid arthritis COPD Drug therapy: Prednisolone 10mgs daily Warfarin Frusemide 80mgs daily Citalopram 40mgs daily Zopiclone 7.5mgs nocte Calcichew D3 2 daily Ramipril 5mgs daily Diazepam 2mgs bd Uniphyllin 300mgs bd Aspirin 75mgs daily Risedronate 35mgs weekly Nicorandil 10mgs half tablet bd Eyedrops Nebuliser/Inhalers I reviewed this lady in clinic today. I understand that she had to increase her Prednisolone recently for a few days to 20mgs as she had a chest infection. She is now back down to 10mgs daily. She is limited mainly by her COPD as she gets very short of breath when she tries to walk. On examination the synovial proliferation of her right wrist and small joints of her hands had settled. I have advised her from the point of view of her joints we can now gradually reduce her steroids. I would suggest when she is stabilised from her chest point of view following her infection that she could try a reduction down to 10 and 7.5mgs Prednisolone on alternate days for two months and could then reduce down to 7.5mgs daily if she has no problems with that reduction and if her chest allows this. Blood pressure in clinic today was 118/74. Urinalysis showed a trace of blood. She informed me that she had a blood test taken yesterday. Rheumatology review: Six months Yours sincerely DR G E HOLLEY CLINICAL ASSISTANT IN RHEUMATOLOGY GPs are notified electronically when one of their patients has been discharged. Social Services are engaged earlier so that arrangements can be made www.coch.org to reduce delayed patient discharge Clinical Correspondence Discharge summaries, Attendance letters, A&E reports, Radiology reports, One-off letters. The system is fully integrated with the Patient Care System. www.coch.org Hospital system • A&E • All Wards • Theatres • Radiology • Pathology • Pharmacy www.coch.org • Patient demographics • Diagnosis & treatment • Nurse care pathways • Medications • Test orders & results • X-ray images • Letters Fully integrated hospital-wide Patient Care System Hospital system Electronic exchange with GPs & Social Services • GP referrals • Letters to GPs • Test requests • Results reporting • Discharge bulletins www.coch.org GP & Social Services systems National Programme for IT (NPfIT) and The Countess of Chester N3 The new national NHS Network N3 provides fast, broadband networking services to the NHS offering reliability and value-for-money N3 will be as important to the NHS as road and rail networks are to our daily lives, and will make it possible to deliver reforms and new services to improve patient care. www.coch.org National Programme for IT (NPfIT) and The Countess of Chester Choose & Book Electronic Booking Service Choose and Book allows GPs and other primary care staff to make initial hospital outpatient appointments at a convenient time, date and place for the patient. With Choose and Book a patient can choose where they wish to be treated. They can book the appointment at the surgery, on-line, or through a telephone booking service. www.coch.org We must be doing something right! Top results in Audit Commission survey on attitudes of clinicians to IM&T 4 3 Chart 18: Overall attitude to IT 2 www.coch.org Countess of Chester vs Medium Acute Outside London If you would like any more information about the Trust’s computer systems, please contact:Phil Davies, Director of IM&T Tel: 01244 366302 eMail: [email protected] www.coch.org