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 Link to this message Keith Richardson  posted on Wednesday, January 13, 2010 - 12:41 pm Edit Post Delete Post Print Post
Quality, Innovation, Productivity and Prevention (QIPP)

New promotional initiatives for 2011-2011 could include :-

1. Self Check in SCREENS of patients in reception so that they check themselves in
. relieve pressure on front desks.
. Improve service to patients.

2. System for communicating with patients and referrers via email and SMS Text messaging for appointment reminders/confirmation and to notify referrers that results are available.
.Reduce DNA's.
. Improve service to patients.
. Improve communication with GP's.
. Reduce waiting times by improving availability of results.

3. HL7 inbound interface to import Radiology reports into RIS automatically [where that reporting has been outsourced to other NHS Trusts or private sector]...
. remove need to manually copy and paste from inbound emails - Reduce clinical risk
. improve turnaround times


Why? - With increasing emphasis on the new initiative "Quality, Innovation, Productivity and Prevention" (QIPP uctivity-and-prevention/5005811.article and et/dh_104255.pdf ) – we are looking for “any new ideas” of how we can extract further benefits from the RIS - PACS investment over and above the range set out in the NW's strategy.

The main headings from the current NW RIS - PACS Strategy are extracted below…

Promoting the use of Voice Recognition Technology by Radiologists
Promoting Clinical Engagement
Supporting the development of “virtual clinical workgroups”
Providing the capability to benchmark
Promoting Disaster Recovery and Business Continuity Planning for PACS
Extending Electronic Image & Report Sharing
Promoting a “Local Health Community” view of PACS
Including Private Sector Images & Reporting
Including “Other ‘Ologies”
Promoting local Benefits Realisation and change management projects
Promoting data quality as a core activity
Promoting Clinical Safety
Promoting secure management of imaging data
 Link to this message Neelam Dugar  posted on Saturday, January 16, 2010 - 03:41 pm Edit Post Delete Post Print Post
Keith, your 3 suggestions are very good. We need other SHAs to be as proactive as yours.

I would like to make 3 suggestions
1. Radiology reports to accompany images for transfer between NHS Trusts. (you mention HL7 for report transfers from private sector but no mention for NHS to NHS). For our cancer network, we are hoping IEP will support this as an interim solution.
2. Implementing Result Acknowledgement Systems, to ensure each report is read. NPSA SPN 16
3. Clinical Dashboards in Wards integrated with results acknowledgement system/RIS. When a report has an authorised status. The bed on the dashboard starts flashing. This acts as an indicator to doctors and nurses on the ward that a report is available for review. Once the report is reviewed and acknowledged on the results acknowledgement system, the flashing on the clinical dashboard stops.
Clinical Dashboards are availble (we saw one being demoed by Mckesson--Horizon Visibility but I am
sure there are many others).
Results Acknowledgement systems are also widely available---anglia/sunquest ordercomms, IMS, Indigo, Meditech etc.
However, I think this real-time integration between Clinical Dashboards and Results Acknowledgement Systems is an innovative concept. This also can be used to alerts wards of critical results-- a red flashing light against the bed on the clinical dashboard.
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