Availability Digital Maturity Tool - ePrescribing Toolkit

1 West Midlands ePrescribing Conference8thJune 2015 NHS England / WM J Coleman1,2, Adam Khimji2,1, Ann Slee1, Neil Watson3 The ePrescribingDigital Maturity Tool8thJune 20151 College of Medical and Dental Sciences, University of Birmingham2 University Hospitals Birmingham NHS Foundation Trust3 The Newcastle upon Tyne Hospitals NHS Foundation Trust, EPMA Systems Adoption Availability Digital Maturity Existing Solutions The tool Aim Objectives Method Development Pilot Benefits What systems that utilize data from pharmacy, laboratory, radiology, and patient monitoring systems to relay the physician s or nurse practitioner s diagnostic and therapeutic plans.

2 And alert the provider to any allergy or contraindication that the patient may have so that the order may be immediately revised at the point of entry prior to being forwarded electronically for the targeted medical (Electronic Prescribing Medication Administration) SystemsWolcott J, Bootman JL, Cronenwett errors (pp. 367-408). Washington: National Academies Press, National Program for IT NHS Technology Fund Patient SafetyEPMA Systems: AdoptionRyan B, Gross NC. The diffusion of hybrid seed corn in two Iowa Sociology 1943; 8(1), Systems: AvailabilityTO NAME JUST A FEW!

3 MaturityDigital Maturity : Measure of electronic/ informatics capability. ePrescribing Digital Maturity : Measure of EPMA system capability. West Midlands ePrescribing Conference8thJune 2015 NHS England / WM Electronic Medical Record Adoption model (EMRAM) HIMMS European EMR Adoption model HIMMS Clinical Digital Maturity Index (CDMI) EHIU nited States EMR Adoption model SMStage Cumulative Capabilities 2013 Q42014 Q1 Stage 7 Complete EMR; CCD transactions to share data; Data warehousing.

4 Data continuity with ED, ambulatory, Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full Stage 5 Closed loop medication Stage 4 CPOE, Clinical Decision Support (clinical protocols) Stage 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Stage 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE Stage 1 Ancillaries -Lab, Rad, Pharmacy - All Stage 0 All Three Ancillaries Not Data from HIMSS Analytics Database 2014 N = 5458N = 5449 Digital Maturity .

5 Existing SolutionsEXISTING Maturity establish a technological audit and quantifiable measuring methodology across settings to provide a Digital capability position of NHS organisations in England and allow this to be tracked over time Objectives Building on work Ensuring academic methodology Comparability (where possible) Detailing capability, deployment, use, benefits and outcomes Buy-In Proof of Concept Creating open data REVIEWEXPERT CONSENSUS Initial proposal Wider stakeholdersSMALL SCALE PILOTLARGE SCALE readinessFunctional ePrescribingMature ePrescribingDevelopment: Key : Individual Component MaturityWest Midlands ePrescribing Conference8thJune 2015 NHS England / WM : Formed Component Groups More detail Definitions included Identified measures Capability available Capability in use Effective use/reachDevelopment.

6 Raw table of questions with macrosDevelopment: PlotDevelopment: Example Percentage Scores for: Enabling Capabilities Functional Components Mature Components Total Maturity Area summary Overall Maturity Maturity breakdown Maturity overview radar plotDevelopment: Additional : SummaryWest Midlands ePrescribing Conference8thJune 2015 NHS England / WM : Maturity BreakdownPilot: : Individual Capability Comparative judgement of healthcare providers Identify gaps in current clinical configuration Benchmarking Beacon sites Sites needing help Realign user expectations Easy to usePotential Feedback Web Portal launch ClarificationWhat Next?