Hull and East Yorkshire Hospital Transforms Patient Care by Modernizing Core Services
Client:Hull and East Yorkshire Hospitals NHS Trust
- Modernize by streamlining and integrating clinical information systems
- Derive maximum benefits from IT systems to improve operational efficiency
- Implement advanced technology while maintaining patient privacy and security
- Fully integrate digital systems using advanced electronic patient record (EPR) software
- Implement electronic clinical services, including an innovative e-whiteboard system
- Introduce self-booking and self-triaging system for incoming patients
- Staff has immediate access to patient records and faster patient transfer times
- Centralized patient records have improved patient experience
- Enhanced mobility provides more time and flexibility to hospital staff
Advanced technology is changing the way hospitals care for patients, and for the better. By streamlining, digitizing and integrating its IT systems, Hull and East Yorkshire Hospitals National Health Service (NHS) Trust in the United Kingdom has improved the management of patients waiting in the emergency department and seen a dramatic decrease in the time it takes to transfer patients from one ward to another.
Operating from two main sites, Hull Royal Infirmary and Castle Hill Hospital in Cottingham, Hull and East Yorkshire is one of the largest acute trusts in England. The trust employs around 8,000 staff and serves more than 1 million patients every year.
The trust’s top objective is to provide patients with safe, high-quality and effective care. For Martyn Smith, the trust’s director of IT and innovation, advanced technology is essential to delivering that. “IT systems, particularly clinical information systems, play an absolutely core role in modernizing, not just the trust, but the NHS,” he says.
Integrated systems result in improved care
Hull and East Yorkshire has worked with CSC to build a suite of products that fits together effectively to enable hospital staff to do whatever task is needed to produce the right outcomes. “Everything gels, and it is easier than it was before,” says Smith.
The backbone of the digital integration is the implementation of CSC’s Lorenzo electronic patient record (EPR) system. Lorenzo is up-and-running and currently being implemented at a number of NHS trusts throughout England. Lorenzo was built from scratch specifically for NHS and is designed to enable electronic record management across and between hospital systems and care locations.
With Lorenzo, Smith says, “We can shape it for local needs, and we can work in partnership with other Lorenzo users to continually push the richness of the functionality. The strategic fit of Lorenzo with our existing portfolio products was quite a compelling argument for us.”
Steve Jessop, chief nurse information officer for Hull and East Yorkshire, says the hospital wanted a product that could bring all the patient data into one place. “With Lorenzo, it integrates that level of information and allows the user to pull information from a variety of systems.”
“It gives us a future platform to develop integrated, single digital care records, which will allow us to use mobile technology in the future, use electronic prescribing and have an integrated record across our organization,” Jessop says. One key benefit of the system, he adds, is that full patient information can be viewed at a glance.
New e-whiteboard produces faster transfer times
CSC was integral in the rollout of the trust’s comprehensive e-whiteboard solution, which is powered by technology provided by Cayder, a UK-based patient-flow systems vendor. The solution is a series of large, touchscreen e-whiteboards that have replaced traditional handwritten whiteboards to give clinicians easy-to-access real-time views of patient flow and status.
“The results of the system have been quite dramatic,” Jessop says. Transferring one patient’s records from an assessment unit to a ward used to take an average of 22 minutes. It now takes 90 seconds to do that via electronic transfer.
“We can effectively communicate from one ward to another and safely transfer that patient without the need of picking up the telephone, getting somebody to answer it, and giving lots of details,” Jessop says. This has been a real time-saver, he adds. “We’ve estimated at least an hour per patient per day of clinical time is freed up by the use of that level of technology.”
Smith says his team is always striving to improve the patient experience. Another example: In partnership with CSC, the hospital has installed a new self-booking and self-triaging kiosk system in the new emergency department [ED]. “This unique system is making a real difference in the way we prioritize patients when they are in ED, helping us manage how long patients wait to be seen,” Smith says. “We’ve made quite a lot of progress over the years with CSC, and we’re looking to exploit that even further going forward.”