Community Information Model Cumbria PCT

1
Community Information ModelCumbria PCT
2
In a corner of North West England . . .
3
Cumbria Primary Care Trust provides services for
its population
4
Background

• Made up from former Carlisle PCT, Eden Valley
  PCT, West Cumbria PCT and part of Morecambe Bay
  PCT.
• Population of around 500,000
• Elderly population higher than the national
  average
• Demographics vary from pockets of affluence to
  pockets of deprivation

5
Community Hospitals
Minor Injuries
Allied Health Professionals
Community Nursing
6
Community Hospitals
7
Services

• 9 Community Hospitals ranging from 12 beds to 60
  beds.
• Around 2,500 admissions annually.
• Mostly GP led, but does include a small number of
  Elderly Medicine Consultant beds.
• Roughly 50/50 split between step-up and
  step-down, but is planned to move more to step
  down in next few years.
• 6 of the 9 sites have Day Hospitals for the
  Elderly

8
Data Capture Systems

• Inpatient activity i.PM (national system) since
  July 2005
• Primarily the HES requirements
• Day Hospitals largely paper based, although
  would like to move to i.PM if functionality were
  available.

9
Community Hospitals
Minor Injuries
Allied Health Professionals
Community Nursing
10
Minor Injuries
11
Services and Data Capture

• Minor Injury Units at 6 community hospital sites.
• Roughly 35,000 attendances per year
• Some sites capture data on in house systems,
  the rest are paper based.
• Undergoing a major review.

12
Community Hospitals
Minor Injuries
Allied Health Professionals
Community Nursing
13
Allied Health Professionals
14
Main Services

• Main Services
• Dietetics (2,500 contacts per year)
• Occupational Therapy (19,000)
• Physiotherapy (125,000)
• Podiatry (73,000)
• Speech and Language Therapy (32,000)
• Provide community based services, but also Acute
  hospital based services in part of the county.

15
Data Capture

• North Cumbria i.PM
• Phased since July, 2005
• Complete coverage since April, 2007
• Primarily administrative data with limited
  clinical data
• South Cumbria in house system (PCIS)
• Similar to i.PM in functionality
• Will probably migrate to i.PM in 2009/10.

16
Community Hospitals
Minor Injuries
Allied Health Professionals
Community Nursing
17
Community Nursing
18
Main Services

• Main Services
• District Nursing (360,000 contacts per year)
• Health Visiting (65,000)
• Numerous small specialist nursing services with lt
  10,000 contacts per year (e.g. Continence,
  Community Paediatric Nurses, COPD Nurses, Cardiac
  Rehabilitation Nurses)

19
Data Capture

• North Cumbria i.PM
• Phased since July, 2005
• Complete coverage since April, 2007
• Primarily administrative data
• South Cumbria in house system (PCIS)
• Similar to i.PM in functionality
• Child Health Systems (HSW2000 in North, PCIS in
  South)
• Pall.care (for Palliative Care services)
• Sol Health (for Community Dental)
• Practice Systems
• Frustration of duplicate data capture

20
Systems
PCIS AHP, Community Services, Child Health in the
South
i.PM Hospital, AHP, Community Service in the North
HSW 2000 Child Health in the North
Pall.care Palliative care
In-house Some minor injury services
Sol Health Community Dental Services
Paper! Some minor injuries, day hospitals, other
small services
Practice Systems Duplicates District Nursing,
Health Visitors
21
And we havent event mentioned
Finance
Estates
Human Resources
22
Frustrations

• North / South split
• Systems dont talk to each other
• National Programme not delivering what was
  promised on time
• Administrative Systems, not Clinical Systems
• Reporting, but trying to sort this!

23
Reporting

• Start with basic reporting tools (spreadsheets)
• Pull together data from several systems
• Support Service Level Agreement Monitoring with
  Commissioning arm
• Discussed monthly at Provider Executive Team
  Meetings
• Beginning to change the culture

24
(No Transcript)
25
(No Transcript)
26
(No Transcript)
27
More Complex Reporting

• Fairly new
• Enable selected staff to run many different
  analyses via Access front end
• Only covers North Cumbria i.PM data at present,
  but in process of integrating it with South
  Cumbrias PCIS extract

28
Here's a sample screen shot!
29
(No Transcript)
30
(No Transcript)
31
(No Transcript)
32
Future Plans

• Move from PCIS to i.PM
• Migrate to Lorenzo
• Continue Expanding Reporting Tools
• Begin to run basic SLA reports directly from
  reporting tools
• Produce key performance indicators PCT wide at
  first, but work towards services based in due
  course.