Lorenzo Regional Care Enabling the future of Nursing

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Lorenzo Regional CareEnabling the future of
Nursing

• Cultural Change in Professional Practice
• The Information Revolution
• 17th June 2008

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What is Lorenzo Regional Care?

• A fully integrated enterprise wide electronic
  patient record that will support the processes
  and services required for the delivery of care
  within the NHS
• It is a single application design from which all
  healthcare services can be supported
• It is Patient Centric

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Sounds goodbut so what?

• I will answer with a number of questions
• How many times have you been faced with a patient
  and no notes?
• How often have you been unable to find a key
  piece of information in a set of notes?
• How comfortable are you making clinical
  judgements based on interpretation and
  assumption?
• How often have you looked through paper records
  to support audit or research effort?
• How often have you transcribed information onto
  paper from telephone calls and based critical
  decisions on it?
• How often have you realised that not to describe
  care given implies care not given and..
• If you cant measure the effectiveness of care
  delivered because its not recorded..what did you
  do yesterday?

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Lorenzo.A way forward

• An opportunity
• To enable professionalism
• To support a shared clinical language
• To enable the systematic documentation of care
  given
• To facilitate focussed audit and research
• To improve the processes of care from a patient
  perspective

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Getting to the Starting Point Stages Parallel
Running

• Lorenzo is being delivered in Four Releases
• Each of the Releases supports elements of
  Clinical Care
• An overview

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Getting to the Starting Point Stages Parallel
Running

• Lorenzo is being delivered in Four Releases
• Each of the Releases supports elements of
  Clinical Care
• The Service needs to own a vision for care
  delivery enabled by IT
• Nursing needs to agree what good looks like in
  terms of documenting care given
• Nurses need to work with CfH to ensure we get it
  right

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The Story So far.

• Work on Clinical Documentation has begun
• Small Scale
• Working towards standardisation
• Work on Nursing Documentation is just
  beginning..
• We need to understand your vision
• We need your guidance on generic frameworks to
  support your clinical data capture
• We need your professional direction on how care
  delivery can be systematically articulated using
  a common language
• We need Volunteers to work with us

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Taking Lorenzo

• This is not an IT deployment and you need to
  prepare
• Understand your current processes
• Define what you want the future to look like
• Identify your current constraints including those
  caused by the paper record and patient location
• Understand the number of hand-offs and the level
  of transcription effort involved
• Base-line the time each step takes and consider
  how much that times adds value to the care you
  are delivering
• Workout how LORENZO can help manage your
  constraints and reduce handoffs

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A starting point.

• How many people are involved in the movement of
  the paper record?
• How many times are you forced to walk from ward
  to ward to see a patients record?
• How often are patients in a bed waiting for a
  clinical decision to be made?
• How much time is spent chasing results or a bed?
• How many prescriptions does a patient have in a
  hospital?
• How many times do you ask the same question?

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A Closing thought

• From Florence Nightingale
• I Think one's feelings waste themselves in words
  they ought all to be distilled into actions which
  bring results.
• The opportunity to guide this work is
  yoursplease take it..Thank you