REGIONAL OVERVIEW

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www.savience.com REGIONALAPPLICATION OVERVIEW GUIDE

Savience are the sole supplier of self service solutions to the five Health and Social Care Trusts. Our products are installed in all the hospitals that provide outpatient services across the region and are integrated with all their PAS systems.

65 kiosks across 30 separate locations, enable nearly 5,000 patients a day to check in seamlessly for their appointments. On any day over 500 clinical and administrative hospital staff are using the system concurrently.

Savience Connect Integration Services PAS connections are made using either Connect pulls together appointments Savience provide a range of integration HL7 messages or our scripting tool, made across the variety of different services across N Ireland. Currently Boston Workstation. Boston Workstation systems, which enable patients with Savience Connect enables successfully is deployed at the Regional Fertility Centre regionally, as well as locally, arranged data exchange between all PAS systems, at Belfast, the PAS systems at Omagh and appointments to be able to use the self- the Emergency Departments systems Altnagelvin, and updates the Symphony service kiosks located at all the hospitals in the Ulster (eEMS) and Altnagelvin ED system at Altnagelvin. and successfully check in for their (Symphony), Community systems from appointment. Regionally provided services EMIS (ePEX mental health), Yarra Software Many health specialty services are provided (LCID) and Civica (PARIS). The integration across NI on a regional basis. between the Regional Radiotherapy centre using the Aria system for Varian For example, Ophthalmology appointments and Radiology systems from SECTRA is made for patients on the PAS system currently being completed using HL7. in Belfast may be held at clinics run in locations at any of the other 4 Trusts. Savience Connect is providing integration services across the whole region.

Savience Solution Overview Belfast Northern South Eastern Southern Western Savience Connect 3 3 3 3 3 Savience Clarity 3 3 3 3 3 Savience Clarion 3 3 3 3 3 Savience Portal 3 Savience CareExpress 3 3 Check-in via self-service kiosks 3 3 3 3 3 Text Reminder services 3 Email Reminders 3 Interfacing with multiple systems i.e. PAS/community 3 3 3 3 3 Online check in 3 Supports check-in via barcode scanner 3 3 Surveys/questionnaires 3 Way finding for patients 3 3 3 3 3

Supports clinic outcomes 3

www.savience.com REGIONALAPPLICATION OVERVIEW GUIDE OVER 150 FACILITIES INCLUDING TWO MAJOR GENERAL HOSPITAL SITES Northern Health and Social Care Trust

NORTHERN £592 TRUST 20,000 WORKFORCE WORKING MILLION FULL AND PART TIME ED PAS ANNUAL BUDGET WESTERN BELFAST Belfast Health and Social Care Trust Western Health and Social Care Trust TRUST TRUST

THERAPIES COMMUNITY

RADIO- SERVING A POPULATION OF 13,000 THERAPY FERTILITY SOUTH SOUTHERN EASTERN TRUST 345,000 TRUST STAFF South Eastern Health and Social Care Trust Southern Health and Social Care Trust

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Belfast Health and Northern Health and Social Care Trust Social Care Trust

Belfast Trust is the largest integrated Savience Solutions services held within the centres to check The Northern Trust is one of five health Savience Solutions but a wide range of community services health and social care Trust in the United Patients use a mixture of wall and floor in for their appointment, irrespective and social care trusts in Northern Savience is deployed in Antrim Area are delivered through the Yarra LCID Kingdom, delivering integrated health mount kiosks to check in patients and of the backend appointment system Ireland which became operational on 1 Hospital, Causeway Hospital in Coleraine platform. Mental Health clinics are and social care to approximately 340,000 then the facilities within Clarion to call in place. Currently at these centres, April 2007. Providing comprehensive and the Braid Valley Community Hospital supported on the ePEX system (supplied citizens in Belfast. The Trust provides the patients through to their treatment rooms. Savience provides integration into PAS, range of health and social care services at Ballymena. by EMIS Health) majority of regional specialist services Clarity workflows have proven to be PARIS (Community) and will shortly to a population of almost 436,000 Features and benefits at all the above Savience integration pulls these to all of Northern Ireland, has a budget particularly successful in both the Cancer be supporting Diabetic Retinopathy people across a geographical area sites include: appointments into one unified database, of £1.3bn and a workforce over 20,000 and Renal units. patients whose appointments are held on of 1,733 square miles and spanning • Patient Call Clarity, and ensuring that patients (full time and part time). Belfast Trust OptoMize. four new council areas (Antrim and Integration to both local Clinicom PAS • Tablets for nursing staff to call patients attending for an appointment on any also comprises the major teaching and Newtownabbey District, Causeway Coast systems, installed at the Royal and Victoria • Multiple feeds from different PAS background platform and at any location training hospitals in Northern Ireland. and Glens District, Mid and East Antrim Hospitals, is achieved by a mixture of suppliers. within the Trust, receive the same feature District and Mid Ulster District), makes Savience self service solutions were first HL7 messaging, real time and overnight rich arrival experience. it the largest geographical trust in Benefits introduced into the Trust in July 2012, with batch feeds of appointments. Boston Northern Ireland. • Patient Check-in speeds up patient To enhance the service to their patients, pilot projects running in Dermatology and Workstation scripting is installed at the arrival into clinics Northern Trust are in the process of the Children’s Hospital. Fertility Centre to update the IDEAS The Trust delivers services from over 150 • Reporting allows the site to view usage deploying WiFi Spark to their suite of appointment system with live arrivals. facilities including two major general In late 2014, the solution went live in the • Network access across Community services in partnership with Savience. hospital sites, a mental health hospital, Cancer Centre followed by Renal (2016) Benefits sites This will allow patients to check in for local community hospitals, health centres, and the Regional Fertility Centre (2017). The RFC runs a 7-day service. In addition, • Support for Regionally provided their appointment via a mobile device once social services, and a significant network Macular, Cardiology and Ante Natal are clinics are scheduled for an early AM start services inside the hospital reception. Go Live is set of community services as well as provision planned for late 2018. on weekdays. Introducing self-service has • WiFi patient portal to be late 2018. of care in the home. reduced pressures on the RFC, who can Autumn 2018 will see the first batch of In addition to Outpatient Check-in, now reduce the staffing commitment at kiosks introduced into the Health and Northern Health board also provides a reception, as well as delivering a highly Wellbeing centres across Belfast. Initially, wide range of community clinics. tailored and confidential solution. these will support the Allied Health Many of the appointments for these clinics Professionals working within Podiatry Introducing the Savience check-in kiosks are made on the PAS system, and Physiotherapy. into the Health and Wellbeing Centres will enable patients attending for any of the

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South Eastern Health Southern Health and and Social Care Trust Social Care Trust

The Trust is an integrated organisation, The Savience integration platform works Benefits The Southern Health and Social Care Savience Solutions In summer 2018, additional integration incorporating acute hospital services, seamlessly with the LCID Community • Community wide integration Trust provides health and social care Set up in 2013, the Southern Trust work has enabled appointment feeds community health and social services system software implemented at Ards. • Patient arrivals and self-triage in ED services across the five council areas hospitals, Craigavon, Daisy Hill, Armagh from other PAS systems in Northern and serves a population of approx. This enables kiosk arrivals and patient of Armagh, Banbridge, Craigavon, and South Tyrone operate Kiosks and Ireland trusts to be processed onto the 345,000 people. The Trust covers calling, providing the same rich patient Dungannon, and Newry and Mourne. Clarion to enable a fast track check-in server at Southern. This ensures that districts of Ards, North Down and Down experience across all Community and The Trust employs approximately 13,000 service for their patients. Using barcode patients who are attending appointments and Lisburn. The main hospital bases General Hospitals within the Trust. staff and spends £532 million annually scanning on the kiosks from the patient at locations within Southern Trust can are: Ards Community Hospital, Bangor in the delivery of health and social care letters has enhanced the speed that check in for their clinic attendance In addition to booked appointment Community Hospital, Downe Hospital, services. The Southern Trust manages patients can register themselves and through the Savience kiosks, although arrivals, Ulster ED Department went live Downshire Hospital, Lagan Valley a number of hospitals in the area that ensures that receptionists are left to deal the appointment has been made on e.g. in May 2017 with the Savience ED solution, Hospital and the Ulster Hospital. include Craigavon Area Hospital, Daisy with the more complex issues that occur Belfast or South Eastern Trust. CareExpress. This uses touch screens Hill Hospital, , Armagh on a day to day basis. Clarion has proved a Savience Solutions to stream (triage) patents on arrival Community Hospital and St Luke’s useful tool by keeping the patient informed Since 2009, Savience have used a variety and prioritize those in need of urgent Hospital. throughout their visit to the hospitals. of wall and floor mounted kiosks to assist care. Allowing complete demographic the flow of patients arriving into Ards checks at the kiosk, the patient can triage Armagh Community Hospital went live Community hospital, Bangor Community themselves, without intervention from in 2016 with the addition of Community hospital, Downe Hospital, Lagan Valley the reception teams. Information entered Patients from the application PARIS, Hospital and the Ulster Hospital. With onto the kiosk is then integrated into the supplied by Civica. This allowed patients kiosk arrivals for the patients, the system Trust ED system, eEMS via HL7. Patients that were booked onto PARIS to register is complimented by Clarion enabling are streamed for rapid pain relief, to see a themselves for their appointment via a the clinicians and nurses to call patients consultant or directed to a waiting area if kiosk. Previously, PARIS patients had to directly to the consulting room. their condition is not serious. use the reception teams for registration. By incorporating this, Community and Outpatient appointments can be catered for in one location saving time for the patient and resources for the hospital.

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Western Health and Solutions Glossary Social Care Trust

Savience applications manage a and provides an opportunity for patients to Questionnaires and Surveys. Savience patient’s journey through the complete provide feedback on the quality of services provide the facility for the development of appointment process. Starting from their provided. questionnaires or surveys. Questionnaires pre-registration, Savience helps through are typically patient based, whilst surveys Clinic Outcomes can be recorded the arrival process, informs them with are designed to be primarily anonymous. electronically through Savience electronic real time information during their visit Both are simple to design and can be outcome forms. Coded data completed and ensures that their clinical data is produced in line with the hospital’s at the end of the clinic can be recorded effectively followed up when the visit ends. corporate identity. Results are displayed by the clinical team and, where required, graphically and collated within the hospital Check-in enables patients to safely uploaded directly onto the patient’s EMR. network. and securely access multi-channel CareExpress is a self-service system for applications to register their pre-arrival Reminder Service. This is an email, voice Emergency Departments. It accelerates and arrival at hospital. Kiosks, Portal on- and SMS patient reminder service that the triage process and highlights to line services, smartphones and tablets are is fully integrated into both the incoming clinicians the patients in need of urgent all supported. data feed from the hospital PAS and care. Data collected at the kiosk or HIS and the Clarity database. It is an Clarity is the information dashboard that on mobile devices is shown on Clarity accurate copy of all patients who are is visible to all members of the care team, dashboard. It can also be used to update expected to attend for appointments at registration, nursing, clinical. It presents the hospital’s clinical emergency system. your hospitals. The feed will list all clinic views of each patient’s status and has full Savience Mobile enables healthcare codes and patients along with their full details of interactions that the patient has providers to fully engage with their demographics. had at the kiosk or on their mobile device. patients via mobile devices. Linking Capacity. The Savience Capacity Savience Clarity was introduced The integration challenges across Western Benefits From within Clarity, users have the into Clarity, Mobile, provides a single room booking system ensures that into the new South Western Acute Trust have highlighted the full range of • Common patient interface across all capability to call patients through from platform for patient consent, registration, the maximum use of available room Hospital at Enniskillen in July 2013. Savience Connect capabilities. hospitals in Western Region the wait areas into the next stage of their notifications, arrivals, assessments, resources is achieved. Spare capacity This was followed by a large-scale • Bar coded appointment letters have visits. We use a product called Clarion to questionnaires, surveys and patient The PAS systems located across the Trust is graphically displayed with extensive implementation into all outpatient been key to an exceptionally high rate do this. tracking. are updated by Savience Connect either use of colour coding to identify available departments at Altnagelvin in 2014. of patient usage at all the hospital sites through use of HL7 messaging or via our Clarion also supports streamed TV, power Savience Portal has been designed to rooms. Capacity recognises that clinics Savience systems for patient arrival within Western Trust scripting tool, Boston Workstation. Boston is points and pre-installed health related provide multi-channel access for patients. need different resources and facilities and call were installed into the new • Electronic outcome forms will also used within the Emergency department videos. A built in, configurable scheduler It is easy to navigate and is secure. within rooms. Linked to Clarity, Capacity Hospital and Primary Care Centre at streamline the collection of outcome to update the Symphony Emergency system enables content to be displayed at times It’s a solution that allows patients to provides a real-time display of the patients Omagh when it opened in June 2017. data and reduce clinical risk by with key streaming data, collected at the and for durations which are applicable to interact with their healthcare provider scheduled to arrive for each clinic. The system at Omagh supports both reducing the number of incomplete kiosks. HL7 messaging is used within the each different department and clinic. in a seamless and integrated manner outpatient and GP appointments. outcome episodes. North-West Cancer Service, located at for services ranging from outpatient Savience Connect provides the real-time Savience Solutions Altnagelvin to update Varian Aria in real appointments to Emergency Department feed of all patient appointments at your On all sites, patients use a mixture of wall time. (ED) attendances. hospitals. The feed includes all patient and floor mount kiosks to check in and then Western plan to go live with the Savience demographics, all active clinics and The Portal provides patients at any the facilities within Clarion are used to call Reminder service, mobile platform and clinic codes. All amendments to clinic or hospital with an on-line access patients through to their treatment rooms. electronic clinic outcome forms in 2018 patient activity are captured and delivered point within which they can update Directions provided from the kiosks have into the database. This will include any demographics, view appointments, been instrumental in helping patient flows amendment to a patient’s appointment confirm attendance and reschedule through their appointment stages. Clarity and any clinic cancellations. Connect uses appointments. The Portal also supports dashboards provide the clinic teams with either HL7 messaging or scripting, using secure messaging between clinical essential information about patients at all our Boston Workstation scripting tool. teams and their patients, allowing the stages during their appointments. transmission of results and update of care Clarity Departures manages patients plans. after their attendance, delivers comprehensive reporting, enables We also use the Portal to host online planning for continued attendance, questionnaires and surveys. Building Brilliance

About Savience Ltd

Savience is constantly pushing the boundaries of technology to build brilliance and improve the global future of healthcare.

Specialists in shaping the patient journey through hospitals, clinics and GP surgeries, the systems developed by Savience have already helped millions of people worldwide.

The team design clinic-management solutions using multi-channel, multi-media smart technologies to connect, involve and engage patients and staff. We work closely with health professionals and managers to ensure our technology can be fully and seamlessly integrated with existing systems.

Founded in 2001, the directors of Savience have over 75 years of IT experience between them in a wide range of sectors. The company is the major supplier of self-service patient arrival and flow systems in the UK and Northern Ireland, and has proven success in the Republic of Ireland and more recently Canada. 100,000 patients are currently using Savience systems every day.

Savience Ltd

The Byre, Blisworth Hill Farm Offices, Tel: 01604 878510 Stoke Road, Blisworth, Email: [email protected] Northamptonshire, NN7 3DB www.savience.com