Trust-Wide Electronic Prescribing and Medicines Administration System
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Output Based Specification for the procurement of a Trust-wide Electronic Prescribing and Medicines Administration System Version No: Final Draft v0.3 Issue Date: 30 May 2012 Specification for a Trust-wide Electronic Prescribing and Medicines Administration System v0.3 Purpose of this Document The purpose of this document is to define the Trust’s requirements for an Electronic Prescribing and Medicines Administration System in order to inform potential suppliers and aid the procurement & evaluation process. VERSION CONTROL Version Date Issued Summary of Change Owner’s Name Draft v0.3 30.05.12 Final Draft for Quality Review on wide distribution. Draft v0.2 16.04.12 Second Draft for Quality Review on 11 May 2012. Draft v0.1 07.03.12 First Draft for Quality Review on 19 March 2012. For more information on the content or status of this document, please contact: Page 2 of 76 Specification for a Trust-wide Electronic Prescribing and Medicines Administration System v0.3 CONTENTS 1. INTRODUCTION ................................................................................................ 5 2. BUSINESS CONTEXT ....................................................................................... 5 2.1. Sheffield Teaching Hospitals NHS Foundation Trust (STH) ...................... 5 2.2. Pharmacy Directorate ................................................................................ 6 2.3. Current Working Environment ................................................................... 6 2.4. Desired Future Working Environment ........................................................ 7 2.5. Aim of the Procurement ............................................................................. 8 2.6. Key Statement of Principle ........................................................................ 8 2.7. Business Objectives and Expected Benefits .............................................. 8 2.8. System Maturity and Benefits Realisation ................................................. 9 2.9. Approach to the Procurement .................................................................. 10 3. TRUST INFRASTRUCTURE AND STANDARDS ........................................... 11 3.1. General .................................................................................................... 11 3.2. Major Systems ......................................................................................... 11 3.3. Connecting for Health (CfH) and the National Programme for IT (NPfIT) 11 3.4. Patient Master Index (PMI) and Patient Identifiers ................................... 12 3.5. Interfacing Standards ............................................................................... 12 3.6. Networking Standards ............................................................................. 13 3.7. Wireless Network Standards.................................................................... 13 3.8. Desktop Standards .................................................................................. 14 3.9 Printer Standards ..................................................................................... 14 3.10 Server Standards ..................................................................................... 14 3.11 Database and Data Storage Standards ................................................... 15 3.12 Support Standards ................................................................................... 16 3.13 Security Standards .................................................................................. 16 4. FUNCTIONAL REQUIREMENTS .................................................................... 17 4.1 Introduction .............................................................................................. 17 4.2 General Requirements ............................................................................. 17 4.3 Patient Details.......................................................................................... 18 4.4 Assessment ............................................................................................. 20 4.5 Viewing .................................................................................................... 21 4.6 Outpatient Prescribing ............................................................................. 22 4.7 Inpatient and Daycase Prescribing .......................................................... 22 4.8 Prescription Verification ........................................................................... 28 4.9 Drug Reference File ................................................................................. 29 4.10 Formulary and Order Sets ....................................................................... 30 4.11 Medicines Administration ......................................................................... 31 4.12 Discharge Prescribing .............................................................................. 34 4.13 Medicines Management ........................................................................... 36 4.14 Clinical Notes ........................................................................................... 37 4.15 Clinical Decision Support ......................................................................... 38 4.16 Reporting ................................................................................................. 41 Page 3 of 76 Specification for a Trust-wide Electronic Prescribing and Medicines Administration System v0.3 4.17 Printing .................................................................................................... 42 4.18 Specialty Specific Requirements ............................................................. 42 4.19 Electronic Links to Other Systems ........................................................... 42 4.20 Access to Information About GP Treatment Recommendations .............. 43 4.21 Access to Information About the Home Care Delivery Service ................ 43 5 SYSTEM REQUIREMENTS............................................................................. 44 5.1 General .................................................................................................... 44 5.2 Trust Technical Standards ....................................................................... 44 5.3 Expected Lifespan of System .................................................................. 44 5.4 Flexibility of Application Software ............................................................ 44 5.5 Reference Tables .................................................................................... 45 5.6 System Look And Feel ............................................................................. 45 5.7 Dates And Times ..................................................................................... 46 5.8 On-Line Help And Validation ................................................................... 46 5.9 System Access ........................................................................................ 46 5.10 Audit Trail ................................................................................................ 47 5.11 Separate Live, Training and Testing Environments ................................. 47 5.12 Data Integrity ........................................................................................... 47 5.13 System Administration ............................................................................. 47 6 SUPPORT REQUIREMENTS .......................................................................... 48 6.1 General .................................................................................................... 48 6.2 Implementation Support ........................................................................... 48 6.3 Post-Implementation Support .................................................................. 51 7 COMMERCIAL REQUIREMENTS ................................................................... 52 7.1 General .................................................................................................... 52 7.2 Invitation to Tender (ITT) ......................................................................... 53 7.3 Response to OBS Requirements ............................................................. 54 7.4 Evaluation Criteria ................................................................................... 54 7.5 Downselection ......................................................................................... 55 7.6 Point of Contact ....................................................................................... 55 APPENDIX A – GLOSSARY .................................................................................... 56 APPENDIX B – DIAGRAM OF CURRENT SYSTEMS ARCHITECTURE ............... 58 APPENDIX C – DIAGRAM OF FUTURE SYSTEMS ARCHITECTURE .................. 59 APPENDIX D – STH TECHNICAL QUESTIONNAIRE ............................................ 60 Page 4 of 76 Specification for a Trust-wide Electronic Prescribing and Medicines Administration System v0.3 OUTPUT BASED SPECIFICATION for the procurement of a TRUST-WIDE ELECTRONIC PRESCRIBING AND MEDICINES ADMINISTRATION SYSTEM 1. INTRODUCTION 1.1 Sheffield Teaching Hospitals NHS Foundation Trust has a requirement to procure a Trust-wide Electronic Prescribing and Medicines Administration (EPMA) System which will improve patient safety, enhance operational effectiveness, and facilitate good governance. 1.2 Therefore this Output Based Specification (OBS)