One system for end-to-end Customer profile patient care

Tailored project management and engagement approach supports a hospital-wide Cerner Millennium® implementation Company Barts Health NHS Trust (Barts Health) Industry Healthcare Country United Kingdom Employees 15,000 Website bartshealth.nhs.uk

Business need Barts Health needed project management support to deploy Cerner Millennium® software as part of its strategy to implement a single trust-wide electronic health record system.

Solution The software was also rolled out to Whipps Cross University Hospital, assisted by a team from Dell Services to help the transition from legacy systems.

Benefits • User and stakeholder training ensures top to bottom adoption • Comprehensive communication with users aids smooth transition to new system • Dell’s cooperation with hospital staff results in tailored operational workflows

Solutions at a glance “This means a clinician at any site within • Infrastructure Consulting Barts can see data relating to a Whipps Cross patient who was treated at a different trust hospital.”

Fay Stevenson, Programme Manager, Barts Health In England, the publicly funded National Health Service (NHS) is divided into trusts which cover different geographical areas. The largest of these is Barts Health NHS Trust (Barts Health), formed in 2012 from the merger of three trusts – Barts and The NHS Trust, Newham University Hospital NHS Trust, and Whipps Cross University Hospital NHS Trust.

It looks after the health of around 2.5 hospital that deals with more than one million people in East London and the Clinical Commissioning Group, which surrounding areas. means that outpatient services and the emergency department connect The merger brought with it several to services under different authorities.” challenges, not least of which was Furthermore, moving staff from a the integration of three separate “green screen” system to a modern systems for managing patient records. system that’s more structured posed “We talk about the These included both electronic and both cultural and training challenges. manual systems across different ED test. If a patient sites. The trust’s goal is to unify the Stevenson and her colleagues saw the attends the ED at systems, creating one patient record migration to Cerner Millennium® as system. This will allow each hospital to an opportunity to move from a purely 3 a.m., is the data concentrate on its areas of expertise, administrative system to one that while still being able to treat patients could not only integrate with run-on available without from other hospitals in the trust and clinical systems, but also handle patient fail to the doctor ensure a seamless patient experience. communications. In addition, it would be able to monitor clinical activities in assessing them?” Mergers bring opportunities the Emergency Department (ED) and Two of the merging trusts used across inpatient/outpatient systems, their own versions of the Cerner track orders and test results, and Charles Gutteridge, Chief Clinical Millennium® electronic health record handle clinical notation. Information Officer, Barts Health (EHR) system, while the third – the former Whipps Cross University Assembling the A-team Hospital NHS Trust – was using a Barts Health also needed a team to patient administration system from work on the project. Stevenson says: McKesson that was rapidly approaching “Our in-house clinical systems team is the end of its lifecycle. Moving Whipps made up of around 50 people. We’re Cross to the Cerner Millennium® project-driven, so we’ll scale up or system was the first project in this down depending on what’s required.” programme of work. Stevenson had already worked with

Fay Stevenson, Programme Manager for Barts Health, explains some of the Products & Services challenges the trust was facing: “There were about 20 departmental systems Services at Whipps Cross that needed to be Dell Deployment Services integrated. While we were familiar with some of them, others were totally Dell Consulting Services new to us. Whipps Cross is also a

2 Dell during a national programme at how ED would work in relation to the Barts and The London NHS Trust in rest of the hospital ensured a smooth 2008. As a result, she was aware of transition to the new systems. Dell Services staff expertise in these It was in this engagement with systems and their background of important stakeholders that Barts working in the NHS. “It’s not just Health saw the real value from Dell. about configuring a system,” says In the maternity department, a Dell Stevenson. “It’s about working with consultant oversaw the transition operational and clinical staff, and whereby staff learned of changes helping them understand the via their management rather than changes that are taking place.” directly from the partners. After the implementation, the department Dell consultants worked with the was audited and its clinical note- trust and Cerner Millennium® teams taking was rated as better than before, on-site for the duration of the because the Cerner Millennium® EHR transition and cooperated within a encouraged standardised practices. number of workstreams for Barts Health. These included project Stevenson recalls some of Dell’s governance, stakeholder mapping and innovative thinking during a solution communications, business process workshop. “The Dell team compiled mapping and infrastructure testing. YouTube videos so staff could see how to use certain functionalities of the new Winning hearts and minds system, for example. Dell was good The ED was the first department to at coming up with innovative ways of go live on the new system. Stevenson engaging with our users,” she says. says: “Dell came in, picked this project up and delivered our first A smoother patient journey live department within eight weeks. The trust’s main goal of the project The Dell team was able to galvanise was to improve the accessibility leadership within ED to understand of information and ultimately what was happening, getting them enhance patient care. This has been to buy into the required changes and achieved in a number of ways. “The subsequently communicate this to system can now be accessed at any staff.” Doctors at Barts Health also site,” says Stevenson. “This means ensured that consultants became a clinician at any site within Barts familiar with the new systems by can see data relating to a Whipps inviting them to work within the ED Cross patient who was treated at at the where a different trust hospital.” it was already in place. Charles Gutteridge, Chief Clinical Information Information processes are now Officer at Barts Health, highlights the smoother, too. Clinicians place importance of ED as a test case for the requests for pathology or radiology, functionality of the Cerner Millennium® which flow electronically to the EHRs. He says: “We talk about the pathology or radiology systems. The ED test. If a patient attends the ED at results are then fed back to Cerner 3 a.m., is the data available without Millennium® and logged on the fail to the doctor assessing them?” patient’s record. Before, the whole Careful planning by all parties as to process was paper-based.

3 Project governance from the experts “Infrastructure testing was also a big Dell consultants complied with existing part of the project,” she continues. “Dell was effective governance processes throughout the “This included testing end user devices project. This involved a number of and liaising with suppliers. Anyone can at ensuring good stakeholders and often complex put PCs on a desk, but supplying them project management relationships. Dell had to deal with with power and data is more difficult, multiple teams within the trust, as particularly in an old building that’s standards were well as Cerner Millennium® teams, already heavily laden with existing British Telecom – which hosts the cabling. I thought Dell dealt with adopted and used, application – and the Health and that particularly well.” which helped to Social Care Information Centre (HSCIC). “Dell was effective at ensuring identify and solve good project management standards were adopted and used, which helped problems quickly.” to identify and solve problems quickly,” says Stevenson. Fay Stevenson, Programme Manager, Barts Health

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