healthcare
Integrating with an EPR
Cerner Millennium as existing Electronic Patient Record (EPR) system at East Surrey Hospital site.
Multiple referring sites including Crawley, Horsham, Caterham Dene, Queen Victoria Hospital.
Currently serving approximately 3,000 referrals a month.
Virtual fracture clinic currently running on Cerner Millennium EPR with manual population of information into Cerner Millennium from external sites as part of ‘Cerner-First’ strategy.
Fracture clinic care delivered solely at East Surrey site.
Challenges
Multiple stakeholder environment with regional workflows spanning multiple systems and processes, with high referral volumes from a large catchment area.
Impact of Covid-19 and social distancing measures reducing face-to-face clinic capacity.
Highly complex and frequently evolving clinical pathways and workflows.
Multiple vendor systems utilised at different sites resulting in high administrative burden for clinicians.
Acknowledgements
We would like to take the opportunity to thank everyone involved in the rapid delivery of this EPR integration project. We would like to especially thank the following:
SASH Integration Team
Krzysztof Maik - Integration Interoperability Manager Olugbenga Oyeneye - EPR Developer Shweta Juneja - QA Testing
Sussex Community Integration Team
Ivor Dias - Integration Lead
SASH Informatics Team
Bhavna Sapat - EPR Programme Manager
Tony Newman-Sanders - Chief Clinical Information Officer
SASH Management Team
Angela Stevenson - Chief Operating Officer
Osama Nooh - Service Manager SASH Clinical Team
Murali Bhatt - Fracture Clinic Clinical Lead
Tamsin Clake - Virtual Fracture Clinic Lead
Independent Expert
Richard Bell - Cerner Integration Specialist (provided by Open Medical)
Integration timeline
Project outline
To provide a single-unified referral platform for the safe and effective delivery of a Virtual Fracture Clinic to the population served by Surrey and Sussex Healthcare NHS Trust.
Platform Choice
Open Medical’s Pathpoint VFC system was chosen as ‘Best-of-Breed’ system.
Integration
Integration with Cerner Millennium EPR System preferred to allow all clinicians to access clinical information from within the EPR at the East Surrey site.
Project duration
Technical Time: 7 working days
(23rd November to 1st December inclusive)
Quality Assurance: 1 working day
Total Time: 8 working days
Integration
All integration work was conducted using standard Cerner Millennium interfaces as outlined below. No complex transformations were required.
Interfaces
A19 QRY
To allow demographic return from Millenium into Pathpoint VFC whilst minimising demographic transfer not relevant to Pathpoint eTrauma.
MDM
To allow return of medical documents into Cerner Millennium.
Connection
SSL/TLS encryption protocol with asymmetric key.
Results
Accessibility
Cloud technology allows access fromany site within the organisation and beyond.
Governance
Highly structured data capture allows actionable insights for service improvement.
Productivity
Bespoke workflows reduce administrative burden.
Availability
Integration with National Personal Demographic Service (PDS).
