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Liverpool Women's Hospital (LWH) is the largest of its kind in Europe with 8,500 births per year, and is well known for Maternity and Neonatal services, in addition to Gynaecology operations and Reproductive medicine. Research plays a key part in ensuring continual development of services that directly benefit patients. It's a 24-hour operation involving the work of a dedicated 1,410-strong team, made up of clinicians and support staff.

In 2014, Liverpool Women's Hospital went live with a new Electronic Document Management System (EDMS) utilising the innovative Unity solution from Fortrus, and Documentum from EMC. The EDMS is used to create a fully electronic version of a patient's records by replacing the paper version with a scanned digital image of the original document, which can be accessed from anywhere across the hospital network at any time. These records can only be viewed by authorised Trust staff who have been given the rights to view the records as part of a patient's care delivery.

MEETING THE STANDARD
The Trust needed a solution to manage their medical records and to conform to the Government standards for medical records as set by the 2015 targets, the IDCR (Integrated Digital Care Record). This government initiative, applying to all NHS Trusts, means that the trust needed a vision to assist them to not only reach, but exceed the requirements laid out within it.

David Walliker, Chief Information Officer at Liverpool Women's Hospital commented on the project: "The driving force for LWH was not only to reduce the daily costs associated with managing our medical records, whilst ensuring compliance with regulatory guidelines, but also to enable the ability to view a record at any place or point removing the reliance on a single copy, as happens with paper. This formed part of the 'Doing IT RIGHT' strategy (Record Management, Intelligent Working, Greener, Holistic, Technology Led), which the Unity solution provided by Fortrus has enabled the Trust to achieve. The key criteria for the selection of the Unity solution was the acceptance it gained, based upon overall user experience, from the 53 clinicians that participated in the project."

The Trust will use the Unity solution in order to display the patient record within a new Clinical Portal. This will replace the traditional patient record in that it will display not only the paper record in an electronic display, but also any other information held about patient care on other specialist systems, such as x-rays, ultra-sound and blood results, so that staff delivering care have a single view of all the information about that patient - sometimes called an Electronic Patient Record.

The solution allows all doctors, nurses and other health professionals a single view of that record, instead of having to scan through paper case notes and electronic systems to gather all the information about the care received.

The Medical Records library staff are gaining immediate efficiency savings in tracking, pulling, re-filing, preparing, auditing and locating health records. The automation of this file tracking process will also release clinic-side staff from this administrative chore and thereby make more patient-facing time available.

The clinical user interface for the solution is provided by Fortrus; a desktop and mobile solution will be implemented using Unity on the Trust workstations and iPad devices. By using the Unity search tools, a clinician can quickly view data by attendance, document type, date or specialty for example; this allows clinicians to find information far more efficiently and effectively, ensuring minimal distraction from their daily routine.
More info: www.fortrus.com