eHospital (IT Services)
eHopital is the award-winning digital programme at Addenbrooke’s and The Rosie hospitals
“Cambridge University Hospitals’ current digital maturity is the highest of any of the trusts visited.”– National Advisory Group report on Health Information Technology in England, chaired by Professor Robert Wachter
eHospital is our digital strategy which enables our clinicians to use the latest in computer technology to help them to consistently provide high quality patient care.
In October 2014, as part of eHospital, we introduced a secure state-of-the-art electronic patient record system (Epic) across both Addenbrooke’s and The Rosie hospitals. With the Epic system we now have all the medical information, past and present, that we need about our patients to hand and in one place.
The easiest way to think about it is that GPs, supermarkets, banks and other major institutions use modern electronic systems which allow you to access what you need, and now Addenbrooke’s and The Rosie hospitals are no different. Our clinicians can access the information they need about a patient wherever they happen to be in our hospitals.
If you have been a patient, or visited Addenbrooke’s or The Rosie recently, you may have noticed our clinicians using handheld devices and computers on wheels to record care at the bedside. These devices have been introduced as part of eHospital to enable us to document care into our Epic electronic patient record system in real time.
Benefits to patients …
- One patient, one record, one system, one place
Our Epic electronic patient record system means your medical record, in its entirety, is held electronically and securely in one place, and accessed simultaneously by all clinical members responsible for your care and treatment. So when a patient arrives for an appointment, as an emergency, or is admitted, the clinical team caring for that patient can see their record in its entirety wherever and whenever they need to – they are all looking at the same information which is vital to patient care and safety.
- Real-time information recorded at the patient’s bedside on mobile and handheld devices
Using handheld and mobile devices at the bedside to record observations (blood pressure, temperature, heart rate) in real-time, means that our nursing staff have more time to spend with their patients as they don’t have to locate and wait to write in a patient’s paper notes. It also means that the rest of the clinical team have instant access to the latest information about their patients.
- Patients don’t stay in hospital for longer than they need to
We have halved the time it takes to prepare discharge medications as our Epic electronic patient record system ‘talks’ directly to our pharmacy robot when a doctor requests medications, meaning our patients get to go home as soon as they are medically ready to leave.
- No more waiting for your paper records to arrive
With all of a patient’s medical information held securely and electronically within our Epic electronic patient record system we have reduced the use of paper records by 99% across both Addenbrooke’s and The Rosie hospital (inpatient and outpatient). As all patient-related information is now recorded in our Epic system, in real-time, there are no more delays waiting for paper records to arrive before patients are seen in clinic or before treatment can begin.
- Virtual fracture clinic
Our new virtual fracture clinic has freed up 4,500 clinic appointments in the hospital to help manage demand and improve patient experience. Previously patients would come to A&E with a suspected fracture and be given a temporary plaster cast following an x-ray. They would then be sent home and an appointment made for them to attend the hospital’s fracture clinic so that treatment can be discussed. All patients who now attend A&E with a fracture are assessed and contacted within 72 hours to discuss treatment after their case history and x-rays have been studied virtually, using our Epic electronic patient record system, by the trauma nurse and consultant. This service is better for our patients as it saves them time and expenses by not having to make unnecessary trips to hospital, and provides them with faster access to treatment.
- Barcoded wristbands improving safety
Electronic barcoded wristbands are in now placed on every inpatient at Addenbrooke’s and The Rosie which, when scanned, brings up the patient’s medical record in our Epic electronic patient record system to allow us to record a patient’s care and treatment accurately, in real-time, and at the bedside. In paediatrics, both the patient’s wristband and prescribed medications are scanned simultaneously to ensure the right medications are given to the right patient every time.
- MyChart patient portal
Following a successful pilot programme in some of our obesity and cancer clinics, the MyChart patient portal will shortly be made available to all patients attending adult clinics at Addenbrooke’s and The Rosie. MyChart gives patients secure access to parts of their medical record, held in our Epic electronic patient record system, so that they can be more in control of their health information. Using this portal on either a PC or on a smartphone/tablet via the ‘MyChart at CUH’ app, patients can see their upcoming and past appointment details, test results, vital signs, post-clinic letters, medications, allergies and demographic information. They will also be able to contribute to their medical record, for example by adding new medications prescribed to them by their GP, and alert their clinical team to any anomalies in their record to help ensure we have up-to-date and accurate information about our patients.
What our staff say …
- Your care is recorded in a single secure record so all the information we need is at our fingertips.
- Documenting care and treatment in real time is improving quality, reducing duplication and avoiding unnecessary delays to your care.
- Safety has improved on drug rounds as it’s easier to know who has done what and when.
- We have more time to talk to you and more time to care for you.
- The entire team looking after you have access to up-to-date information about you.
- Your test results are delivered back to your medical team without delay.
- With all information about you now in one place we can make quicker, more informed decisions to speed up your treatment.
- You don’t need to tell us twice, three times or four times as the information we need is in your electronic record in our secure Epic system.
- No more delays waiting for your paper notes to turn-up.
- Improved safety with instant drug and allergy alerts.
HIMSS EMRAM Stage 6 accreditation
Following an inspection from the Healthcare Information and Management Systems Society (HIMSS) to assess clinical adoption and use of electronic systems, CUH was awarded Stage 6 of the international Electronic Medical Records Adoption Model (EMRAM). This accolade puts us among an elite group of leading hospitals and medical centres in both the USA and Europe that use electronic patient record systems as a tool to help clinicians provide high quality patient care. CUH is the first Trust in the UK to achieve EMRAM Stage 6 within a year of an electronic patient record system going live, and only the third UK Trust to obtain this rating. Before the introduction of the Epic system, CUH was a Stage 1 Trust with very limited digital capabilities. The Trust’s ambition is to now become the first UK trust to achieve EMRAM Stage 7, the highest rating in the world.
Winner – Digital Trust of the Year at the national eHealth Insider (eHI) digital healthcare awards (October 2017)
The Trust’s Chief Clinical Information Officer and renal consultant Dr Afzal Chaudhry also won the ‘Chief Clinical Information Officer of the Year’ award for his leadership of the eHospital programme.
Winner – ‘The Best Place to Work in Digital – Large Organisation’ at the national Digital Technology Leaders Awards (July 2017)
Judges of this award described CUH’s eHospital programme as “a beacon to the rest that shows what can and should be achieved by using digital technology”.
Winner – America’s ‘Most Wired’ survey (July 2017)
On 10 July 2017, CUH was announced as the first ever non-US healthcare organisation to rank among America’s elite hospitals and medical centres, which use advanced digital technology to provide high quality patient care, in the nation’s prestigious ‘Most Wired’ survey and benchmarking study. This accolade puts CUH at the forefront of digital healthcare technology innovation on a global scale, and ranks the Trust among an elite group of global healthcare leaders that use real-time digital healthcare systems to significantly improve patient care and safety, and provide high quality patient care.
Winner – 2017 national data quality award (May 2017)
CUH won the prestigious national CHKS Data Quality Award for the quality of information it has about its patients. Clinical coders no longer have to manually look through paper notes in every area of the Trust to interpret relevant information as clinicians now record all patient care and treatment in our Epic electronic patient record system, in real time. This has not only helped us to improve the quality of the information we have about the care and treatment provided to our patients, but it is helping us to code much more accurately, in a more efficient way, and subsequently submit high quality data to our commissioners.
Highly Commended – Patient Safety Awards for ‘best use of technology to improve patient safety’ (July 2017)
Highly Commended – AbbVie Patient’s as Partners Award for ‘enabling patients with technology’ (November 2016)