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Electronic Patient Records (EPCR)

The move from paper based patient data collection in Clinical Operations to an Electronic Patient Clinical Record (EPCR) is transformational for the Trust and patient care.  The infrastructure platforms and mobile device management required to support EPCR can also enable staff with personal issue tablet devices to receive information from and engage with all aspects of the Trust whilst working on vehicles/at ACRPs/at home/anywhere.  Access to documentation electronically, personally targeted communications, team based networking and clinical peer to peer access combine to facilitate the development of a connected workforce, whilst real-time clinical data access supports the clinical quality agenda.

iPad Air in handThe project will see an initial deployment of 200 personal issue iPads to potentially three sites across the Trust supported by agreed first phase deployment criteria before April 2015 which will include five key elements 

  • Ipad Air and protective casing
  • EPCR and all supporting paperwork in electronic format
  • Internet access
  • Daily Briefing sheet
  • CTL tool (this provides a real time view of what’s happening in your ODA)

The decision around software provider will be made at the end of October when the team will work with the provider to ensure the EPCR part of the system is delivered in a user friendly way to incorporate all our clinicians will require and to include the minimum data sets required for clinical auditing.

Enabling our CTLs to have close to real time access to their teams care delivery will have huge benefits in supporting staff through difficult decision making processes, complex pathway decisions and other dynamic processes our crews deal with every day thereby improving standards across the Trust for the individual clinician, the patient and the organisation.

Bringing access to relevant information to the clinician at the point of care will allow for the development of more patient specific treatment. Empowering not only the clinician but the patient to take responsibility in the decision making around the best course for their care creates an environment of trust and leads to more likelihood of the patient representing at the most appropriate place for their needs.

The scope for the EPCR project is huge and while that’s true it’s essential for the team to remain focussed on delivering the essential items required at initial deployment. Once the first phase is achieved and successful we can begin a new and exciting journey into what else these devices can bring to our patients and staff. Some of the ideas include

  • Organisational social network/forums for discussion and ideas
  • Access to Toxbase
  • Telemedicine
  • Access to GRS
  • All other SECAmb forms
  • Decision trees
  • Online learning and CPD

This list is by no means exhaustive it demonstrates just a few of the ideas

If you would like any more information on the project please contact the team EPCR@secamb.nhs.uk

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