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SharePoint Customer Solution Case Study

Solution Case Study

Hospital Achieves #1 Rating Due to Improvements in Patient Safety and Staff Productivity
Company: Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT) Website: Country or Region: United Kingdom Industry: Healthcare Partner: Ascribe Ltd Partner Website: Company Profile Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT) provides care for two main hospitals in the United Kingdom with over 1,400 beds, serving a population of around 700,000 people. Software and Services Microsoft® SharePoint® 2010 Enterprise Ascribe eHandover

"The eHandover solution is the first to identify and successfully manage the shift gap issue which results in significant communication failure and patient risk during nights and weekends "
Dr Aklak Choudhury, Barking, Havering and Redbridge University Hospitals NHS Trust

Barking, Havering and Redbridge University Hospitals NHS Trust wanted to improve patient safety and productivity across the hospital teams. The Business-Critical SharePoint solution, Ascribe eHandover connects Microsoft® SharePoint® 2010 Enterprise with their line-of-business systems, improving efficiency, transparency, and reputation. Now they are using SharePoint for a lot more than just managing documents, they are managing patients and improving patient safety. Business Needs
Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT) provides care for two main hospitals in the United Kingdom with over 1,400 beds, serving a population of around 700,000 people. They have been facing challenges with clinical handover for years. In 2009, 850,000 incidents and 3,500 deaths were reported in the United Kingdom due to poor clinical handover*. Clinical handover is a term which describes the transfer of patients’ care between shifts and specialties. Guidance for handover typically recommend that: • The patient’s new team should have immediate access to all necessary clinical information • After hours, doctors should be aware of the patients under their care who are particularly unwell • Doctors should have sufficient protected time for patient handover • Each clinical action and annotation in patient notes should be traceable to the doctor concerned • A patient’s resuscitation status must be stored sensitively, but also accessible immediately • Doctors should know the outcome of their decisions Very few organisations follow these guidelines, and even if protected time is

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IN THIS SUMMARY. a Business-Critical SharePoint partner they started mapping out their clinical workflow to facilitate the key elements of handover. From these patient lists. As part of the newly designed process. doctors were able to run their handover work completely electronically without the need to print out lists. All rights reserved.given for handover. As all the patient lists were centralized on SharePoint. This case study is for informational purposes only. For the first time tasks can be set on a Friday and be allocated to be completed up to 4 days. and Satisfaction With Ascribe eHandover. and on different locations. the handover list is projected on to the wall in each handover meeting. The workflow was expanded across disciplines and specialities. The business-critical SharePoint solution. The solution centres around improvements Benefits The Ascribe eHandover solution improves business-critical processes and provides a list of patients and their applicable locations (wards. A wealth of clinical data is displayed in these lists in a user-friendly SharePoint handover board – presented and managed in a way that doctors and nurses understand. called eHandover that connects SharePoint with their line-ofbusiness (LOB) systems. Now doctors are aware of the outcomes of their decisions.. the meetings tend to be chaotic. unstructured and long. These tasks still had an impressive completion rate of 98%. such as the patient’s resuscitation status is now stored securely but can be accessed immediately Solution Dr Aklak Choudhury at BHRUT wanted to do something about this. They decided to implement a SharePoint based solution. clinicians are able to create handover records at any point during their shift. The main patient administration IT system provided no such functionality that would facilitate handover. clinicians and staff all have the up-to-date patient information at their fingertips. unstructured. *Source: The National Reporting and Learning System for England & Wales patient administration system. The trust had SharePoint in place but they were only using it for document management. interventions and actions are missed. and portfolio aggregation for junior doctors all contribute toward transparency and closing the communication gap among different teams. For the latter there is no secure audit trail of handover activities that have taken place for the patient. setting the patient priority for review and discussion of the resuscitation. unverifiable. including the emergency pathway system as well as their © 2006 Microsoft Corporation. therefore. There is a safe audit trail of handover activities in case of litigation. personal. The goal was to improve handover processes and patient safety across the organization and to fill as many gaps as possible that their backend systems did not cover. 21.500 handover records were logged and actioned in the system by 332 separate clinicians. Security. [list other trademarks referenced] are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. The list of handover activities is then used as a task list for the clinicians. MICROSOFT MAKES NO WARRANTIES. While patient safety is undoubtedly the main driver in the need for a Handover solution. nurse task allocation. With the support of Ascribe. All other trademarks are property of their respective owners. Since SharePoint and the LOB systems were already in place. so he designed a process that would provide a structure and facilitate some of the key elements of handover. beds and specialties) within the hospital. Sensitive patient information. they are cumbersome and inflexible and do not get used. Improved Productivity Among Teams The solution helped with more educated and collaborative decision-making. and are also increasingly facing litigation when incidents have occurred. EXPRESS OR IMPLIED. has driven four main areas of benefit: Patient Safety. In the first 14 months of its operation. by the authorized person when needed in case of emergency. Improved Reputation The Ascribe eHandover system led to better reputation internally and externally. many healthcare organisations are being fined for the discovery of patient sensitive information outside the trust (in the form of paper handover notes). Transfer of responsibility was not documented either. Teams and individuals were working in silos with no interaction between disciplines or medical specialities. A handover list is therefore effectively built for each shift. as several people can contribute to each handover decision real-time and in a collaborative manner. and the solution is updated with additional notes and guidance during the meeting. they were able to get more value out of their existing systems and improve ROI without rip and replace. While some EPR systems claim to have handover modules. As well as discussion of the clinical case. procedure pathways. this was a remarkable testament to the success of the solution give that it was adopted organically. Microsoft. This led to safer information governance for the hospital. other data items that were typically reviewed at the meeting included who and what grade of doctor will complete the handover tasks. Functionality such as. Each clinical action is traceable to the doctor concerned. SharePoint provided the in-built security and scalability for the organization and crucially had an in-built audit trail and allowed secure permission level access to patient information. This typically means that handovers are combinations of verbal. The communication gap has been bridged between teams working on different shifts. Furthermore.The speed of the handover meeting fell from 45 minutes down to 20 minutes Transparency and Audit Trail Now activities are recorded and structured. with different IT systems. Document published 06/08/03 . many handovers span multiple shift gaps.

Microsoft. BHRUT has gained reputation in the industry as a beacon site for medical handover and is now working with Medical Education England to potentially set the processes as a “standard” for all health organisations in the UK. [list other trademarks referenced] are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. Document published 06/08/03 . The solution has also won the EHI 2011 Award for “Best use of IT to promote patient safety” and the Microsoft Partner of the Year for Health patient safety. the doctors showed greater than 35% point rises in satisfaction for production of handover lists. IN THIS SUMMARY. All rights reserved. and clarity of handover task status.. In fact. Secondly. EXPRESS OR IMPLIED. identification of sick patients in the hospital. based on an Ascribe eHandover implementation survey. versus the year before when BHRUT ranked in the lowest third. the doctors in General Medicine ranked BHRUT as #1 out of 34 hospital trusts in London. MICROSOFT MAKES NO WARRANTIES. All other trademarks are property of their respective owners. The hospital has experienced a falling patient mortality on weekends over the last two years. Finally. This case study is for informational purposes only. © 2006 Microsoft Corporation.