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A Dual View of Midwifery IT 12 th June 2012

This presentation discusses the challenges and future of midwifery data collection and how IT can support and improve the process. It explores the benefits of an integrated system, effective communication, and clinician influence on IT decisions.

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A Dual View of Midwifery IT 12 th June 2012

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  1. A Dual View of Midwifery IT 12th June 2012 Patricia Reilly IM&T Systems Support, Training and Development Manager

  2. Background • Qualified Midwife 1997 • IT Project Midwife 1999 – 2002 • IT Development Manager 2002 – 2004 • IT Training, Support and Development Manager 2004…..

  3. Midwifery Data Collection – What? • Hospital Episode Statistics (Maternity Tails) • Payment by Results • Clinical Negligence Scheme for Trusts • Data Set Control Notices • Smoking • Breastfeeding • Screening • Key Performance Indicators • Local Initiatives • Research and Development • Specialist Midwife Data Collection • Patient Management • Risk Management

  4. Midwifery Data Requirements • The Future…. • Maternity & Children's Data Set • Over 1000 data item requirements – phased and incremental approach • Phase 1 due May 2013 • No scheduled plans for subsequent phases • Will includes data relating to: • Maternity Care Plans • Dating scan • Antenatal Screening Tests • Structural Fetal Anomaly screening • Labour & delivery • Postnatal Demographics • New born Screening • Maternal and Neonatal Death

  5. Midwifery Data Requirements • The Future….WHY? • Maternity & Children's Data Set • Record, compare and improve outcomes and safety • Improve clinical quality and service efficiency • Commission services in a way that reduces inequalities • Improve accountability by providing comparative information to service users • Provide activity data for Payment by Results • Support regulation • Increase the understanding and dissemination of best practice • Meet data set standards • AND…… • Enable midwives to care for their patients…maybe?

  6. Midwifery Data Collection • The Challenges • How can we find the time - we are looking after patients • How can we get access to systems - The majority of Midwifery care is in the community and midwives have to access a multitude of systems • How can we ensure easy data entry – we are not IT experts • How can we avoid duplication of data - it is a waste of time and frustrating

  7. Midwifery Data Collection • The Challenges • How can we ensure effective communication • To women and their families • Between Midwives • To Diagnostic Services • To Consultant Care • To Primary Care • To Social Care and Child Protection • To Anyone else?

  8. Countess Overall IT Strategy • Robust, highly integrated system with access to:- • patients’ details • clinicians’ notes • treatments etc. • Pathways guide doctors & nurses • Electronic Documentation • Electronic ordering & reporting • Results and letters to GPs • Over 2,000 networked PCs • Around 200 operating remotely

  9. Developments for Midwives • Status Boards • Patient Alerts • Mobile Solution for Community

  10. Status Board

  11. Community Data Collection

  12. Community Data Collection

  13. Benefits for Community Midwives • Complete redesign of Infrastructure makes access via mobile devices quick, easy and secure • The ability to record Clinical Outcomes ensures key clinical information is shared between community staff and acute trust staff • Community staff no longer return to site to enter data saving time and money • Community midwifery activity is now available for statistical analysis

  14. Midwifery Data Collection How can clinicians working in IT influence? • Understand all the challenges • Challenge the one size fits all approach • Influence procurement • Understand the impact of change on system users • Ensure effective training and support is in place • Ensure clinicians understand the Why! • Ensure effective communication between IT and clinicians to minimise frustration! • Provide Translation services?

  15. Midwifery Data Collection • How can clinicians influence IT? • Engagement! • Engagement! • Engagement!

  16. Midwifery Data Collection • What can IT do next? • Listen to requirements • Understand the challenges from the multitude of views • Clinician • Information Services • IT Infrastructure • IT Applications team • Supporting Services • Primary care • Social care • Work together to provide a solution • National Solution?

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