Hello all.
I had previously discussed with Leo about creating a discussion where Trusts can detail what applications they interact with and for what reasons, so please see below the details for Sheffield Teaching Hospitals.
I have added some brief details of the processes as well, but it may also be beneficial to set up another discussion to allow Trusts to detail individual processes and the requirements that they fulfil, thus allowing us all to see where there are potential use cases that have not been explored/contemplated or where there is cross over and knowledge that could potentially be shared.
STH have six processes currently:
- Two are to prevent dual entry of outpatient activity entered into other systems (reschedule, book, update, close, outcome and cancel).
- One adds new cyber security threats from the CareCert website into our IT Service Management Application.
- One cancels outpatient appointments in Lorenzo based on responses from the text message reminder service.
- One discharges inpatients on Lorenzo in response to a discharge being triggered/undertaken on the e-Whiteboard system.
- One uploads word documents to the Clinical Documents section of Lorenzo.
Lorenzo (EPR)
Large bulk of what we do is Add, Update, Close, Outcome, Reschedule and Cancel Outpatient Appointments to avoid dual entry and also in response to output from the SMS appointment reminder service. We also discharge Inpatients in response to a discharge being made on the Trust e-Whiteboards systems which is still be trialled and needs further work as it has a fairly low success rate. This is attributed to both the processes that are being undertaken on the shop floor (e.g. patient discharged or moved on Lorenzo before robot goes to discharge) and also some issue with the BP process. We also have a process for uploading word documents to the Clinical Documents area. We have previously looked at the messaging interfaces for both the outpatient and documents activity but DXC's pricing structures on these were fairly prohibitive. We are also yet to start looking/testing how well the robots interact with the Booking 2.0 sections.
Some of the issues we have had are:
- Accounting for the poor performance of Lorenzo
- Accounting for the erratic rendering of pages/controls
- Accounting for all the dialog boxes that pop up
- Config changes made by the EPR team without being communicated out
- Lorenzo upgrades that when they go live do not appear to be in line with the test versions that have been used to prepare on
- Lorenzo sometimes randomly appearing to be changed slightly (although no scheduled upgrade)
- Issues with reliability and speed of navigating the ward lists
- Issues with reliability and speed of navigating clinic lists
Cherwell (IT Service Management Application)
Adding and updating Cyber Security Threats taken from the CareCert website. Various updates and config changes to Cherwell that in turn required updates to the processes led to us modifying the process to use the Cherwell one step manager for most of the interactions.
Dawn Clinical Framework 7.9
Log in and download reports for rescheduled, complete and future outpatient appointments.
AGFA BI (Impax Business Intelligence Web Application)
We use the BI agents to email the reports which the robots pick up from Outlook but the robots can also log into AGFA BI front end and download the reports of completed outpatient appointments if the agents have failed. One of the biggest issues we have is AGFA BI failing to be populated with the data that the robots require.
Isosec
Start, Kill and Enter Pin
CareCert Website
We navigate this Atlassian Confluence site to get the last cyber security threat for adding into our IT service management system for our cyber security team to manage/assess. We still pick up the threats from the 'All Threat Articles' page which is getting quite slow to render so we may have to move to picking up from the individual month pages. We have had to re-identify or make other slight amendments to the process when NHS Digital have made slight changes/alterations to the site.
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David Williams
Software Engineer
STH
Europe/London
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