Royal Surrey County Hospital –

NEW EHR Deployment – PAS Clinic Build Managed Service                      

OVERVIEW

Royal Surrey NHS Foundation Trust and Ashford St Peters NHS Trust went live with Oracle Cerner (EHR) in May 2022. The was a big bang deployment where both NHS trusts were due to go-live with a new EHR system at the same time. e-Health IT were procured to deliver the PAS implementation for Royal Surrey from Trial Load 3 (September 2021) through to go- live.

CHALLENGE

Multiple issues with the PAS build where the fundamental configuration was not in place in some cases. As a result, the previous data migration trail load 2 was not workable. e-Health PAS build team were tasked to turnaround the PAS clinic build configuration in extremely tight time scales to achieve a much-improved percentage of In-slot future appointments migration for upcoming Trial Load 3. This deliverable required a dedicated team to provide 24/7 support to achieve this deadline.

“97% FUTURE OP APPOINTMENTS MIGRATED INTO SLOT”

“99% eRS APPOINTMENTS MIGRATED INTO SLOT”

PROBLEM IDENTITY

Multiple issues with clinic build setup, that needed to fixed ahead of an upcoming data migration trial load. Risk on overall go-live date if trail load was unsuccessful.

Countess of Chester Hospital
BENEFITS & OUTCOME
Sample reports outputs identified and resolved,
  • 97% OP future appointments successfully migrated in slot
  • 99% eRS future appointments successfully migrated in slot
  • Standardised build and naming conventions as part of operational readiness
  • Mitigate clinical risks whereby instances of
    discharge summaries not sent to GP Practices
    not sent
  • Successfully achieved criteria to go-live for PAS Clinic build

SOLUTION

e-health team developed a series of PAS audit reports to highlight some of the key build issues and coordinate these fixes.

Defined strategy for dual clinic build maintenance for each trial load and throughout project.

Adopted custom solutions and processes used at previous PAS deployment projects.

Data Migration strategies ahead of trial loads and full dress rehearsal to increase In-Slot success rate and mitigate build issues.

Planning and cordinating build activites around limited domain availability on a 24/7 basis.