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FoIs reveal few Millennium benefits

20 July 2012   Rebecca Todd

Two Southern trusts have identified only minimal benefits from their implementations of Cerner Millennium as part of the National Programme for IT in the NHS.

Milton Keynes Hospital NHS Foundation Trust has told eHealth Insider it does not intend to use the system for clinical records and processes outside of A&E and theatres.

It has implemented the FirstNet and SurgiNet modules in A&E and theatres and identified savings of 0.5 full time staff members as a result.

Taunton and Somerset NHS Foundation Trust has also deployed Cerner systems in A&E and theatres and says its experience implementing the system will help it procure another electronic patient record.

EHI first approached Southern trusts in January this year about the benefits they had realised from implementing the 'London' or LC1e upgrade to the system.

This was delivered by BT, after it took over the support of the ‘live’ sites at which Millennium had been deployed by Fujitsu while it was local service provider for the South.

Milton Keynes and Taunton and Somerset deployed Millennium in 2007. They received the LC1e upgrade earlier this year.

EHI received a number of benefits reports from the trusts, but while these identified potential benefits, they did not identify whether they had been achieved. Following a complaint, both trusts have recently provided further details.

Milton Keynes interim head of IM&T Mike Brooks said that in A&E there had been no benefits delivered to date and “we do not expect this position to change.”

In theatres, there has been a 0.5 WTE saving and in outpatients there has been a “partial saving due to streamlined follow up, but not sufficient to reduce any posts.”

These outcomes are in contrast to a benefits management plan dated November 2011, which says integration with the Spine would result in greater availability of accurate patient demographic information and faster patient registration at A&E reception.

The same document predicted that the introduction of FirstNet would allow the trust to send out electronic discharge summaries within 24 hours and the introduction of SurgiNet would increase theatre utilisation.

In April, the trust told eHealth Insider that it had no plans to use Cerner Millennium for clinical records and processes outside of A&E and theatres.

Taunton and Somerset said in a statement to EHI this month that following the LC1e upgrade, it plans to create additional Powerforms for clinical data capture - extending the use of the system by clinical staff.

High level benefits recorded by the trust include the use of its experience implementing Millennium to procure another EPR. The trust signalled its intent to tender for a new system in April.

The benefits realisation report says key to successfully procuring an EPR is the need to clearly document user requirements, objective evaluation of system capability and the establishment of true partnerships with suppliers.

Trust staff have already made the move from a green screen to a graphic user interface and data migration will also be easier because of previous work, it says.

The report says work is on-going to eliminate “dis-benefits”, but a number of these cannot be addressed “due to them being either fundamental to the way that Millennium is configured or due to contractual /specification issues not within the current remit of the trust to easily influence.”

The trust can no longer make changes to the patient’s listed GP because of connection to the PDS while previously it only had a “partial synch.”

Staff also cannot search for a patient’s outpatient appointment details by simply entering the medical record number, making it slower to manage outpatient appointments than it had been before the upgrade.

“Whilst there is still significant progress to be made in realising the benefits identified prior to the LC1e upgrade, sight must not be lost of the progress made to date, especially in the increase in clinical staff now electronically recording data on clinical care delivered to patients,” the report says.

 


Related Articles:

6 Insight: Millennium fug | 9 February 2012
8 News: Surrey and Sussex sticks with Cerner | 29 May 2012
3 News: South trust on journey to Millennium EPR | 13 February 2012
Last updated: 18 July 2012 15:44

© 2012 EHealth Media.


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Types of benefits

snaped 116 weeks ago

Surely no one thought they would get any major financial benefits from this implementation? Surely it was about improved care? If you implement a new system with greater capability, people are going to want to do more with it. This usually negates a lot of any cost savings you might have planned, unless you can enforce the project scope with a rod of iron. It's a fact of life/Project Management.

I would expect improvements in Data Quality, and increased functionality, not necessarily any savings. The report mentions not being able to change a patient's registered GP, well exactly, they should NOT be able to change that particular piece of data.


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Cerner Millenium Benefits

MatthewBrealey 118 weeks ago

If the two trusts had made clear the lack of benefits from installing Cerner Millennium earlier, this would have been helpful. It seems a little too co-incidental that such lack of benefits is made clear, ONLY SHORTLY, after the final report of the Cerner implementation at North Bristol Trust.


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Old News

Daniel Defoe 118 weeks ago

Matthew, this "news" has been well-known throughout the NHS for a very long time; it's only now that EHI has secured publication of it using FoIA. And as for North Bristol, then Taunton (and for that matter, Weston-Super-Mare which implemented CM long before Taunton or MK) is only a short hop down the M5 from Bristol, and it's inconceivable that North Bristol Trust wasn't fully aware of the state of play at both those sites. At a guess, North Bristol believed it could make a better job of implementation than any of those in the South so far. But didn't.

Incidentally, it certainly isn't the "final report"; CM implementation at North Bristol has only just begun.


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More details please?

jamesfone 118 weeks ago

Focusing on the predicted benefits:

1.

"... the introduction of FirstNet would allow the trust to send out electronic discharge summaries within 24 hours..."

Does your new information clarify that:

a) FirstNet has not been implemented 'sufficiently' to allow sending within 24 hours

b) It has been implemented sufficiently but for some reason the summaries can't be sent out within 24 hours

c) They no longer think this is an actual benefit (which would be hard to believe)

d) Something else

?

2.

"... integration with the Spine would result in greater availability of accurate patient demographic information..."

Does your new information clarify that:

a) They aren't integrating with the Spine

b) They are but it doesn't result in 'greater availability of accurate' demographics

c) They no longer think this is an actual benefit (which would be hard to believe)

d) Something else

?

Also,

"Staff also cannot search for a patient%u219s outpatient appointment details by simply entering the medical record number..."

This implies that the new (unspecified) process is worse. But without knowing what this new process is and evaluating the rationale for the change, then we can't determine whether we should agree with this implication. More details?


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