Anaesthesia, Intensive Care and Pain Medicine - St Vincent's ...

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St.Vincent’s Healthcare Group Department of I n f o r mation and Communication Te c h n o l o g y Allied Health Professional and Support Services It was a busy year for the ICT department with the completion of existing projects and the commencement of new projects. We were also very happy to welcome a new staff member Micheal Rourke to our technical support team. System Enhancements A number of significant upgrades to existing systems were completed: Cirix Metaframe Hardware and Software 168 A number of projects were completed in 2003: An essential upgrade of our existing Finance System and its extension to St.Michael’s Hospital,to replace the existing legacy system was completed The first phase of our Network Upgrade has been completed. This is essentially a straight replacement of our existing 10mbit DEC network with Gigabit backbone and 100mbit Cisco equipment. The second phase will see us improve redundancy on the network by the addition of a further hub at the centre of our Star topology. We are now connected to the Government Virtual Private Network (VPN) offering high-speed access to the internet, systems such as the Clinical Indemnity Scheme and potential high speed connections to other health agencies.St Michael’s will have access to this facility via our internal VPN. Cache Interface System HIPE PAS Pathology Departmental Systems Hardware and Software Software Software Software Software A number of projects made significant progress in 2003 and will be completed in 2004: We have developed in partnership with H2H Care a new Appointment Scheduling System,which is being piloted in St. Mark’s and St.Anne’s Wards.The system has functionality to manage appointment scheduling,cancellations,rebooking and overbooking facilities.The system also has the ability to produce management reports,statistical analysis and patient specific letters and documents.The system also has an interface to the hospital Patient Administration System We are continuing to develop all of our Allied Health/ Departmental Systems. 169 The Tomcat Cardiology system has been fully implemented, it is a departmental system with functionality designed specifically for cardiology including the facility to integrate existing diagnostic equipment.It is interfaced to the Patient Administration System (PAS). A new Helpdesk System has been implemented.This offers much more flexibility facilitating improved management of the existing helpdesk function within SVUH and SMH.The addition of escalation categories and an integrated knowledge base will significantly reduce the turnaround time of faults and improve feedback to users. We have completed as an integral part of this a migration of the existing systems onto a single master patient index, using Sequel Server. Each department maintains a separate episode database. We have moved the systems to a dedicated server and are improving the PAS interface.We have also
Department of Information and Communication Te c h n o l o g y St.Vincent’s Healthcare Group Library & Information Service Allied Health Professional and Support Services 170 developed systems for Occupational Therapy and Speech and Language Therapy. We are currently prototyping our recently developed Intranet in a number of departments e.g. Pathology, Pharmacy, Personnel and Occupational Health prior to a general rollout across the Group.This system will improve communications,allow departments to share information, reduce and eliminate paper and provide access to policies and procedures,manuals and forms online.The Intranet will incorporate links to current systems for enquiry, reporting and result reporting. The Nursing Personnel System records information on nurses relating to their demographics, nursing registration, nurse contacts,external and internal career history, education,staff development activities,research,membership, skills and some details relating to leavers.A nurse-scheduling module will also be incorporated which will aid staff management and skill mix on the wards.The scope of this system has been extended to include Personnel and Medical Administration. We are currently implementing a Management Information System and Data Warehouse drawing and purifying information from clinical and non-clinical systems into a single repository incorporating systems integration tools,on line analytical processing (OLAP), business intelligence software and desktop decision support. The system will also contain a data-mining tool capable of providing comprehensive reports and ad hoc queries.The solution will therefore enable the hospital to maximise the value of data already stored in our current computer systems,and build an infrastructure that will help us meet the current and increasing demands for management and clinical information. We will continue to enhance our existing network while tendering for the active network equipment for the new hospital project. We have initiated a project in conjunction with the Healthlink project team to provide data such as pathology and radiology data to GP’s. We are currently preparing a requirements specification for an Order Communications System which will provide for the electronic raising / transmission of orders and the gathering / receipt of results between patient based departments or locations and ancillary departmental systems e.g. pathology, radiology etc. We are also hoping to implement a document scanning system for the Emergency Department. The Library & Information Service (LIS) facilitates all staff of the three hospitals in St Vincent’s Healthcare Group. It serves all students from its affiliated university, University College Dublin, who are resident in the hospitals and also GPs working in the vicinity, upon registration.It does not provide services to patients,other students or the general public. The Library & Information Service attends to the information needs of its users and therefore the clinical practice, education and research activities of the Healthcare Group. Staff The Library employs 2 full time and 1 part-time staff members. Head of Library & Information Services Senior Library Assistant Niamh Lucey Greg Sheaf Library Assistant (evenings) Paula Maher (to June 2003) Dearbhla Sheridan Saul Lugoye is employed by UCD as Computing Support Officer to the ERC. Service Developments/Activities Informatics Early in 2003 a group representing members of the Library and Information Service Committee and UCD Computing Services was formed to try to speed up the delivery of electronic services from the university to the hospital, but the pace has been disappointingly slow to date.Towards the end of the year Saul was co-opted onto a Faculty of Medicine Users’Group and the hospital was further represented in the IT planning process in the university so it is hoped to make progress in 2004. for the Library including a PC, a scanner, and printer hardware for the digital photocopier. Collection This year the Group Executive approved a collection development policy, which outlines the scope of the collection of books and journals held in the Library. Copies are available upon request or can be viewed on the premises.Additional shelving was added to the existing room at the end of the year but lack of space continues to be a problem. Journals:The LIS subscribed to 103 journal titles in 2003 in the areas of medicine, nursing and allied health,at a cost of €42,582.47. Over 60 titles were also received on donation. Books: Thanks to the efforts of Professor Diarmuid O’Donoghue, a fundraiser was launched in May, which generated almost €7000 for books for the Library. In addition, Professor MX FitzGerald provided funding for some much needed medical undergraduate textbooks. Finally, Fannin Healthcare Ltd donated a very substantial number of textbooks to the Librar y.The department is indebted to the consultant staff,Prof FitzGerald and Fannins for their generosity. Heritage IV: For most of 2003 staff members were engaged in retrospectively cataloguing the existing collection of books onto the new electronic library management system,Heritage IV. By the end of the year all of the loan collection had been added to the system and a record for all registered borrowers had been generated.All loan transactions now take place electronically and users can use the online public access catalogue 171 Yet again the Postgraduate Medical and Dental Board provided some welcome funds for the purchase of IT equipment
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