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Epic EPR Deployment

Following the success of the pan-London project for the London Care Record (LCR) data integration for Guy’s and St Thomas’ NHS Foundation Trust (GSTT) and South London and Maudsley NHS Foundation Trust (SLAM), ReStart was invited to support GSTT with their work on the largest Epic Electronic Patient Record (EPR) programme in the world.

The ‘Apollo’ EPR has been implemented across three trusts (Guy’s and St Thomas’ NHS Foundation Trust, Royal Brompton & Harefield NHS Foundation Trust and King’s College Hospital NHS Foundation Trust). The solution brings data from hundreds of clinical systems into a single EPR system for over 40,000 staff to access, across multiple hospital and community sites.

The deployment was underpinned by ReStart’s integration, system architecture and data migration tools. The migration of existing data and ongoing integration of system wide data gives staff a complete overview of a patient’s care record, supporting a joined-up approach to care through access to more accurate data, in real-time.

Working with Fellow Suppliers

Many health and care data integration projects require a collaborative approach from more than one technology supplier. ReStart recognises that working with other IT suppliers, such as Intersystems and Better, delivers more efficient and cost effective results for the NHS. In particular, when supporting an Integrated Care System (ICS), working in partnership enables the best skills combined with the best bits of technology to be harnessed from different suppliers to deliver complex digital solutions.

Recently with Intersystems, ReStart supported the implementation of a new Integration Engine with the migration of 170 interfaces from an incumbent Trust Integration Engine. Working as a collaborative team, ReStart’s data migration experts were able to focus on delivering a stable integration platform to support the existing estate, whilst enabling the rapid development of a new interface.

Working with Better on One London’s Universal Care Plan, over 25,000 care plan updates are now carried out each month as a result of the development work from ReStart through the Qvera integration engine. ReStart also delivers 24/7 support on the data integration and migration work and can now provide a dashboard view for internal IT departments to view activity in real-time.

Integrated Care System Support for Data Integration

Working with the South East London (SEL) ICS, ReStart is involved with a number of complex cross-trust data integration projects including:

1.     Transfer of Care GP Letters – involving deep technical knowledge of APIs and a customised audit process to track the outcome of every letter from source within an EPR out to the GP to action.

2.     Development of a PDF reader and DICOM message integration to support ophthalmic digital processing. ReStart’s experienced staff have years of working with the DICOM standard and enabled a safe and complete electronic workflow to support doctors, nurses and optometrists better manage their patients suffering from diseases of the eye.

3.     Successful integration of a Clinisys ICE GP order comms system to enable GPs to order pathology tests. ReStart developed the bi-directional interfacing to facilitate filtering of patient data from an EPR to an ICE, alongside the exchange of GP orders and results.

ReStart has worked with 49% of NHS Trusts, providing 24/7 integration support to 20% of Trusts and currently working in over 50% of ICS’s. ReStart’s team of interoperability experts and solutions connect healthcare leaders across all regions.

More information

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