The solution outlined how the medical records data would be drawn from the Trust’s selected scanning bureau and how the integration of the EPR with the Alfresco Electronic Content Management (ECM) platform would ensure each captured medical record could be displayed within the context of a user-selected patient. Following a successful POC, the solution went live in May 2017, with additional projects relating to Integration with Cerner (New EPR), Postage Integration (incoming mail) Internal Centralised Scanning, Referrals and WinDip migration completed since.
From the start, SynApps built relationships to empower people and focus a group of geographically dispersed individuals to work together towards a common goal. As a result, the project was delivered within agreed timeframes and budget, with clinicians using the solution successfully for the retrieval of both legacy and day forward medical records. The Trust now enjoys an end-to-end ECM solution for the capture, storage, management and retrieval of Medical Records, enabling it to commence a controlled roll-out of the solution across the hospital.
The SynApps Vendor Neutral Archive (VNA) solution enables the Trust to create a secure clinical portal that pulls data from multiple systems in multiple formats stored in their Documentum ECM platform. The data can now be accessed directly from any of the PACS systems connected to the VNA or from the VNA portal, which offers a simple web interface, allowing clinicians to view patient information anywhere, on any device. When new medical images are generated by radiology, cardiology or other departments, they can view all the patient data directly in the VNA. As a result, images can be accessed within three seconds, a significant improvement over the old process.
When the Trust moved from their PACS provider, the implementation of the SynApps VNA and SynApps implementation approach meant that the subsequent migration was de-risked, data migration to the new PACS was faster and data was far cleaner.
The migration phases of the project involved 30TB of Radiology DICOM data covering 1.8M studies and 20TB of Cardiology Dicom covering 80,000 studies. The VNA based on the ECM platform now contains over 150TB of content (300M images) increasing by over 400,000 new studies each year.
The trust also successfully implemented a paper free medical record scanning solution based on this same ECM platform. This has further broadened the scope of patient data held within the platform. Clinicians now have immediate access to a broad range of DICOM and Non-DICOM content. This Medical Record archive has since grown to a size that nearly equals that of the original DICOM dataset over the last 2 years.
In addition, the trust has successfully integrated new free-standing Theatre Stackers (Endoscopy and Orthopaedic) directly with the VNA to provide for the archiving of the imaging data generated. This has provided clinicians across the trust with access to the data without needing to access the imaging devices directly.