The United Kingdom is gearing up for one of the largest health care related information technology purchases in history: a nationwide strategic programme that will establish comprehensive safety provisions, including electronic patient records, computerized physician order entry and decision support. The programme, called the Integrated Care Records Service (ICRS), is an ambitious National Health Service (NHS) initiative that will be rolled out to the country's five trusts, or regions, over the next five years.
A foretaste of what the ICRS will bring can be found at the University College London Hospitals NHS Trust, one of the largest health care systems in Britain. In order to prepare for the opening of a new facility in 2005, UCLH will implement the IDX LastWord enterprise clinical system to create an integrated patient record covering both inpatient and outpatient data. This will provide complete patient information to providers throughout the system, including the trust's eight existing hospitals.
In addition to giving the entire health care team access to a patient's comprehensive medical record, the system also incorporates sophisticated decision support to help providers deliver a uniformly high standard of care and prevent medication errors such as drug interactions or incorrect dosages. IDX is also on the short list of health care IT vendors under consideration for the overall ICRS programme.
In July 2000, University College London Hospitals got the go-ahead from the government for a major GBP 422 million redevelopment scheme. The project, the largest building project in the NHS, will create a new 16-story, state-of-the-art hospital to replace University College Hospital (UCH) and The Middlesex Hospital by Spring 2005. The new hospital will incorporate LastWord as its core clinical and administrative information system, operating as a virtually paperless hospital.
As well as being one of the largest National Health Service Trusts in the country, UCLH is also a premier clinical, teaching and research centre, with an international standing in a wide range of specialist medical, surgical and dental services. UCLH has developed a well-earned reputation, both locally and nationally, for collaborative programmes with academic, service and community partners.
Robert Naylor, UCLH NHS Trust Chief Executive Officer, stated: "Our choice of IDX and the LastWord solution supports the national Integrated Care Records Service vision. IDX is distinguished as an enterprise clinical system vendor with a proven track record of success in Europe." The Integrated Care Records Service (ICRS) is an NHS initiative to establish electronic patient records across the United Kingdom. In evaluating technology vendors, UCLH gave thorough consideration to the requirements of this national information strategy programme.
Mr. Naylor added: "I am proud that we are delivering performance of the highest quality to our patients. We are committed to continually improving our services by expanding patient choice and improving the general health care delivery environment. Our selection of IDX allows us to immediately implement a truly integrated clinical information system, enabling us to develop new ways of working that reflect UCLH's reputation as a standard bearer of excellence in the NHS."
LastWord is founded on a 25-year heritage of continuous innovation and serves more than 190 hospitals worldwide, including a 600-bed academic teaching hospital in West London, the Chelsea and Westminster NHS Trust. This organisation, which installed LastWord in 1999, has implemented a fully operational electronic patient record system, including comprehensive patient administration, electronic prescribing, full electronic access to clinical results, document imaging and sophisticated decision support. The system supports more than 1000 current users, including all doctors, all nurses, and line administration staff throughout all locations within the Trust.
In a significantly expanded role as prime contractor at UCLH, IDX will not only provide LastWord but will also manage subcontractors in delivering network implementation and installation services. As the prime contractor, IDX will provide the technology information infrastructure for the electronic patient records system at UCLH for the next ten years.
"IDX and UCLH share the vision of elevating the trust of health care consumers by empowering clinicians to make better, more informed decisions", stated James H. Crook, Jr., President and CEO of IDX. "We are very pleased to welcome UCLH among our customers, who are distinguished by their innovative use of technology to benefit patient care."
"UCLH is offering the very best of clinical health care to Londoners and other patients from around the country and overseas in a clinical, research and teaching centre of international importance", stated Trevor Stanley, Managing Director of IDX UK Ltd. "This partnership with IDX in London will provide the information platform and clinically rich functionality to support the work of doctors, nurses, pharmacists and all associated professionals in the delivery of higher quality integrated health and social care."
UCLH NHS Trust is one of the United Kingdom's largest providers of health care services, medical research and training. Its hospitals provide acute and surgical services for local people, commuters and visitors to London as well as highly specialized services to patients referred from all over the country. It includes University College Hospital, The Middlesex Hospital, Elizabeth Garrett Anderson and Obstetric Hospital, Hospital for Tropical Diseases, Eastman Dental Hospital and The National Hospital for Neurology and Neurosurgery, The Heart Hospital and the Royal London Homoeopathic Hospital.
Founded in 1969, IDX Systems Corporation provides information technology solutions to maximize value in the delivery of health care, improve the quality of patient service, enhance medical outcomes, and reduce the costs of care. IDX supports these objectives with a broad range of complementary and functionally rich products installed at 3300 customer sites. Customers include 138.000 physicians who utilize practice management systems to improve patient care and other work flow processes.
IDX systems are installed at 380 integrated delivery networks (IDNs) representing more than 500 hospitals, 175 large group practices with more than 200 physicians, and 665 mid-size group practices with less than 200 physicians. The IDX Web strategy includes browser technology, e-commerce and Web-based tools, built using Internet architecture that facilitates access for patients, physicians and care providers to vital health information and data managed by the IDX clinical, administrative, financial, and managed care products. IDX has approximately 2100 full-time employees worldwide. IDX has served European customers since 1999 and has maintained a London office since 2000.
The LastWord system from IDX creates a comprehensive, lifetime patient record by automating the work flow of users and supporting clinical, financial and administrative processes throughout the enterprise. The LastWord system was designed to integrate core clinical processes for orders, results, pharmacy and clinical documentation, in concert with administrative/financial processes for scheduling, registration/admitting, charging and billing.
LastWord runs on the highly scalable HP NonStop platform, which delivers subsecond response time and unsurpassed 99,9 percent uptime. The system was developed by and for providers, in collaboration with some of the nation's leading hospitals, clinicians, and health care executives. IDX Carecast is the next generation successor to LastWord. More information on IDX is available in the VMW August 2003 article Major implementation project will enable computerised physician order entry for Continuum Health Partners.