UCLH NHS Foundation Trust Hospital goes live on IDX Carecast Electronic Patient Records system

London 24 June 2005IDX Systems Corporation and University College London Hospitals (UCLH) NHS Foundation Trust have launched the first phase of the Trust's state-of-the-art IDX Carecast electronic patient records (EPR) system, which went live across all eight of the Trust's hospitals earlier this week. This first phase of the Carecast activation replaces the Trust's existing patient administration system and provides additional functions in the Accident & Emergency (A&E) and Maternity departments.


UCLH Chief Executive Robert Naylor stated: "The successful implementation of Carecast is an exciting moment in the development of our state-of-the-art electronic patient record. It will enable us to work more efficiently and safely, bringing immediate benefits to our patients and staff. It coincides with the opening of the new GBP 422 million University College Hospital last week and clearly demonstrates progress towards the Trust's world class ambitions. It also points the way forward in modernising the NHS."

UCLH is the first health care organisation in the United Kingdom to use Carecast. Under the NHS National Programme for IT, IDX is working with BT to deliver Carecast to Trusts throughout the London region, recognized as a centre for health care excellence in the United Kingdom. As one of the largest and most clinically sophisticated Trusts in the NHS, UCLH represents a significant milestone for Carecast in the United Kingdom and sets the stage for the larger undertaking.

"Carecast is one of the first products to meet the rigorous standards of the National Programme for IT, so this go-live is a great milestone for electronic medical records in the United Kingdom", stated James H. Crook Jr., Chief Executive Officer of IDX. "This go-live builds on IDX's history of success in the United Kingdom at Chelsea and Westminster Healthcare Trust in London, and points the way to continued success in the future."

During preparations for the UCLH go-live, approximately 1,5 million patient records were transferred into Carecast, and more than 2100 staff received EPR training. Since the go-live, more than 1000 UCLH staff have been using Carecast to carry out patient administration functions, including patient registrations, appointments, admissions, discharges and transfers, bed management and commissioning.

To date, the system is handling approximately 250.000 transactions a day with consistent sub second response times. IDX and UCLH expect the number of transactions processed per day by Carecast to well exceed the million mark as UCLH goes live on additional clinical functionality. Based on the reliable HP NonStop platform, Carecast is distinguished in the health care IT industry for its guaranteed 99,9 percent uptime and significant scalability.

Within the A&E, staff are starting to use Carecast's "electronic whiteboard" to facilitate patients' progress through the department. In the near future, entries on the whiteboard will show real-time, colour-coded information on how long patients have been waiting and will alert clinicians when lab results are available. They can also use Carecast to make patient information immediately available on-line to clinicians once patients are admitted to a ward.

In the Maternity department, midwives are using Carecast clinical assessment tools, making it easier for them to monitor, assess and communicate to each other the health status of mothers and babies. Every baby born at UCLH will begin life with its own comprehensive electronic medical record and will have the potential of a lifetime record accessible anywhere they receive medical care, across the country.

"This initial launch of Carecast at UCLH is an important achievement for both UCLH and IDX", stated Kevin Jarrold, UCLH's Director of Information Management. "Health care is one of the most complex environments within which to introduce IT and the project has required a close partnership between the Trust and IDX to adapt Carecast to our particular needs. We look forward to building on that as we expand our electronic patient record system to include more clinical functions over the next year."

During 2005 and 2006, IDX and UCLH expect to extend Carecast functionality to cover electronic requesting, enhanced A&E tools, care planning, reporting and pharmacy. UCLH's patient care record will incorporate nearly every facet of patient care - medical notes, test results, clinical images, letters, appointments - linked into one secure electronic record that can be retrieved at the touch of a button. Carecast is also expected to integrate with the Picis Theatre Manager software, the first phase of which was implemented within all of the Trust's operating theatres earlier this year.

"To adapt Carecast for the United Kingdom health care environment, IDX partnered closely with UCLH and drew on our nine years of experience working in London", stated Rob Baker, Managing Director, IDX UK. "The success of our Carecast deployment paves the way for a robust electronic patient record solution throughout London."

IDX has nearly a decade of experience in providing electronic patient records in the United Kingdom. Chelsea and Westminster Healthcare Trust in London has used IDX LastWord, the predecessor to Carecast, since 1999 to create lifetime electronic patient records to support improved quality of care, including a documented 63 percent reduction in last-minute surgery cancellations. The organisation's electronic patient records system is used in the Trust by more than 2000 health care professionals to support patient care. The Trust recently went live with full electronic prescribing in all outpatient clinics becoming one of the first Trusts in the United Kingdom to accomplish this achievement in an integrated environment.

UCLH NHS Foundation 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 specialised 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, National Hospital for Neurology and Neurosurgery, The Heart Hospital and The Royal London Homeopathic 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 systems are deployed to serve approximately 150.000 physicians and are installed at over 3400 customer sites, including more than 850 group practices and approximately 370 integrated delivery networks servicing more than 500 hospitals.

IDX also provides its enterprise clinical software as a subcontractor to BT, Local Service Provider for the United Kingdom National Health Service's National Programme for Information Technology, an initiative to establish electronic patient records for 50 million patients.

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 2400 full-time employees.

Carecast is a fully integrated clinical, financial and administrative system, combining core clinical processes for orders, results, pharmacy and clinical documentation with administrative and financial processes for scheduling, registration, admitting, charging and billing. Representing the next generation of electronic clinical information solutions, Carecast delivers unsurpassed response time and reliability to support fast-paced clinical environments. The system automates work flow throughout the health care enterprise and enables rapid access to patient records across the care continuum, from admission to discharge, including inpatient and ambulatory care. The result is a comprehensive lifetime patient record that enhances the quality of care and promotes operational efficiencies.

Developed by and for providers in collaboration with leading hospitals, clinicians and health care executives, Carecast builds on 25 years of innovation with the IDX LastWord enterprise system. Customers include health care organisations in the United States, Canada and Europe. IDX also provides its enterprise clinical software as a subcontractor to BT, Local Service Provider for the United Kingdom National Health Service's National Programme for Information Technology, an initiative to establish electronic patient records for 50 million patients. More company news can be found in the VMW June 2005 article Stanford Hospital and Clinics and PeaceHealth upgrade to next-generation IDX Carecast.

Leslie Versweyveld

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