1. Introduction
Purpose of report
This is a dynamic report to document and provide a tool to manage the issues and lessons learned from the ERDIP Demonstrator communities, and related activities.
These findings help inform the national and local EHR development and implementation requirements.
They are important evidence in defining the future EHR implementation strategy, ensuring infrastructure and necessary supporting services are in place, identifying dependencies and resource requirements.
Issues are mapped to current and planned activity, where known, at local and national level. Consequently, gaps in activity are identifiable.
The report is not intended to be a comprehensive review of all aspects of every demonstrator’s experience. It will however be a dynamic document, to be updated as new issues emerge, old issues are resolved, and lessons are learned.
The report focuses on those issues integral to the development of the shared electronic health record, both in its initial mode of supporting patient access and emergency or urgent care, as well as the proposed second generation EHR which would provide access to all relevant healthcare information for all citizens.
About 500 issues have now been identified and grouped into broader "mid-level" issues, which in turn have been grouped into "top-level" issues. Where possible, resolutions and associated lessons learnt have been matched to the higher level issues.
Based on the outcome of those issues, development and extension of the electronic record system can continue with the benefit of prior experience. This should enable many of the issues encountered so far to be avoided on the future, potentially saving on project implementation resources and improving the quality of service.
Background
Work on evaluation has been an ongoing aspect of the Demonstrator programme. To date, ERDIP has conducted several subject specific surveys or reviews. The Demonstrators will be delivering over 500 'products', ranging from reports, guidance, and analyses to live operational systems.
A comprehensive exercise on evaluation was commenced in October 2001. A framework contract for supply of independent evaluative services has been awarded to seven suppliers. This will maximise learning from the demonstrators and facilitate dissemination of the learning and experience.
The information in this report is derived from the experience of the demonstrators, many of their reports, and the outputs from the Evaluation Work Package, N4.1, Review of ERDIP Deliverables, and the follow-up work package, N4.2, Ongoing Review and Update of ERDIP deliverables. Existing ERDIP surveys and reports on demonstrator, NHS and international experience in developing and implementing EHR also provide valuable data for this document. |
发表于 2005-3-25 07:25:03