Some NPfIT PAS systems barely used

张琨

Some NPfIT PAS systems barely used21 Aug 2007

                               
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A number of Connecting for Health funded patient administration systems (PAS), installed in primary care and community trusts, are only being used by a small number of staff, according to official figures seen by EHI Primary Care.
Internal figures, prepared by local service provider (LSP) CSC Alliance, show an average number of monthly users of just one for North Staffordshire, less than 20 for Cambridgeshire PCT, South Essex and Bedfordshire and Hertfordshire health community, and less than 50 for Dudley, Fylde Coast and North Cheshire.
Usage figures for PAS systems in the North, Midlands and East Programme for IT show that, in several cases, less than 20 staff are using the CfH supplied PAS system each month.

However, some of the LSPs figures are disputed by the trusts themselves. Dudley PCT produced figures for EHI Primary Care which showed 220 average users out of 400 staff and North Staffs claimed 350 staff were currently using the system and that numbers would rise to 1000 next year, out of a total of 2,000 staff.
Andrew Spence, director of healthcare services for CSC, said the LSP strategy for PAS deployments to PCTs was to begin with low numbers of staff and build up.
He told EHI Primary Care: “Initially we start with a small number of users who perhaps don’t have access to another system and then over time further cohorts are added which is by and large the way trusts want to do it as well.”
Spence admitted that North Staffs “sticks out like a sore thumb” but said the trust had plans in place to expand use of its PAS over the next nine months.
He added: “In November it plans to add 300 to 400 users and then go up to 600 or 800 in spring next year.”
Spence said CSC’s contract with Connecting for Health meant it was paid more according to how many staff were using the system and growth plans were agreed in consultation with trusts.
“The bottom line is that there are volumetric targets so essentially we do get paid more if more users adopt the systems.”
Spence estimated that CSC had installed new patient administration systems in three quarters of PCTs in the old North West / West Midlands cluster and said much lower numbers had been installed in the North East and Eastern clusters formerly run by Accenture, whose strategy had been to focus on TPP’s SystmOne products.
Spence said PCTs were not under pressure to take new PAS systems from CSC.
He added: “CSC’s approach is that we only want to deploy systems when trusts want to take them. If they have got existing systems that they are happy with then that is fine.”
Dudley PCT, which has had a PAS system from CSC since October 2005, showed EHI Primary Care figures which showed an average weekly use of 229 staff between January and April this year. The official CSC figures seen by EHI Primary Care reported less than 50 users.
A spokesperson said: “In Dudley we have trained many administrative support staff to be proficient in entering data on behalf of the nurses and community staff, and in most cases they will be entering for the whole team, so whilst the number of logins is lower than the 400 registered users we are confident that this is in the main due to this factor.”
A spokesman for North Staffordshire Community Health Trust told EHI Primary Care that the trust was half way through implementing its PAS from CSC, with 350 people currently using the system. He said the potential number of users should reach 1000 by April next year.
The spokesperson added: “We expect to realise the benefits as stated by Connecting for Health. It is too early to express an opinion about the experience so far.”
South Essex Partnership NHS Foundation Trust said it had implemented a CSC PAS, iSoft’s iPM, in April 2006 and has 35 current users.
A spokesperson added: “We have implemented the first phase for mental health. This first phase was a straight replacement for our existing system and was implemented for the potential benefits of phase two. This system meets our current needs and has the potential to deliver additional benefits in the future.”
CSC is responsible for delivering new IT systems to three-fifths of the English NHS. Latest CfH figures report that it has installed 99 NPfIT versions of iSoft's iPM PAS system, mostly in its original North West and West Midlands cluster. The majority of the systems have been installed in PCTs, community and mental health trusts.

North West and West Midlands

10 acute

64 community PAS

4 mental health PAS

1 primary care

www.connectingforhealth.nhs.uk/newsroom/latest/yourarea/nwwmids

North East

2 acute

3 mental health

www.connectingforhealth.nhs.uk/newsroom/latest/yourarea/northeast

Eastern

4 mental health

11 primary care

www.connectingforhealth.nhs.uk/newsroom/latest/yourarea/eastern


Across all PCTs and NHS trusts served by CSC the LSP's 'production usage' figures showed that in December an average of 3,300 NHS staff were using the PAS systems it had supplied. EHI understands the usage figures had risen to a monthly average of about 6,500 by early summer 2007.

lev

不足之处大家多多指正，谢谢！
有些症状考绩系统勉强used21电2007

一些健康管理系统(PAS)的链接 ,已经安装在初级保健和社区,只用少部分的人使用,据官方公布的数字看,由EHI最初照顾.
内部数据,准备由本地服务提供商(LSP)CSC Alliance,表明刚好是北斯塔福德每月用户使用的一个平均数,逼剑桥PCT、南部埃塞克斯郡、贝德福德和赫特福德郡卫生社区少20人,比 Dudley、 fylde海岸和柴郡北部地区少50人.
对PAS系统使用数字考绩制度,在北部,中部以及东部的方案显示：在某些情况下,每月有不到20人参与使用由PAS系统提供的CfH.

不过,有一部分LAPs的数字本身存在着矛盾,对于EHI初期护理的 Dudley PCT 变态的数据（其显示220个用户,平均出400名工作人员和北声称参谋人员350人）,目前使用该系统和数字将上升到1000人,明年将会突破2000名员工.
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安德鲁斯宾思主任保健服务,为败选后表示,卖地策略考绩部署联苯是开始低的员工数目,并建立.
他告诉塑料初级保健: "起初我们先从一小部分用户的人也许不进入另一个系统,然后随着时间的推移进一步随从说,这就是大和方式信托想做以及"
霍威尔承认北杖"瓦尔拉像拇指痛" ,但他表示信任,有计划地扩大使用其考绩在未来九个月.
他补充说: "在11月又计划增加300至400名用户,然后到600或800在明年春天"
斯宾塞表示,败选后的合同,连接生的意思是付出更多的根据有多少名员工使用该系统和增长计划获得通过协商与信托.
"底线是,有目标的体积,所以,基本上我们得到的钱多了,如果越来越多的用户采用该系统. "
斯宾塞估计县市长安装了新的病人管理系统四分之三联苯在旧北西/西米德兰兹机群,并说要低得多号码已安装在北部和东部集群以前由埃森哲的战略进行了重点对肽的systmone产品.
霍威尔说联苯没有压力下采取新的考绩制度,从总统败选.
他又说: "败选后的做法是,我们只是想部署系统信托时,要采取这些措施.如果他们有现有系统,他们都感到满意的话,这是好的. "
3821.16厘,这已经考绩制度,从败选后,自2005年10月,塑料显示,初级保健的数字显示,平均每周使用229之间的人员,今年一月及四月.官方数字败选看到塑料基层医疗报告不到50个用户.
一名发言人说: "在3821.16点,我们已经培训了许多行政支援人员必须精通进入数据代表护士和社会工作人员,在大多数情况下,它们将进入为整个团队,所以虽然多少一目了然,是低超过400个注册用户,我们有信心,这是主要是因为这个因素. "
发言人北斯塔福德社区卫生信托告诉塑料基层护理信托被中途通过实施其考绩从败选后,有350人,目前使用该系统.他表示,潜在的用户数量要达到1000人,明年四月.
这位发言人又说: "我们预期,以实现效益如连接健康的.为时太早表达自己的意见,对迄今所取得的经验. "
南部埃塞克斯郡卫生伙伴信托基金会说,它已实行考绩败选后, 9.75的综合治理,在2006年4月已有35家用户853 .
发言人补充说: "我们已经落实了第一阶段的心理健康.这第一阶段是一个连续更换为我们现行的制度和实施,为潜在的效益两个阶段.这个系统能够满足我们当前的需要,并有可能提供额外的利益,在未来. "
败选负责提供新的资讯系统,以五分之三英语从业者.最新完好的数字报告,它已安装在99个症状版本9.75的病虫害考绩制度中,大部分是在原西北和西米德兰兹集群.多数系统已安装在联苯,社会和心理健康的信托.

[ 本帖最后由 lev 于 2007-8-22 10:44 编辑 ]

mouse

自己翻译的吗?辛苦了,顶一下,不过很多地方还是术语好象挺不通畅的,呵呵，加油啊！

张琨

一看就是机器翻译

lev

－－－－－－－－－－－－－－
下面的google翻译的
上面的我过滤了一下，呵呵
水平有限

lev

翻译和看个大概意思 不是一会儿
翻译太麻烦了，总是找不到合适的 话语去表达
而且好多 词汇 不懂