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Papworth Hospital, the largest cardiothoracic centre in the country, has installed EDRM software along with workflow and eForms modules from CCube Solutions, to improve how patient referral paperwork and medical notes are indexed, routed and shared among clinicians and clerical staff. While many other trusts have digitised patient records, Papworth Hospital has taken an innovative approach to using eMR by concentrating on the patient’s pathway from the moment an individual is referred to the hospital to boost efficiency, reduce costs and enhance patient care.

Further to HM Treasury approval in May 2014, tertiary trust, Papworth Hospital, is building a state-of-the-art £165 million hospital which will not have a paper records library on site. Therefore addressing how patient notes are managed is of paramount importance. In addition, given most referrals come from other hospitals via letter, a better system to handle this was required. Using CCube Solutions’ EDRM software at the core, the system comprises a new eReferrals application, an eClinical letter and workflow approval system along with integration with a third party digital dictation solution.

Karen Thompson, Papworth Hospital’ s Business Change Project Manager, says, “For the first time, all referrals will be handled electronically. This reduces the time, risk, duplication and costs in circulating paper around the hospital and rationalises an inefficient process.”

The new eReferral application went live on September 8, 2014 in the Cardiology department and will roll out incrementally throughout the hospital. To date, 850 staff have been trained and registered to use eMR including around 120 consultants. After consultations, the eClinical letter and workflow approval system enables secretaries and clinicians to draft letters and route these document around for review, sign off and ultimately onto GPs. The hospital is also in the process of designing and implementing eForms to help capture new patient information without relying on paper.

David Wilcox, Papworth’s Hospital’s business change & IM&T project manager, adds, “The eMR is also the portal access to other hospital applications like the PAS and Pathology solution which means consultants don’t have to change systems. In other words, there is a single sign on which gives staff access to the various databases they need.”
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