Jan 03, 2016
www.england.nhs.uk
• Relatively novel concept which refers to the effective use of
digital capabilities to deliver better services…
• In health and care ….this is to demonstrate that individuals, carers, health and care professionals have access to information to facilitate informed decision making, support integrated care and enable citizens to be active participants in their health and care.
What is Digital Maturity?
The right information
To the right person
At the right time
www.england.nhs.uk
Background for ePrescribing
• Current measures of ePrescribing maturity could be better
• West Midlands wanted to compare practice• Identify areas of best practice• Benchmark • Support developments
• Working with NHSE, Newcastle Foundation Trust and AHSN developed a prototype tool
5
www.england.nhs.uk
• Include measures of• Enabling capabilities• Levels of functionality
• Use and reach• Governance / safety
• Ability to develop as practice/policy evolves• Ability to link to other maturity indicators• Scoring
• Able to ‘develop’ as model itself matures and develops• Simple• Reproducible
• QUICK to complete
Guiding Principles
www.england.nhs.uk
Does the system support the prescribing of inpatient medicine orders and schedule them for administration?
Is this functionality in use?
For what % of inpatients was the
system used to prescribe inpatient
prescriptions in the last month?
Individual component maturity
www.england.nhs.uk
• 16 responses• 8 acute• 2 specialist• 6 mental health/community
• Mixture of maturity• Majority of Trusts have no system but work in progress
• Enabling scores reflect• Mix of systems in use/planned
Results
www.england.nhs.uk
• Typical Trust score:
• Enabling Capabilities: 66%• Functional Components: 0%• Mature Components: 0%• Total Maturity Score: 6%
Trust results
www.england.nhs.uk
West Midlands Summary
Trust 1 Trust 2 Trust 3 Trust 4 Trust 5 Trust 7 Trust 6 Trust 8 Trust 9 Trust 10
Trust 11
Trust 12
Trust 13
Trust 14
Trust 15
Trust 16
0
10
20
30
40
50
60
70
80
90
100
Overall maturity score (%)
www.england.nhs.uk
Individual Trust Capability Summary
1. Enabling Capabilities
2. Types of Medicines
3. Context of Prescribing
4. Medicines Administration
5. Prescriber Type
6. Medicines Optimisation7. Secondary Uses
8. Interoperability
9. Communication
10. Supply & Inventory Management
11. Decision Support
0%
50%
100%
Enabling Capabilities Total %age Functional Total %age Mature Total %age
www.england.nhs.uk
Individual Trust Maturity Overview
1. Enabling Capabilities
2. Types of Medicines
3. Context of Prescribing
4. Medicines Administration
5. Prescriber Type
6. Medicines Optimisation7. Secondary Uses
8. Interoperability
9. Communication
10. Supply & Inventory Management
11. Decision Support
0%
50%
100%
www.england.nhs.uk
Individual Capability Review
0%
20%
40%
60%
80%
100%
Antibiotic Stewardship
Functionality available
Functionality in use
This data is based on five NHS Trusts