The first Clinical Record Viewer (CRV) module, developed by TPP, went live at Scarborough Hospital on the 25th January. The module allows clinicians who work in an emergency care setting to access a read-only view of the patient’s full electronic record. Access is provided according to each staff member’s role based Smartcards. ADT messaging is used to communicate between the CRV and the hospital’s existing Patient Administration System (PAS), currently iPM by iSoft. This means when a patient is registered on the PAS a message is sent to the CRV, enabling the hospital to retrieve the patient’s SystmOne record, depending on the consent the patient gives.
The clinician treating their patient can then view their full history and medication along with any sensitivities and allergies. The CRV will also show them if the patient has visited their GP recently or accessed care out of hours. Staff at Scarborough Hospital are using the ability to print off a quick patient summary to attach to the patient’s ‘casualty card’ which moves around the hospital with them. Scarborough provides an ideal site for the CRV module as nearly 50% of GP practices in the area are already using SystmOne. Prior to the implementation of CRV staff said they spent more than 2 hours of every day phoning GPs in order to obtain patients’ medical records.
The CRV module is currently only being used in the A&E department within Scarborough but due to the success of the go-live, clinicians now plan to roll it out to other wards. Andy Volans, the Lead Consultant in the A&E department said “The deployment was remarkably smooth, although there were a few minor hiccups on the first day as might be expected. Within the first 48 hours however, the information received allowed major changes in our management of patients and increased the information quality that we were dealing with, in both administration and clinical areas. This happened to such an extent that already some of our front line staff are saying they did not know how they survived without it!”
Clinical Director Dr John Parry says the deployment at Scarborough will be the first of many CRV deployments expected in 2012. “The benefits of CRV are obvious. It works with existing systems to give clinicians vital information at the point of care, and also vastly improves efficiency. We already have several more Trusts going through the deployment process and expect to see even more interest as the year progresses.”



