Rotherham Health Record

Rotherham

Introduction BackgroundSolution
The important thing to realise about the RHR is that it presents clinical, operational and analytical data in a single place. That’s what makes it so powerful.

Rotherham Health Record (RHR) is an integrated IT portal which presents the information health and care workers need to make clinical and operational decisions with confidence.
It provides aggregated views of key data at the patient level, and features a set of dashboards which show how the local healthcare system is performing.
The RHR is a bespoke solution developed by The Rotherham NHS Foundation Trust. It is managed by the Rotherham Health and Care Interoperability Group.

Maturity
Level 3 - Sharing three or more care settings at read only
Scale
Medium - 5-10 Organisations
FOCUS ON: Use of Shared Records to Support Service Redesign

“The RHR is absolutely essential. Not only because it supports our everyday interactions with patients, but also due to the influence it has on the way we design and deliver care. I am currently working with the community nursing team to look at A&E attendances from care homes. We want to know what happened in the run up to the attendance. Knowing this information will help us determine how we can keep patients in the home more often. We are auditing shared records to piece together the timeline. What was done and when? Time of day is crucial in terms of understanding the resources and support services available and what package we need to provide to support care homes better”

Joanne Mangnall, Deputy Head of Nursing for Community at TRF

  • The Rotherham Health Record is an integrated web-based portal.
  • The RHR consists of information pulled from a variety of underlying clinical systems, which is linked together and presented in a useful way according to who is accessing it.
  • The RHR has evolved “organically” based on demand from clinicians. It began with the in-house development of SEPIA (originally designed as TRFT’s bespoke EPR) and HIPPO (a similar web-based solution for GPs). These two portals have converged and the resulting solution is the RHR.
  • The RHR presents data at both the patient level (i.e. an aggregated summary of key data for an individual patient) and a management level in the form of a set of real time dashboards • It can be accessed on mobile devices such as smartphones, tablets and laptops.
  • Central Repository Model The RHR is a secure web-based portal designed by an in-house development team at TRFT.
  • The development roadmap is steered by the Clinical Health Informatics Development Group, which consists of clinicians and IT experts.
  • Agile and responsive design methods are followed.
  • Data displayed in the RHR is available in real-time and is read-only.
  • The RHR can be launched in patient context from underlying systems, e.g. SystmOne, using open APIs.
  • It is fully auditable.

Business Capabilities

Individual Patient Care
  • The RHR provides an aggregated view of the following information at the patient level, offering care givers a more complete picture of who is inputting into the their patients’ care, what they have done and what is planned:
    • Summary, inc. Current Problems, Medication, Allergies & Recent Tests
    • Problem view / Diagnosis view
    • Risks and Warnings o Procedures, Investigations
    • Live ambulance en-route o Community caseload and lead
    • Examination (Blood Pressure Only)
    • Events consisting of Encounters, Admissions & Referrals o Theatres, Path., Radiology, Maternity

From RMBC Social Care records:

    • Social Care services in place
    • Case Allocated o Allocated to Worker/Team
    • No. Safeguarding Contacts
Care Planning and Coordination of Care
  • The RHR enables colleagues from across Rotherham to work together effectively.
  • For example, community nurses use the RHR to see when their patients have been admitted to hospital or are attending A&E. They can do so within the patient record view (which can be launched in context from SystmOne) or they can proactively identify patients on their caseload who have been admitted using the Community View, which shows lists of inpatients by GP. Having this information means they avoid visits to patients who are not at home, and most importantly are able to offer support to the wards where their patients are based.
  • The Transfers of Care View allows community and social care workers to see which patients are pending transfer or discharge and to assist in removing any blockers.
Health and Care System Management
  • The RHR allows care givers to identify potential issues and take action to prevent them escalating. It empowers individuals and teams to make decisions which have a positive impact on the health & care system as a whole. It does so through a set of dashboards which display aggregated data in an accessible, visual format, e.g.:
    • Urgent & Emergency Care (ambulances, A&E, unscheduled care status)
    • Care Home (bed availability)
    • Transfers of Care (inc. reasons for delay)
    • Radiology (requests/ priority)
    • Theatres (clinician activity, capacity)
  • Users can drill down into the detailed patient view from the dashboard views.