Positive results from the pilot project of direct interoperability with TPP in Hertfordshire

29 Jan 2019

In November 2018, we launched a pilot project to assess the success of our direct interoperability with TPP by enabling EMIS Web users in Herts Valley CCG to view the full community and GP patient information stored in SystmOne.

The project provided nine EMIS Web GP sites with the ability to view and share patient data with 50 SystmOne community services, who in turn, could also view and share with those GP sites. This allowed clinicians to bring up a HTML view of a patient’s care record embedded within their current clinical system. The pilot was signed off in December 2018 and Herts Valley CCG are keen to roll the interoperability project out to the wider CCG area.

Breaking down healthcare barriers

This interoperability project is helping to break down the barriers between two separate systems, allowing clinicians to work together with a seamless compatibility. This drastically improves continuity of care and clinicians are able to deliver treatment based on more informed clinical decisions. Patrick Thorpe, head of clinical systems at Hertfordshire Community NHS Trust was impressed by the level of detail that was available by sharing information between the two systems during the pilot project. He said, “It’s not just a snapshot, it’s a comprehensive and detailed view of a patient record, and that can only be good for patients.”

“Direct interoperability between EMIS and TPP means that staff can get a comprehensive view of a patient’s record at the point of care with no delay”

Patrick Thorpe, Head of clinical systems, Hertfordshire Community NHS Trust

Creating safer joined-up care

Allowing GP and community clinicians, nurses and admin staff to access, relevant patient information has been a great success in Hertfordshire. Dr Mike Walton, a GP in Herts Valley CCG, found that within just the first day of the project, he was able to use the new interoperability between his own GP record (EMIS Web) and the SystmOne record used by the community trust, in order to help several patients whilst out on call.

With access to a view of a patient’s community SystmOne medical history in EMIS Web, Mike was able to:

  • assist a new patient whose full record hadn’t properly transferred over to the GP practice but could access information from a recent check-up from community health visitors
  • adjust medication for a baby by accessing their most recent weight measurements from their last community health visit
  • view and adjust the insulin dosage for an elderly patient in the local care home by accessing their most recent dosage information from the community diabetes service

“This kind of information sharing can make an enormous amount of difference to care and clinical safety”

Dr Mike Walton, GP, Herts Valley CCG

A full picture for more informed care

This interoperability gives the community teams in Herts Valley CCG using SystmOne, access to detailed and updated GP information within EMIS Web, in real time. Similarly, GPs who use EMIS Web can now see the information held within the community SystmOne units. This has meant communication and clinical safety has improved in both GP and community services. “It is the sort of joined-up care we have been aching to see for a long time” says Dr Walton.

Helping to plan future services and programmes

This direct interoperability between EMIS Health and TPP isn’t just helping clinicians and nurses – it also helps admin staff to plan the running of programmes. Mike found that it helped admin teams within his practice record information such as school vaccinations, quicker and more accurately. Being able to view the SystmOne record of vaccinations administered by the school nurses means that information was properly coded back into EMIS Web so that they could plan properly with no overlaps.

Connected, high-quality care

For high-quality care to be delivered across care settings, interoperability between multiple systems is key. “There is such a huge appetite for interoperability and a real need for it”.

“By improving the way we interoperate with SystmOne, we’re paving the way for a future of joined-up and high-quality care across all sectors”

Dr Mike Walton, GP, Herts Valley CCG

EMIS Health is the UK leader in connected healthcare software and services and our work with TPP on direct interoperability is part of our wider interoperability strategy. We are passionately committed to the seamless and secure exchange of data between systems for the good of UK healthcare: we work on multiple ways to enable that to suit our customers, such as our primary care partner programme, our joint-venture company Healthcare Gateway and alongside NHS Digital and other primary care systems suppliers on GP Connect.