TY - JOUR
T1 - IT Evaluation of Foundation Healthcare Group Vanguard Project
AU - Tapuria, Archana
AU - Kordowicz, Maria
AU - Ashworth, Mark
AU - Ferlie, Ewan
AU - Curcin, Vasa
AU - Koleva-Kolarova, Rositsa
AU - Fox-Rushby, Julia
AU - Edwards, Sylvia
AU - Crilly, Tessa
AU - Wolfe, Charles
N1 - Publisher Copyright:
© 2021 European Federation for Medical Informatics (EFMI) and IOS Press. All rights reserved.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/7/1
Y1 - 2021/7/1
N2 - The aim of the Foundation Healthcare Group (FHG) Vanguard model was to develop a sustainable local hospital model between two National Health Service (NHS) Trusts (a London Teaching Hospital Trust and a District General Hospital Trust) that makes best use of scarce resources and can be replicated across the NHS, UK. The aim of this study was to evaluate the provision, use and implementation of the IT infrastructure; based on qualitative interviews and focused mainly on the perspectives of the IT staff and the clinicians' perspectives. In total 24 interview transcripts, along with 'Acute Care Collaboration' questionnaire responses, were analysed using a thematic framework for IT infrastructure, sharing themes across the vascular, paediatric and cardiovascular strands of the FHG programme. Findings indicated that Skype for Business had been an innovative and helpful development widely available to be used between the two Trusts. Clinicians initially reported lack of IT support and infrastructure expected at the outset for a national Vanguard project, but later appreciated that remote access to most clinical applications between the two Trusts became operational. The Local Care Record (LCR), an IT project was perceived to have been delivered successfully in South London. Shared technology reduced patient travelling time by providing locally based shared care. Spreading and scaling-up innovations from the Vanguard sites was the aspiration and challenge for system leaders.
AB - The aim of the Foundation Healthcare Group (FHG) Vanguard model was to develop a sustainable local hospital model between two National Health Service (NHS) Trusts (a London Teaching Hospital Trust and a District General Hospital Trust) that makes best use of scarce resources and can be replicated across the NHS, UK. The aim of this study was to evaluate the provision, use and implementation of the IT infrastructure; based on qualitative interviews and focused mainly on the perspectives of the IT staff and the clinicians' perspectives. In total 24 interview transcripts, along with 'Acute Care Collaboration' questionnaire responses, were analysed using a thematic framework for IT infrastructure, sharing themes across the vascular, paediatric and cardiovascular strands of the FHG programme. Findings indicated that Skype for Business had been an innovative and helpful development widely available to be used between the two Trusts. Clinicians initially reported lack of IT support and infrastructure expected at the outset for a national Vanguard project, but later appreciated that remote access to most clinical applications between the two Trusts became operational. The Local Care Record (LCR), an IT project was perceived to have been delivered successfully in South London. Shared technology reduced patient travelling time by providing locally based shared care. Spreading and scaling-up innovations from the Vanguard sites was the aspiration and challenge for system leaders.
KW - Foundation Healthcare Group
KW - IT evaluation
KW - Vanguard
UR - http://www.scopus.com/inward/record.url?scp=85107238120&partnerID=8YFLogxK
U2 - 10.3233/SHTI210246
DO - 10.3233/SHTI210246
M3 - Article
C2 - 34042651
AN - SCOPUS:85107238120
SN - 1879-8365
VL - 281
SP - 625
EP - 629
JO - Studies in health technology and informatics
JF - Studies in health technology and informatics
ER -