Birmingham Children's Hospital
Here is a synopsis of a selection of innovation pieces of work completed or in progress at Birmingham Children’s Hospital Foundation Trust. We at BCH FT are committed to developing service models and products that drive excellent healthcare.
E-health or Telehealth
Clinical Care Coordination System – Han-Bleep
Lead Phil Debenham & Jo Flemming, Hospital at Night Leads
What it is:
iBLEEP is a system for communicating ward jobs to the Hospital at Night Team and ensuring the right person gets to the child or young person in a timely manner to deliver clinical care.
This system is designed to improve the safety and efficiency of clinical care through scheduling.
When it started:
Training for all Ward Staff members began on 27th March 2009 and the system will be live from 18th May 2009.
What it is achieving:
Efficient clinical care, reducing clinical risk through defining triggering and actioning a clinical response in a timely manner.
Videocast available on request for the ibleep system.
Near Patient Medicines Management Telehealth System.
Lead: Anthony Sinclaire Chief Pharmacist BCH.
What it is:
A Pharmacy Service bought to the ward area that includes clinical screening, dispensing (for discharge prescriptions), prescription reviews, patient and parent education. The pharmacist uses a powered laptop trolley, laptop and printer, more affectionately known as ‘George’, to offer this roving service.
Each ward receives a morning visit and is able to bleep the ‘roving’ team during the afternoon.
When it started:
February 2009.
What it is achieving:
This system provides a number of benefits through the elimination of waste.
- Point of contact with specialist pharmacological knowledge (appropriate use of skills).
- Opportunity for medication education with patients and parents (reduction in defects).
- Increased patient safety with the reduction in medication errors and near misses as pharmacy staff have direct contact with multidisciplinary team and patient health records (reduction in defects).
- Reduces the turn around time for prescriptions (reduction in waiting time, excessive transportation and motion).
- Quicker dispensing of TTO’s, reducing delays in patients discharge (reduction in waiting).
- Reduction in medication costs as pharmacist is able to determine the number of TTO drugs required (reduction in inventory).
- Increased understanding for pharmacy staff of how the ward areas function (appropriate use of skills).
- Increased efficiency in the over all methods of dispensing to ward areas frees up resources for pharmacy to concentrate on other areas of their service (reduction in overprocessing).
Next Phase - Robotic storage and retrieval systems in pharmacy stores and clinical areas
Headgear Advanced Technologies for Surgeons (HATS)
Lead: Tim Jones, Cardiac Surgeon
What it is:
Clinical Equipment assisting the cardiologist to diagnoses and treat cardiology patients.
When it started:
2008
What is it achieving:
Safe and appropriate diagnostic and intervention.
Errors in Emergency Feeds In Inherited Metabolic Disorders
Lead: Anita Mc Donald, Dietician
What it is:
We asked if this new, simple, emergency feed could be especially produced to try and reduce errors in feed production in children with inherited metabolic disorders- who need emergency feeds when they are unwell. We did a randomised controlled trial to look at efficacy
When it started:
Results presented March 2009.
What it is achieving
- Overall, the pre-measured sachets were the most accurate method in emergency feed production.
- They are likely to reduce feed preparation error and, therefore, may reduce the possibility of feed intolerance, particularly osmotic diarrhoea, and the development of consequential metabolic decompensation and encephalopathy.
- With wider neonatal screening programmes, and increasing numbers of patients diagnosed with IMD, pre-measured ER sachets should decrease risk of over concentrated GP solution.
- The product is very successful and is now being launched world wide.
Innovative Approaches
Paediatric Early Warning Score, e-learning package
Lead
What it is:
The Paediatric Early Warning Score is a system arranged around the patient for the early recognition of deterioration. Training on this Trustwide system is carried out through an e-learning package.
When it started:
November 2008
What it is achieving
The Paediatric Early Warning System achieves timely, early recognition of deteriorating patients and feeds into the hospital at night programme.
The interactive e-learning package ensures that training can be accessed by all staff members.
Creating Outstanding Outpatient Services for Children and Young People
Leads Phil Grogan, Ian Wacogne, Mike Kuo and Vicky Wiley
What it is:
Using a range of innovation techniques the team have created a vision and plan for the future of outpatients services with a strong focus on innovation in the service model for the future.
Patients tell us that the clinical treatment that they receive at BCH FT is great. This project is about making the overall experience in Main Outpatients and Fracture Clinic live up to that same high standard, if not better!
This service innovation project has been developed so that we can create an amazing and innovative Outpatients experience.
When it started:
June 2008
What it is achieving:
To date the Trusts has actioned phase 1 – the environment, developing the importance and use of distraction devices as an integral part of the OPD environment and experience.
Helps to distract them from possible procedures they are there for
- Provides a learning opportunity
- Makes them feel that their needs have been catered for even down to how they would like to be entertained/distracted
- It’s what they expect – but with an opportunity to exceed their expectations
- Makes patients feel BCH is a caring and progressive and therefore it becomes brand enhancing
Example - future proposal in the telehealth arena
Testing the utility of a novel internet based tool to measure neurodisability outcomes:
Using a chronic neurological condition (childhood Central Nervous System demyelinating disease)
What will it do?
We aim to develop a disease specific symptom questionnaire for use with Healthtracker, that will be valid and reliable for measuring recovery and change in children with inflammatory demyelinating disease. The lack of useful outcome tools has been highlighted by the international paediatric demyelinating disease study group. Future therapeutic studies planned by our group, will also use this outcome tool. Our secondary aim will be to pilot Healthtracker, for our group of children and hence assess its utility for a group of children with neurodisability and chroni neurological conditions.
Supporting Information
We have enclosed the following presentations, summaries, posters and storyboards to support our offer to showcase and present at this very exciting event:
Poster:
Appendix 1 Errors in Emergency Feeds in Inherited Metabolic Disorders.
Summary
Appendix 2 Testing the utility of a novel internet based tool to measure neurodisability outcomes: using a chronic neurological condition (childhood Central Nervous System demyelinating disease)
Presentations
Appendix 3 Outstanding Outpatients – The Story So Far
Appendix 4 Stage A
Appendix 5 Stage A Story
Appendix 6 Stage B
Appendix 7 Stage C
Appendix 8 Stage BC Story
Appendix 9 PEWS Training
Appendix 10 Headgear Advanced Technologies for Surgeons (HATS)
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