Salisbury District Hospital Accelerates Clinicians’ Access to Application and Patient Data with Caradigm
London - 5th February 2015 - Salisbury NHS Foundation Trust operates Salisbury District Hospital, one of only two hospitals in Wiltshire. The Trust employs approximately 4,000 staff and provides care to over 290,000 patients per year across its range of emergency, inpatient and outpatient services.
The Trust has always had a policy of selecting ‘best of breed’ clinical systems; those which best suited the physicians’ needs. However, over the years this approach has provided the organisation with multiple independent systems. Consequently, the amount of time clinical staff were having to spend switching between different applications was raising concerns over efficiency gains. Glen Holmes, Director of Informatics, Salisbury NHS Foundation Trust, explains: “Our IT policy has been to provide clinical staff with the tools and technology that would enable them to do their job optimally, rather than settling for a universal, but individually average system.
“Whilst this approach has a vast number of clinical benefits for staff, as we have added applications over the years, we ended up with the situation where staff had to remember multiple passwords to log in. The supposedly simple act of switching between applications had become arduous and time-consuming. We needed a way to make the technology work better for our clinicians to support them in providing patient care.”
In addition, the Trust found that, especially in busy departments such as A&E, it lacked an accurate audit trail or documentation reporting which applications individual staff members were using, and which patients were being viewed in these applications.
Salisbury identified Caradigm’s Single Sign-On and Context Management technology, part of its Identity and Access Management solution suite, as the most appropriate, and future-proof solution. Caradigm’s SSO allows a clinician to log in once, and then have immediate and secure access to all role-based applications. The Trust has combined SSO with Caradigm’s fast user switching and strong authentication capabilities, which means that staff can quickly and easily unlock/lock the computer terminal’s screen by swiping or tapping their ID badge; when another user logs in, the original user has automatically already been logged out. Furthermore, the original user can log back in on any device within the same workgroup and be logged in and presented with their required application(s) automatically.
The result is that staff now have simple and secure access, with a single set of credentials that can be used for all of their applications.
The Trust has initially focused on SSO and currently has ten different applications that are SSO enabled, across approximately 180 computers and nearly 1,700 staff around the hospital. “Our aim is that ultimately two thirds of the computers across the Trust will be SSO enabled, while a third will remain private workstations,” Glen explains. “We have already seen the hugely positive benefits that the system is having in the areas where computers are shared amongst staff, particularly on in-patient wards. The system is also proving extremely valuable in helping us to manage the in-take and turn-over of our junior doctors; with 80-120 doctors arriving every six months, SSO is really helping them to be as effective as they can be, as quickly as possible, as they have access to the information they need without having to go search for it each time.
In addition to the time Caradigm’s Identity and Access Management solution has given back to clinical staff, the technology is providing the Trust with a much more comprehensive audit trail of activity around the organisation. For clinicians, this functionality provides further professional protection as it allows the Trust to track which individual action each clinician took with each patient. The audit facility can also be applied to identify meaningful information around staffing levels and workforce insight, amongst others.
“The engagement and response from the clinical staff has been hugely positive,” says Glen. “There was the impression that the role of IT within the Trust was focused on saving costs. Caradigm’s SSO, however, has helped to change this perception in that it has had a tangible effect in making our clinicians’ lives easier, and in enabling them to spend more time providing quality patient care. We’re giving them something that works and that they have wanted.”
Salisbury anticipates that SSO will be fully rolled out across all areas of the Trust by June 2015; to coincide with additional, large system upgrades that it is planning in other areas, including the Theatres and Maternity departments; as well as the implementation of a new EPR. It then intends to roll out Caradigm’s Context Management capabilities.
Commenting on the roll-out to date, Mansoor Khan, Consultant Plastic Surgeon, summarises:
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