Features published each month:   2009 | 2008 | 2007 | 1998-2007

Features

August 2010

Renegotiations source value for money for Hertfordshire adult services
In the most challenging financial climate in decades, how can councils reform their outgoings and increase efficiencies? Hertfordshire County Council, through seeking value for money and the renegotiation of care costs, has done just that. Iain MacBeath explores the council’s journey. August 2010

Brighton and Hove Integrated Care Service develops bespoke system for patient referral
BICS developed a tailor-made patient management system to enable intelligent data capture from primary care providers and, linking with the NHS Choose and Book system, ensure patients are referred to the best available care provider within strict timescales. August 2010

July 2010

Buying green IT
Information technology is accounting for an increasing amount of global energy use and industrial waste. For purchasers, however, making 'green decisions' is difficult and complex due to the lack of clear data and policies on labelling and manufacturing. Gary Price of VAR Probrand explores the migration of the green agenda into IT procurement. July 2010

How to improve information governance and patient care
Information governance is the framework for ensuring that the right people have access to the right data for patient care. This is complex in practice due to the many points of care that each patient can encounter and the multiple disparate records and rules that these create. Wayne Parslow of Carefx gives advice on how to take the right approach. July 2010

June 2010

TCO Certification — choosing IT products for low environmental impact and high performance
Birgitta Halvarsson of TCO Development describes the evolution of the TCO certification system from indicating the safety of computer monitors to the latest TCO Certified label launched in 2009 that encompasses a wider range of IT products with stricter environmental and usability requirements and also social responsibility. June 2010

Bank is dead, long live the bank
The latest generation of hospital staff management systems is revolutionising the way NHS trusts use their internal and external staff banks, says Nick Whiteley. Smart rostering solutions that streamline processes to enable rapid deployment of staff and meet work–life balance demands are now available and are set to change the future of the bank department. June 2010

Opinion: Consolidate the supply chain to streamline business and save costs
Steve Nicholls of CSA Waverley argues that healthcare organisations can save money in IT procurement in terms of cost of products, maintenance and accounting administration by outsourcing procurement as a managed service. June 2010

Opinion: Advantages of delivering healthcare business process management systems in the Cloud
Business process management (BPM) delivered as software-as-a-service (SaaS) in the Cloud is changing the game in terms of flexible patient management and workflow systems. New BPM solutions can be deployed in less than 2 months and at a fraction of the cost of adapting an off-the-shelf solution. Ingolv Urnes of psHEALTH looks at how independent healthcare service providers are using BPM to model, execute and continuously improve processes in the Cloud. June 2010

Streamlined ward working — live bed status, multidisciplinary handover and electronic vital sign documentation
The study evaluated a one-ward pilot of “streamlined ward working”, comprising electronic vital sign recording using personal data assistants, an electronic bed management system, electronic multi-disciplinary handover documentation and tablet computers to view vital sign charts at the bedside. Gemma Wint, Sarah Rodenhurst and Bryony Dean Franklin of Imperial College Healthcare NHS Trust.

May 2010

20-20 vision for health and care
The public love their NHS Hospitals and will fight to the end to 'save' them. What the public do not easily accept is that there are alternative ways of delivering care. Dr J Sandy Bradbrook argues for a new approach to health and care delivery. May 2010

Patient level costing: the most common questions
Patient-level costing (PLC) data is a critical tool for NHS trusts looking to optimise their performance and ensure best use of available funding and resources. But how should it be used for best effect? David Beeson of Ardentia answers the key questions. May 2010

E-learning — the marriage of technology and education
A relatively new strategy within clinical education, e-learning is becoming an increasingly utilised way of teaching new clinical techniques. However, the marriage of education and technology can be difficult to get right. Dr Nicholas Blackwell of the University of Leicester Medical School has this advice for those in the medical profession who are considering using e-learning as a teaching tool. May 2010

April 2010

The financial challenges of an ageing demographic
It has become apparent from the Audit Commission that most local authorities (LAs) are not preparing for the financial challenges of an ageing population. It is imperative that local authorities prepare to overcome the increasing financial pressures and budget cuts surrounding the social care sector. But how can they plan ahead? Arlene Adams of OLM Systems explores how the use of technology and changes in working practises can help LAs provide more cost effective and time efficient services to their adult community. April 2010

Breakthroughs with sensing in the human body
Dr Peter Harrop of IDTechEx outlines recent advances in overcoming the problems of body-area wireless technology and power supply for implanted devices. April 2010

Opinion: Security weaknesses in NHS information systems
Securing access to NHS IT systems with a smartcard may be considered an adequate level of security, but what if the smartcard system itself is easily compromised. IT security consultant Phil Colledge highlights some basic weaknesses in controlling access to NHS information systems. April 2010

Best practices in healthcare facilities capital planning
In hard economic times it is important for healthcare organisations to streamline their capital planning and budgeting processes and make well informed spending decisions and action plans. By using the right tools, says Michael Kwok of VFA, Inc, healthcare organisations can make the most effective use of assets and prioritise those expenditures that best support patient care. April 2010

King's College Hospital improves knowledge collaboration for the King's Health Partners AHSC
Paul Michaels of METRI Business Consultants describes how King's College Hospital reviewed its clinical information management infrastructure and IT services support to facilitate knowledge collaboration with the King’s Health Partners Academic Health Sciences Centre. April 2010

March 2010

Demystifying IT risk to achieve greater security and compliance
Effective IT risk management increases network security, reduces management costs and achieves greater compliance. The challenge is in identifying where IT risks are and creating a repeatable process to identify, assess and remediate without interrupting business activities. Alan Bentley of Lumension provides a guide on how to achieve this and communicate with the board to get stakeholder support.

Compliant disposal of data and IT equipment
The proper disposal of obsolete or ‘end of life’ computer equipment is no longer a case of simply throwing it in the skip. Organisations now have responsibilities under data protection legislation and the EC’s 2007 WEEE Directive to ensure that equipment is properly disposed of or comprehensively recycled. Chris Avis of Barron McCann explains.

Cloud computing brings wind of change to IT departments
Cloud computing gives the end-user complete control over their client–server, web-based, and computing solutions, allowing them to choose what they use, where they use it, and where they get solutions from. IT departments will have to adapt to providing smarter services.

Case study: Data centre rationalisation unlocks shared services for 22 Welsh Health Boards
NHS Wales Business Services Centre consolidated the National Health Application and Infrastructure Services (NHAIS) system serving the 22 local health boards onto two sites, reducing the server 'footprint' by 80%, giving 30% power savings, 60% savings in maintenance and improving processing throughput by 600%.

Opinion: Time for the NHS to recognise the benefits of videoconferencing
Steve Woollett of Tandberg argues that the benefits of videoconfencing technology for clinical, training and administrative uses are so overwhelming that the NHS should take a strategic view to adopt it at a national level.

Identifying new market opportunities in telecare and telehealth
The ageing population and the high demand for long-term care require the delivery of more effective and efficient care. Technology-based products and services are increasingly being viewed as a potential solution to the increasing pressure on care services. This will generate new market opportunities in telecare and telehealth says Katy Lethbridge of the South East Health Technologies Alliance.

February 2010

Usability issues of user manuals provided with medical devices
A user survey conducted in this study highlights user attitude, manual availability, textual complexity and language support as major issues relevant to user manuals. It shows there is a need to design easily understandable user manuals and make them available to users. Therefore, healthcare administrators, medical users, designers and device manufacturers should understand as well as address the usability issues of user manuals to provide safer and improved patient care. By Asst Prof Ganesh Bhutkar of the Vishwakarma Institute of Technology, Pune, India, et al. Feb 2010

Taking ehealth to the hospital patient
Warren Kressinger-Dunn of Jaotech explains why smart terminals installed at hospital bedsides are the ideal solution for taking ehealth to the hospital patient. Feb 2010

Solid state storage: improving healthcare information systems Texas style
Neil Ekker compares the slow adoption of solid-state storage in the healthcare sector to the Texan rancher tradition of buying horsepower by the pound rather than suitability for the task. Feb 2010

Dorset NHS Trust reduces data centre space and power demand with virtualisation
Dorset HealthCare NHS Foundation Trust (DHFT) had a pressing need for data centre space to meet growing requirements. However, with a limited power supply on site, expanding the data centre was not possible as the main power phase was stretched to the limit. Virtualisation was the key to more efficient use of servers, power and space. Feb 2010

It's time for the hospital doctor to embrace IT
Dr Paul Shannon argues that hospital doctors should emulate their GP colleagues and make full use of IT for the benefits it can bring in improving healthcare. Feb 2010

January 2010

In search of new healthcare frontiers
Dr Kathy McLean of NHS East Midlands looks at how healthcare providers can make best use of the £220m innovation funding from the Department of Health to improve working practices and deliver high quality patient care.

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