ILUX began its involvement by meeting with senior stakeholders from each part of the clinic’s operation; these included Diaverum management, NHS consultants and clinic managers. “I was impressed with ILUX’s vision on how they could help us meet our strategic challenges, “said Michael Hartnett. These initial conversations enabled ILUX to identify the issues and bottlenecks in the current system and pinpoint where improvements needed to be targeted.
“We pride ourselves on getting to know our customer’s challenges inside and out,” said James Tilbury, Managing Director of ILUX. “By carrying out a full audit of the current systems and understanding all of the clinical processes and their data requirements, we could start to build a strategy that had integration and interoperability at the heart of it.”
From this research, it became clear that the current systems were not fit for purpose and were becoming so detrimental that it was more beneficial to cease their use and start planning for a completely re-engineered solution. To commence the system redesign ILUX began capturing the required data flows and appointed an interoperability resource to facilitate a closer working relationship with NHS and Renal Registry IT teams.
The data flows were mapped across all required applications and infrastructure, formulating an export schedule. Crucially the reengineered data flows would enable the clinic’s consultants to gain real-time visibility of patient dialysis data – something that had not been achieved previously. Additionally, it also enabled a nightly batch process to be run which relayed the clinic’s data in encrypted form to the trust’s renal management system and a standardised data set of key attributes to the Renal Registry. Rachel Hucknall, Operations Director summarised: “There are understandably lots of concerns over data sharing within the NHS and confidentiality of data, and ILUX have managed to deal with all of that in a very safe and secure way.”
The next step on the clinic’s transformation was the modernisation and integration of the medical devices and IT hardware. These included a new patient smart card system which stores the patient’s prescription and is used with the digital patient weighing scales and iSYMED dialysis systems, transferring pre-programmed patient dialysis details and treatment settings. In parallel, all servers, desktops, and IT infrastructure were replaced, with free Wi-Fi being installed for patients.
To provision for business continuity and disaster recovery, ILUX’s XVault cloud-backup and recovery service was deployed, enabling fast recovery in case of any system failures. Underpinning the new system, 24/7 IT support was also put in place, providing the clinics with a fully dedicated support team. Rachel Hucknall, Diaverum Operations Director said: “The interoperability factor was particularly important. We work very closely with a number of NHS trusts. Some of the issues we had in the past related to IT systems not talking to each another. One of the areas ILUX has been fantastic at is that integration between our systems and NHS systems.” The final milestone was the realisation of live connections. This development enabled all of the clinic’s consultants to gain access to the NHS trust’s systems via Diaverum’s hardware, allowing remote access to the N3 network and their applications.