Hi Rick
The situation is similar to when we did the cost benefit side of lab to lab communication I think. Intuitively the process should be more efficient but as you have illustrated there really isn't any measure of this. We also don't reduce the number of MLAs doing booking in etc so we don't generate real savings.
You're right with respect to order comms usage its pretty poor here but there is no a drive to use it from a business point of view as we have just implemented internal trading and the first set of bills have just gone out. This has shocked a number of directorates and they are suddenly worried about inappropriate testing and the data quality of the request!
Cheers
Craig
Craig Webster
----- Original Message -----
From: IT working group of the Association of Clinical Biochemists <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Sent: Mon Feb 08 17:28:25 2010
Subject: Order Comms Benefits
I have been thrown an interesting challenge locally.
Can a local Trust justify Order Comms financially. Their FD is now a bit sensitized about spending to save given QIPP.
Have been searching web for benefits case for OC without success. Lots of stuff about improved safety, quality etc but none of it quantified and none of it measured against the increased cost of clinical time using the IT systems. Saving the paper and printing hardly touches the sides. Plus lots of evidence from the world literature that they don’t get used as much as people think without a lot of business change input.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579412/
http://www.ncbi.nlm.nih.gov/pubmed/16567121
Situation is complicated because the Trusts already has fully integrated and fast web reporting so can’t claim the savings from improved access and I also think they’ve already stopped a lot of repeat testing already through allowing outstanding orders to be visible across health pathways.
Has anyone got any convincing evidence of cost savings or a really well written business case they’d like to share?
Best wishes
Rick
Dr Rick Jones
Assoc Clin Director, Yorks and Humber SHA NPfIT
Sen Lect, Yorkshire Centre Health Informatics, Univ of Leeds
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