Secondary Care

Nottingham University Hospitals picks Orion Health Rhapsody

Nottingham University Hospitals NHS Trust has completed a project and is now live with Orion Health’s Rhapsody.

When the Trust started working with Orion Health, it reviewed all its systems and the messages that went through its integration engine, and concluded that 57 systems and 75 interfaces would need to be moved.

The project included both simple messages, that could be dealt with quickly, and complex, HL7 messages that needed to query other systems as they passed through the integration engine. These could take the team a month to move.

A production environment was created to mirror every message in SeeBeyond and test it before it went live in Rhapsody. Testing was automated using a Rhapsody add-on called The Comparator, to iron out problems before human user acceptance testing.

Matt Howden, Head of IT strategy, said: “The project was completed in the last week of February. In fact, I was able to tell the board that week that this was one of the rare IT projects that had a finite timescale and was completed on budget. It was not a trivial project, either; it was very complex.”

This helped to speed up development and keep the project on track. “We matched Orion Health’s workforce days with our workforce days, and something like 1,500 days’ worth of effort went into the 310 days of the project,” Howden calculated. “Adding in the application testing teams’ resources took us to the 1,700 days’ mark.”

Nottingham University Hospitals expects to see benefits from its new integration engine. Howden said: “JCAPS felt like a product that was getting to the end of its life. It was getting difficult to fix bugs and we had workarounds in place as a consequence.

“We’re confident that using Rhapsody will be very different. Also, the user interface is much better and the speed of deployment should be quicker. That will make it much easier to integrate further systems as they are introduced to the trust.”

“We are in the process of replacing our wired and wireless network,” Howden said. “We are a highly mobile trust, with a ‘digital first’ paperless strategy and we want to deploy systems that people like to use. The worst thing I can hear is that a system is not being updated because a doctor or nurse has to walk away from a patient to find a PC. We are committed to making sure things are done at the point of care.”