Improving Digital Maturity. Digital maturity is a progressive state; it builds over time with sustained experience, investment and the development of routine use of the best technologies to deliver the best care for patients and management of our business. Digital maturity means that good use of the best digital tools is commonplace and taken for granted—it’s not special any more, it’s just what we do. GDE means that UHBristol will increase its DMA score in all respects from the conservative 64% assessed in 2015 to at least 90% by December 2019. GDE will have a direct and immediate impact on delivery of our Local Digital Roadmap (LDR), because we will achieve digital maturity earlier and with more sophisticated tools than would otherwise be affordable. This will have a collateral benefit on our local partners and their own roadmap activity. The following table presents an estimate of UHBristol’s Digital Maturity by late 2019. It is hoped that the DMA self-assessment tool will be made available for ad hoc use to track progress during the programme. DMA Measure 15/16 baseline 19/20 Target Comments Governance 85 100 Our CCIO team is now embedded within the core CSIP governance structure Records assessment and plans 55 95 We will roll out the ‘clinical workstation’ that will encompass paperless collection, use and management of patient information. 100% coverage is unlikely to be unachievable with some external organisations. Orders and results management 78 100 We will continue to roll out service ordering for services other than radiology and pathology and will provide seamless access to results from other providers. Medicines management 15 95 We will implement positive patient ID and DM+D as part of the Digital Medicines programme. Note that 100% compliance requires inference and prompting of appropriate medications, which we do not consider to be achievable within the term of GDE. Decision support 45 90 We will implement digital alerting and messaging solution to support staff in making clinical decisions. Note that we do not expect to implement unrestricted decision support, which can be construed as over-ruling professional judgement, 100% is therefore unachievable. Remote and assistive care 42 100 We will continue to roll out remote virtual clinic consultations and the take-up of video conferencing. We will use our PHR to undertake remote monitoring including the use of personal connected devices as part of the New Models of Care Assets and resource optimisation 50 95 We will impl...
