This project illustrates the use of Microsoft Sharepoint for implementing NICE guidelines and Quality Standards across a large NHS Mental Health Trust.
The project was developed in-house and allows feedback, discussion, project registration/presentation and information sharing via a single route.
Aims and objectives
2] Provide access to all relevant guidance and associated audit tools, slide sets and learning modules
3] Provide a feedback interface that can be completed easily and provide a graphical assesment of guideline implementation status for Trust Board and other groups
4] Provide a means to submit new projects for registration
5] Provide email, blogs and discussion board for staff to share developments in relation to implementation
Reasons for implementing your project
How did you implement the project
The site was developed by the project manager and presented "live" at a mandatory clinical quality improvement meeting chaired by the medical director. The presentation was repeated and followed up by an announcement that meeting papers would now only be avialable from the site and would not be mailed out individually. A similar approach was adopted for requests for guideline materials and audit tools. In addition, projects now have to be registered via the site and clinical leads are expected to provide direct feedback on the status of implementation.
There was some initial resistance as we were in effect, obliging staff to use the site. This quickly dissipated and most staff now use the site routinely.
In relation to this exercise, no costs were incurred directly as the product had already been purchased for another purpose.
One effect of this is that senior clinical staff are now providing (sometimes candid)views on the extent of specific guideline implementation and the barriers that, in their view, are preventing or impeding implementation. This information is being transmitted to the Trust Board. Prior to this an overview was given that was sometimes subjective. This information now comes individually and direclty from the clinician responsible for the guideline implementation.
While difficult to estimate cost reductions, there has been a good reduction in the use of email, telephone and paperwork. Guideline leads have become more autonomous as they can access what they require via a single route. They can also use the NICE slide sets directly from the site for teaching purposes. The site has streamlined the ability to conduct and report on audits of NICE implementation and provdes a platform where staff can share results easily.
One unexpected result is that some staff are now more confident in using IT resources such as this with a knock on effect for other resources like an interactive performance dashboard.
Key learning points
If you develop a site, make sure you road test it with IT enthusiasts and non enthusiasts before launch.
If you currently use paper and email to manage guidance implementation, do not run two systems in parallel. Remove the old one. This may incur some objections but this quickly resolves once staff become familiar and realise its benefits.