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completely the opposite." To convert the numerous paper-based medical files into quality electronic images, three high performance Kodak production scanners - one i1780 and two i660 series machines - have been installed based on OITUK"s recommendation which can each cope with vast scanning volumes per day(4). Even using a scan-on-demand approach, where only the records required by visiting patients are scanned, the Trust expects to scan over 671,800 files over a five year period(5) hence the need for high capacity devices Darvill comments, "Once we had been trained on the Kodak scanners, they proved to be reliable, fast, hassle free with excellent image quality which is key, given we have a myriad of different documents to scan. This ranges from A4 and A5 sheets, photos, ECG(6) traces which are 3" high and 24 feet long, thick cardboard, and red paper with black type which can be tricky for some scanners to recognise." In the business case presented to the Trust"s board, the project team estimates that ÷£3.2 million will be saved over 5 years using a scan-on-demand approach further to an initial investment totalling ÷£1.205 million to cover IT and additional scanning staff. The large return on investment is derived from reducing the number of health records staff over time, and the large efficiency and cost improvements realised throughout the whole Trust as the paper shuffling process is removed. Self evidently, the patient benefits are huge. Health professionals can now provide far better quality of care as they have the right paperwork in front of them, and, in turn, because they"re empowered, the patient has a better medical experience. Equally, online access to files means people can see more than one doctor per visit, with appointment times now guaranteed even if they are set up at short notice. This has advantages to both patients and the Trust - more can be done during one visit saving hassle and time for the individual, with the hospital reducing the number of patient appointments overall and keeping waiting times to a minimum. Darvill concludes, "If you"re in the NHS and managing an acute facility, I would suggest that the future lies in digitising your health records library using a scan-on-demand approach. It is a simple way to get the operational savings and efficiencies, increase clinical quality, and alleviate all the problems which paper systems may create. David Whitton, Kodak"s UK sales manager, says, "In contrast to common perceptions and frequent media reports, the project at St Helens and Knowsley Teaching Hospitals NHS Trust clearly shows that public sector IT implementations, particularly in the national health service, can be successful. The Trust has worked with a reputable lead partner in OITUK, red the project properly which meets the needs of local healthcare staff who have been involved from inception to implementation to ensure project success." (1) Lists all patients, names and address, local GP and contains demographic information (2) Storage Area Network (3) Community of Interest Network (4) Recommended daily scanning volumes for the Kodak i1660 and i780 scanners are respectively 120,000 and 130,000 pages per day (5) This figure is made up of Health Records (546,182), Casualty Cards (54,620) and Health Record Supplement files (71,004) (6) Electrocardiogram Kodak

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