Emergency Department Digital Integration
We have delivered a tactical Emergency Department Digital Integrator web service (EDDI) which enables 111 Online and 111 Telephony services to book patients into Emergency Departments (EDs) and to provide EDs with a view of expected patient flow. This will help reduce crowding in waiting rooms, enable better capacity management of EDs, and facilitate sharing of clinical information between 111 providers and EDs.
The EDDI Release 1 (1 November 2020) was rapidly developed with only 14 weeks from initial concept to deployment and provides basic appointment booking functionality. Subsequent releases on 16 and 30 November allowed EDs to manage capacity and view 111 referral information. The final release is planned for 16 December 2020 and will provide management reporting capability.
All 111 providers/clinical assessment services (bar one) have successfully integrated with EDDI, providing coverage for 99% of the country.
As of 1 December 2020, 84% of the 141 EDs that have opted to use EDDI had deployed the solution. Deployment to the remaining sites is planned by 31 January 2021. Initial feedback has been strongly positive.
The Urgent and Emergency Care - Directory of Service (UEC DOS) has been configured to support the deployment of EDDI in line with the wider 111 First business change programme. Additional referral codes have been added to UEC DOS to support areas using both EDDI and local solutions.
The strategic 'system to system' solution is being progressed in parallel and allows ED software suppliers to integrate directly to the 111 service via CareConnect APIs. Ten EDs and urgent treatment centres using EMIS Symphony, Cleo Systems or Wasp Software have successfully gone live in November 2020.