In November last year, St. Olav’s Hospital adopted the new medical records system Helseplattformen. The goal is for all healthcare workers in the region to be able to share all relevant information about a patient in a common digital system. But since the introduction, there have been a number of problems, particularly at St. Olav. In March, the board of Helse-Midt decided to start an evaluation of the introduction at the hospital. The evaluation report was presented on Monday. The report sets out several critical points about what went wrong during the introduction: Unclear who is responsible for what in the management Fragmentation of responsibility Trust challenges between the actors involved Too little focus on a user-friendly computer system Progress challenges that have not been adequately addressed Unclear management The purpose was to uncover what led to the introduction having to be postponed at St. Olav and why the error correction period had to be extended. The report is based on 90 interviews with, among others, employees of the Health Platform, Helse Midt-Norge and St. Olav’s hospital. The external consulting agency Boston Consulting Group points out that there have been major challenges regarding management and responsibility for the project. In addition, there have been challenges with the quality that the Health Platform has delivered. There has been too little testing, a low focus on user-friendliness and problems with training, the report states. The board of Helse Midt-Norge met on Monday to present the findings in the evaluation report. Photo: Morten Andersen / news Still no control at St. Olav The evaluation was decided against the background of a number of major challenges with the Health Platform at St. Olav. In April, the Norwegian Health Inspectorate concluded that the Health Platform could threaten patient safety at the hospital. The hospital director then stated that it is “rare that a hospital receives such a serious report from the Norwegian Health Authority”. The inspectorate highlighted three major problems: Locked medical records when used at the same time, lack of control over waiting lists, referrals and messages to external parties and challenges linked to drug administration. This summer, the message came that a system error in the Health Platform has meant that doctors at St. Olav have not received notification of 853 test results. Lindy Jarosch-von Schweder is a group trustee on the board of Helse Midt-Norge and leader of Sør-Trøndelag medical association. She says the problems at St. Olav persist: – From what I have heard, the situation at St. Olav is still difficult in that they do not have complete control over waiting lists and a number of problems related to the use of the solution, says Jarosch-von Schweder. Lindy Jarosch-von Schweder is a group trustee on the board of Helse Midt-Norge. Photo: Jøte Toftaker / news Improvement measures According to the plan, the journal solution is to be introduced at all hospitals in central Norway and in a number of municipalities. Earlier this year, it was decided that the introduction of the Health Platform should be postponed at the hospitals in Namsos and Levanger. The report, which was published on Monday, proposes a number of measures to ensure that the further rollout of the records system will be safer. The consulting agency proposes four measures: Clarify the management model and responsibilities Improve the approach and quality of the deliveries from the Health Platform Ensure further efficient development and operation Focus on gains, communication and updated plans for those involved It is particularly pointed out that Helse Midt must be more clearly on the field. “In order to reduce uncertainty, it is important that HMN takes a clearer role as the largest owner in the project,” the report states.
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The health platform receives strong criticism in an external evaluation – news Trøndelag – Local news, TV and radio
