Department of Oncology

 

Information about Research in Oncology

Joint Clinical Information System (JCIS)

To find out more about the Joint Clinical Information System (JCIS) , please click on the headings below:



History of JCIS

The Department of Oncology, Addenbrooke’s Hospital and the West Anglia Cancer Network came together to develop their own clinical information management system to improve patient care and minimise waiting times.

JCIS, initially launched in 2002, was developed by the JCIS delivery team led by Amanda O’Neill (Cancer IT programme manager and Head of JCIS implementation) and Dr James Brenton (Clinical Oncologist and Department of Oncology Principal Investigator) in partnership with Dataline Software.

JCIS captures information for all cancer patients treated at Addenbrooke’s, from a patient's first clinic visit, through diagnosis and treatment, to multidisciplinary meetings and discharge.  Authorised users can access and add information securely from any computer in the hospital connected to the network, whilst consultants use tablet personal computers with wireless links and traditional computers to enter clinical data into the system. JCIS also automatically sets up and co-ordinates patient appointments, generates letters to GPs and stores radiology and pathology reports.

JCIS was piloted in breast and gynaecological services and proved so successful that it was rolled out to cancer services across the Cambridge University Hospitals NHS Foundation Trust and the West Anglia Cancer Network. This means that cancer related clinical information throughout the trust will increasingly be collected by JCIS.

Funding for the development of this Joint Clinical Information System (JCIS) is derived from a number of sources including the NHS Trust, NIHR Biomedical Research Centre (BMRC), the Medical Research Council(MRC) and Cancer Research UK CRUK).

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Development of JCIS - progress and achievements

The JCIS development team has achieved the following:

1. Development of import package
Developed a complex import package to automatically import referral, outpatient and admission data to map to capture all cancer pathways managed in the Trust and reduce the need for dual entry of data.

2. Implementation of JCIS
Continued the 5 year plan to roll out JCIS to all cancer services in the following ways:

  • Expanded JCIS to cover all cancer multi-disciplinary teams, including: Teenage and Young Adults, Testicular, Liver, Lung, Leukaemia and Myeloma.
  • Established a demographic interface between JCIS and Papworth computer system with a view to implement JCIS at Papworth Hospital to provide a seamless service for lung cancer patients at both Cancer Centre sites.
  • Improved the pathology imports for Head and Neck, Gynaecology and Upper GI cancers.
  • Developed follow up surveillance tool for lower gastro-intestinal (GI) tract cancers.
  • Agreed a standard Cancer Nurse Specialist screen, to be rolled out to all specialties in the financial year of 2009.
  • Established an interface between JCIS and our radiotherapy machine database, LANTIS, which was launched in January 2009.

3. Data reporting
Developed the following screens to meet our cancer data set reporting targets by 31 March 2009:

  • Surgical procedures, risks and complications.
  • Diagnosis and staging
  • Follow up status.

4. Purchasing, installation and interfacing
Successful purchase and installation of Oncology ePrescribing system with interfaces to HISS demographic data and Meditech laboratory results. For implementation in 2009/10.

5. Palliative care
Successful development of palliative care service in JCIS.

6. Data collection
JCIS holds data on over 1 million clinical activities for 188,606 patients. As a result it has been able to provide data for the following:

  • Five years of data on all new symptomatic breast referrals to the Cambridge Breast Unit, to be used for research into the effectiveness and analysis of the initial triple assessment.
  • Prospective surgical procedure and complications data to the UKGOSOC project.
  • Clinical audit data to: BASO, DAHNO, National Bowel Audit, AUGIS and NICE guidelines audit.
  • National cancer waiting times returns.

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Future development of the JCIS

1. Treatment plans
Improve clinicians’ ability to make the best treatment decisions, monitor outcomes and deliver improvements in clinical care by:

  • Developing in JCIS a single integrated clinical pathway view for all cancer patients combining data from the following sources: HISS, Meditech, LANTIS and ARIA.
  • Completing cancer data set for all new cancers.
  • Providing tools to record clinical outcomes.
  • Entering data once for use many times - improve data quality.
  • Improving treatment decisions by providing a single view for all necessary treatment decisions.

2. Dataset collection and reporting
Improve our ability to deliver electronic datasets for the following:

3. Continued development of JCIS
Build a framework for the development of clinical information systems in the Cambridge University Hospitals NHS Foundation Trust.

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