{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T07:49:58Z","timestamp":1660895398803},"reference-count":0,"publisher":"IOS Press","license":[{"start":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T00:00:00Z","timestamp":1622073600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,27]]},"abstract":"<jats:p>The aim of the Foundation Healthcare Group (FHG) Vanguard model was to develop a sustainable local hospital model between two National Health Service (NHS) Trusts (a London Teaching Hospital Trust and a District General Hospital Trust) that makes best use of scarce resources and can be replicated across the NHS, UK. The aim of this study was to evaluate the provision, use and implementation of the IT infrastructure; based on qualitative interviews and focused mainly on the perspectives of the IT staff and the clinicians\u2019 perspectives. In total 24 interview transcripts, along with \u2018Acute Care Collaboration\u2019 questionnaire responses, were analysed using a thematic framework for IT infrastructure, sharing themes across the vascular, paediatric and cardiovascular strands of the FHG programme. Findings indicated that Skype for Business had been an innovative and helpful development widely available to be used between the two Trusts. Clinicians initially reported lack of IT support and infrastructure expected at the outset for a national Vanguard project, but later appreciated that remote access to most clinical applications between the two Trusts became operational. The Local Care Record (LCR), an IT project was perceived to have been delivered successfully in South London. Shared technology reduced patient travelling time by providing locally based shared care. Spreading and scaling-up innovations from the Vanguard sites was the aspiration and challenge for system leaders.<\/jats:p>","DOI":"10.3233\/shti210246","type":"book-chapter","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T13:36:52Z","timestamp":1622122612000},"source":"Crossref","is-referenced-by-count":1,"title":["IT Evaluation of Foundation Healthcare Group Vanguard Project"],"prefix":"10.3233","author":[{"given":"Archana","family":"Tapuria","sequence":"first","affiliation":[{"name":"King\u2019s College London, UK"}]},{"given":"Maria","family":"Kordowicz","sequence":"additional","affiliation":[{"name":"The University of Lincoln, UK"}]},{"given":"Mark","family":"Ashworth","sequence":"additional","affiliation":[{"name":"King\u2019s College London, UK"}]},{"given":"Ewan","family":"Ferlie","sequence":"additional","affiliation":[{"name":"King\u2019s College London, UK"}]},{"given":"Vasa","family":"Curcin","sequence":"additional","affiliation":[{"name":"King\u2019s College London, UK"}]},{"given":"Rositsa","family":"Koleva-Kolarova","sequence":"additional","affiliation":[{"name":"King\u2019s College London, UK"}]},{"given":"Julia","family":"Fox-Rushby","sequence":"additional","affiliation":[{"name":"King\u2019s College London, UK"}]},{"given":"Sylvia","family":"Edwards","sequence":"additional","affiliation":[{"name":"King\u2019s College London, UK"}]},{"given":"Tessa","family":"Crilly","sequence":"additional","affiliation":[{"name":"King\u2019s College London, UK"}]},{"given":"Charles","family":"Wolfe","sequence":"additional","affiliation":[{"name":"King\u2019s College London, UK"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Public Health and Informatics"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI210246","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T13:14:06Z","timestamp":1635167646000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI210246"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,27]]},"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti210246","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,27]]}}}