Expanse: Consultant Hub

Expanse provides a usable, efficient and safe Electronic Health Record (EHR) across HCA UK. This page contains useful information to help you access and navigate the system.

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Accessing Expanse

You need certain information to access Expanse (your two unique log ins and a password) and remote access set up (MFA and Citrix).

Two usernames

  • Your HCA username, used to log in to HCA computers
  • Your Expanse log in, used for MFA, Citrix and/or your HCA email

Password

The one you use to log in to HCA computers, Citrix, MFA and/or a HCA email account. This is your Expanse password.

If you do not know these details:

  • Call the ITG Service Desk (see p10 here)
  • If you need further assistance, contact your Business Development Lead.

Follow this guide for remote access, including how to set up MFA and Citrix: Access Expanse Remotely Guide & MFA Citrix set up.

Once you have all your details set up, please test them where possible.

Expanse support

On 1 November, Expanse went live for all inpatient RDs, ITU and UCC consultants/doctors. All other consultants will access Expanse in view-only mode and continue their current ways of working. On 17 November, all inpatient consultants begin using Expanse for electronic entry.

For support when Expanse is live:

  • Speak to anyone on-site in a coloured t-shirt; they can raise a support ticket for you
  • For help with clinical workflows, speak to your RD.

Refresher training:

  • Video tutorial on accessing Expanse and viewing results
  • Trainers will be on-site each day; speak to someone in a coloured t-shirt to request support via your local Go Live Hub.
  1. Personalising Expanse
  2. How to set up My Flowsheet
  3. Medicine & Radiology Crib Sheets Pack
  4. Surgery Crib Sheet Pack
  5. Oncology Crib Sheets Pack
  6. Remote Access & MFA Consultant Guide
  7. Entering and editing Allergies
  8. Administering medication
  9. Anaesthetic end to end workflow
  10. Surgical workflow
  11. Obstetric Workflows
  12. Updating the Problem List in Expanse
  13. ICU end to end workflow
  14. Prescribing conscious sedation
  15. Order Set Crib Sheet
  16. Selecting the right documentation for use in ICU
  17. How to link medication orders
  18. How to access your HCA clinic list in Expanse
  19. Quick text tip sheet
  20. Consultant Personalisation SOP - Tip sheet under review
  21. Consultants in Cath Labs
  22. Consultants in Endoscopy
  23. Anaesthetist prescribing post-operative medications
  24. Results to Expanse Workload
  25. VTE Risk Assessment and Associated Orders
  26. Locating infusion flowsheet and dosing information
  27. Radiologist Scheduling Workflows - Tip sheet
  28. Prescribing and administering high risk medications given intra-op via Surgical Tracker
  29. Surgical tracker
  30. PCS Chart Functions - Intake and Outtake data interpretations
  31. Medication ordering - Discharge TTO order set
  32. Sending Documents to the Sign Queue of a Document Contributor or Principal
  33. Completing a UCC letter

 

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Expanse will benefit our patients, clinicians, care teams and business partners. It powers innovation in healthcare and enables growth, with a suite of applications that can be used across the whole of HCA Healthcare UK’s ecosystem.

  • Modern user experience that delivers exceptional patient care: feature rich EHR with enhanced clinical coding including problem lists, allergies and surgical CCSD codes.
  • Electronic ordering: medications, labs tests, imaging tests, consult referrals and multi-modal order sets, supported by enhanced clinical decision support.
  • Secure remote access: access results, observations and records securely, at your convenience.
  • Imaging and lab result visibility: accessible patient chart, with diagnostic results in one place and graphs to monitor trends. Imaging and labs order history to view outstanding tests and links to view images. 

With Expanse, you can leverage data and information, and drive patient satisfaction and operational efficiency.

Consultant Change Leads provide a dedicated point of contact for your questions or concerns. They will guide you through the launch of Expanse, ensuring that you understand how it impacts your particular specialty and workflows.

Your contacts are:

Facility Contact Name
London Bridge Empire Dr Mark Garfield
The Lister Empire Dr Mark Garfield
The Wellington Empire Dr Abigail Clark-Morgan
The Princess Grace Hospital Dr Ekanjali Dhillon
The Portland Empire Dr Sabira Mohammad
The Harley Street Clinic Dr Ekanjali Dhillon
The Wilmslow Hospital Dr Sabira Mohammad
The Harborne Hospital Dr Abigail Clark-Morgan
Surgery Dr Mohamed Abdelhalim
Anaesthetics and ICU Dr Kiran Johal
Cardiology & Radiology Dr Omar Chehab

 

Below you'll find a link to some useful resources and you can get in touch with the Expanse team by completing the contact form below.