between Health and Social Care

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10 Δεκ 2013 (πριν από 3 χρόνια και 10 μήνες)

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IT in support of information sharing
between Health and Social Care


24
th

April 2013





Data Sharing


WHY? eCare Decommissioning
recommendation


MAS used for sharing Child Protection
Messaging



WHEN? Closure of MAS scheduled
for June 2013


WHO? Data Sharing Partners
-



Dundee City Council


Angus Council


NHS Tayside




Education & Social Work










Perth and Kinross Council post eCare
Decommissioning




The Deliverables


Local CPM solution for TDSP


A strategic plan for future data sharing


Minimal rework for partners




Project Scope

All I need is Mobile MiDIS

Tracey Wyness

Project Manager



MiDIS


Large percentage of the user base are community
based staff



Currently:

User records data on paper ,
which is left in patients
home AND enters
retrospectively into MiDIS

What have we done to date?


Various solutions for mobile working
assessed

o
Device suitability
-

Trial of
Laptops/iPADs


Assessment of Digital Pen Solutions


Development of a Mobile solution
that works when limited or no
connectivity


Future:

User enters/views data
via Mobile Health
Application


data would
be automatically
synchronised to core
system

Mobile Health Application


Requirements gathered for Tayside District Nursing & Health
Visiting Services


Application Design complete


Development of Mobile Health Application v1.0 underway



Early Implementer Locations selected across Tayside and
users identified in each area (116 devices)


Agreed Infrastructure


Device Procurement



Project Progress

Mobile Health Application

Select a Profile/User Home Page

User authenticates and
selects appropriate MiDIS
profile

Patient Homepage 1


MiDIS


Episode



Demographics




Other Systems


Admissions and Appts



GP Meds

Patient Homepage 2



MiDIS


Alerts


Forms




Other Systems


Repeat Meds

GIRFEC

GIRFEC

What’s next?


Benefits Workshop


Security Accreditation


Install NDL Server


Complete Development of production level version of Mobile
Health Application (approx 116 development days)


Produce User Acceptance Test Plans


Produce Training and Implementation Plans


Additional service scoping including a change request
process


Roadmap for further development of Mobile Health
Application.


Future






Data Sharing and MAS replacement


Deliver Mobile Application


Data Sharing and Mobile Working
-

hand in hand


Mobile
-

Benefits

Linda Sharp

Angus District Nursing Service

Current process


Receive referral


Check GP Vision system


Visit patient


Return to base after completing visits


Admit to MiDIS caseload


Print relevant documentation


Make up folder containing paper copies of documentation


Take to patient's home



Subsequent visits


In patients home, access information from patient held record


Carry out care/treatment


Record any developments or changes to care plan in patient held
record


Return to base following all visits


On return to base


Record all visits on MiDIS electronic record


Update assessment/care plans as required


Print updated version to take to patient’s home

Issues with current process


Data isn’t entered into MiDIS in real time


Record in patient's home will differ slightly from that on MiDIS


Duplication of recording
-
inefficient use of time resource


May have to return to patient’s home solely to ensure record is
available for unscheduled visits


Use of two record systems
-
potential for neither to be
comprehensively completed

The future


Mobile health application


Use of android tablet


Allow DN service to go “paper light”

The future
-
potential benefits


Quality


Will facilitate the potential to share record more widely


Record will be completed on electronic system with minimal paper
record required


Record will be completed in real time


Will facilitate a more comprehensive record


Will facilitate access to the patient record at any time as required


Will facilitate OOH access to electronic record


Increase in direct patient contact time


May allow further access to other electronic systems e.g. clinical
portal or equipment store




The future
-
potential benefits



Efficiency


Reduce the use of paper


Less need for archive facilities


Reduction in return to base activities


A reduction in desktop computers should be achievable




Questions?