Mobility @ Southern Health

CIO Summit

July 2012

Overview

• Southern Health – who are we?

• Why focus on mobility?

• Wireless is only an enabler

• The Casey Hospital Pilot

• What lessons did we learn• What lessons did we learn

• Where to next

Victoria’s largest health service

Over 40 sites in South eastern Melbourne

Including:

– Six major public hospitals– Six major public hospitals

– One private hospital

– Eight community health sites

– Five aged residential care facilities

– Community rehabilitation centres

– Mental Health facilities

– University affiliated research and teaching centre.

Our care fast facts - 2010-2011

1.51 million episodes

Total episodes of caremore than 1.51 million episodes of care provided across our services to the community

193,000 193,000 admissionsHospital admissionsmore than 193,000 people admitted to our hospitals

172,000 people

Emergencymore than 172,000 people came to our three emergency departments for treatment

The need for mobility is not new

Nursing Practice

•Documentation 35%

•Care Coordination 21%

•Direct Care 22%

• Most systems are built around centralised phones and system access at nurses station

• The average distance walked in a shift is of the order of 5km!

• Space for tethered PC is often at a premium at bedside

•Direct Care 22%

Early attempts- some progress

but… COWS

• Mobile but large form factor

• Batteries, locks

Changing the game - enter Apple

• Enter the iphone and the ipad

• Enter the Mac

• Executives and doctors love the them!

• IT had to react and change the paradigm

From ToFrom To

•Corporate device

•Standard PC and OS

•Total control of device

•Total control of the applications

•Management tools for control

•Open up the IT environment

•More flexibility

•Little control of applications

•Immature management tools

•Personal device!

Casey Hospital Pilot… Ipads

• 3 months pilot, 15 Ipads

• Built wireless infrastructure – 100% coverage

• Security considerations led to the introduction of Citrix for remote access

• Built clinicians’ portal for accessing • Built clinicians’ portal for accessing applications

• Applications – Emergency, Pathology, Diagnostic Imaging, Scanned Medical Record

• Mail and calendar

….. And BYO Devices!

• Pilot highlighted the need for more computing devices and access to critical applications

• Pressure from clinicians to use own device

• Opened up the IT platform – device agnostic!• Opened up the IT platform – device agnostic!

• Rush of BYO devices!

How are we using them?

• Bedside

• Theatres

• Office

• Home

Key considerations for tablets-

risks• Security policy

• No storage of data on device or in the Cloud

• Awareness and training

• Costs blowouts• downloading video, turn off global roaming

• Remote management and support and • Remote management and support and tracking technology – be transparent

Key considerations for tablets-

limitations

• Data entry

• Printing

• Many applications not tablet friendly

• Infection control?• Infection control?

Key considerations in the introduction

of BYO computing

• Who can use one?

• Staff compensation?

• IT support for the devices

• Limitation of applications particularly around • Limitation of applications particularly around display and data entry and printing

• Speed can be an issue

What did we learn?

• Staff love mobility aspect

• Ipad is not a silver bullet

• Limitation of applications particularly around display and data entry and printing

• IT team needs to support a device • IT team needs to support a device independent platform

Where to next

• Applications to be increasingly device independent

• Progressive rollout of wifi across all Southern Health sites

• Wifi is an enabler of other technologies• Portable communication devices

• Nurse call replacements• Nurse call replacements

• Duress alarms

• Triangulation etc

QuestionsThank you

Philip Nesci

Consulting Director

Business Catalyst Intl.

Dr. Philip Nesci

Chief Information Officer

Southern Health