IT in support of information sharing

between Health and Social Care

24th April 2013

Data SharingData 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 ScopeProject Scope

All I need is Mobile MiDISAll I need is Mobile MiDISTracey WynessTracey Wyness

Project ManagerProject Manager

MiDISMiDIS

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?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 ApplicationMobile 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 ProgressProject Progress

Mobile Health ApplicationMobile Health Application

Select a Profile/User Home PageSelect a Profile/User Home Page

User authenticates and selects appropriate MiDIS

profile

Patient Homepage 1Patient Homepage 1

MiDIS Episode Demographics

Other SystemsAdmissions and Appts GP Meds

Patient Homepage 2Patient Homepage 2

MiDIS AlertsForms

Other SystemsRepeat Meds

GIRFECGIRFEC

GIRFECGIRFEC

What’s next?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.

FutureFuture

• Data Sharing and MAS replacement

• Deliver Mobile Application

• Data Sharing and Mobile Working - hand in hand

Mobile - BenefitsMobile - Benefits

Linda Sharp

Angus District Nursing Service

Current processCurrent 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 visitsSubsequent 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 processIssues 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 futureThe future

• Mobile health application

• Use of android tablet

• Allow DN service to go “paper light”

The future-potential benefitsThe 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 benefitsThe 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?Questions?