DR JON SHAW
CAREFLOW CONNECT LTD
Healthcare’s future is
cloud, mobile
& social
Why?
Else a £30Bn Funding Gap
Rising costs of
treatment
Chronic Disease
Ageing population
Five Year Forward View
Reduce Demand
Increase efficiency through IT
Efficiency challenge will require 2nd Wave Digital Technologies
• 1st Wave
(digital & integrated) • Electronic Medical Records
• Electronic Prescribing
• Integrated Care Records
• 2nd Wave
(productivity & safety) • Joined up, collaborative care • Mobile workflow • Improved clinical support • Analytics & Predictive
decision making
How to Increase Productivity
• Things should just work, and not require people to be taught how to use them
• We shouldn’t wait for people to act but instead use context.
• Social productivity instead of just the individual.
• Time and place no longer need to dictate what we can do.
Mobile Social
Natural UI Intelligent
Adaption of a presentation by Frank Shaw, Microsoft
“what is scarce in all of this abundance is human attention…”
“…give people and organisations their time back.”
Social + Mobile
Can enable faster, easier and better care coordination
Poor Communication Inhibits Productivity
Healthcare teams currently rely on a combination of pagers, fax,
paper, phone calls. MDTs; whilst using texts, emails and
personal apps.
Which means clinical communication is
slow and not joined up.
• wastes time
• frustrates busy staff
• Delays flow
• Puts patients risk
Cloud Computing
The electricity analogy
Inside a datacentre
Cloud vs Traditional IT
Better
• No server hardware
• No server upgrades
• No software installation costs
• Free up internal IT
• Procurement via G-Cloud
• No long term tie-in
• Web deployment
• Intuitive User Interface
• ‘Open’ APIs for easier integration
• Quicker to develop mobile functionality
• Accessible from anywhere
• Can scale with customer needs
• Always up-to-date software-as-a-service
• Features shipped frequently
• Encryption & authentication by default
• Central support & monitoring
Cheaper Easier
Types of Cloud
Software as a Service
(SaaS)
Platform as a Service
(PaaS)
Infrastructure as a Service
(IaaS)
Subscriptions to continuously updated software and services consumed via
web and mobile applications
Tools and Technologies that enable suppliers to develop scalable software
more quickly and cheaply via cloud
Hardware deployed in huge datacentres that leverage economies of scale
Barriers To Cloud Adoption
• Confusion • “Cloud” has been associated with
many different things. Most people associate it with personal storage services still.
• Understanding • Messaging around cloud
technology can be complex and sometimes inaccurate.
• Lack of Trust • Concerns around security and
information governance
• Myths in the NHS around data sovereignty
Cloud Security
Strong Governance Framework
Risk Assessments Infrastructure assessment
Business compliance Supply chain and dependencies
Security
Authentication Encrypted connections
Encryption at rest Roles and Privileges
Key management
Security and Safety by design
Include in agile design processes Caldecott Guardian, Clinical Safety
Officer, External Security Consultants
Threat Detection
Active Monitoring Penetration Testing
Load testing
Shadow IT & Workarounds
1. No password protection
2. Images stored on camera roll
3. Public app, so prone to spear fishing
attacks, scams and web malware
4. Facebook own it & collect contact
information stored on their servers
5. Avoiding patient identification in turns
jeopardises patient safety
6. No audit trail
7. No stored record and not joined up
Intel White Paper: Workarounds in Healthcare, A Risky Trend. January 2013
• 73% of respondents indicated that they had used (out of compliance) workarounds
• Said it was because they are easier and faster than using existing systems
• Text messaging 40%, Mobile email 32%, File sharing 20%, Taking and sharing photos 17%
Careflow
“Socialised” Clinical
Workflow
Secure Instant
Messages
“Pushed”
Safety Alerts
Faster Communication: Secure Instant Messaging
Are your clinicians are using insecure systems to exchange patient details in order to get things done?
- Messaging eliminates communication bottlenecks, speeds up interventions and improves the quality of care. - Encryption keeps patient data safe.
Integrates with directory services
Presence, status and geolocation to provide real-time staff availability
Team mapping to support team messaging
Urgent broadcast messages
Confirmation that a message has been received and read
Easier Collaboration: Patient Identified Coordination
Miscommunication is the enemy of excellent healthcare
Careflow reconnects teams so they communicate effectively
Maps care teams and patients
Provides shared patient lists, patient-identified conversations and team-to-team referrals
Builds a dynamic record of care provided
Improves governance and audit
Safer Care: Real-time Safety Alerts
Patient safety incidents are preventable
Careflow uses real-time push notifications to deliver safety alerts in real-time direct to clinicians
Clinicians “follow” relevant Alerts topics e.g. AKI, sepsis, radiology reports, infection control, admission and discharge events
They see who else has received an Alert, who has read it and the actions taken
Thank you
All you clinical communication in one secure app.
Contact Jon Shaw, CEO Careflow Connect Ltd +44 777 9277 423 [email protected] Alternatively, visit our website and leave your details so that we can contact you at a time that’s best for you.