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?