mobile md planning & testing phases - penn medicine md - testing...mobile md planning &...

Mobile MD

Planning & Testing Phases

Suzanne Kelson, MPHSenior Project Manager

Deysi Sulaj, RN

Senior Application Analyst

All presenters have indicated they have no relevant financial relationships to disclose in regard to the content of this presentation.

Memorial Sloan-Kettering Cancer Center

Academic medical center focusing on cancer treatment and

research, located in NYC and Tri-state region

Est. 1884 – The world's oldest

and largest private cancer center

470 Inpatient Beds

595,000 Outpatient Visits

19,000 Surgical Cases

11,400 Employees

2,000 Nursing Staff

Discussion Points Objectives

The Current State

Mobile MD Overview

Mobile MD Functionality

Testing Process, Considerations and Configuration Tools

Outcomes

Lessons Learned

Next Steps

Objectives Demonstrate the approach of how MSKCC will utilize the

Mobile MD app

Discuss testing approach, challenges, lessons learned

Design Process

Allscripts

Clinical

Documentation/

Information

Systems/

CIS Core Teams

Clinician

Feedback

The Informatics

Committee

Design & Implementation Process

Approval Group

The Current State of CIS Orders

Results

Clinical Documentation

Flowsheets

eMAR

Custom Tabs (Including Clinical Data Viewer)

Inbox

ED Manager – Status Board

The Current State:

How the Clinicians View Data in CIS

Patient List

Orders Tab Documents Tab

Flowsheet TabResults Tab

Clinical Data Viewer

Mobile MD Overview SOW was signed 3/10/2011

CDs were ordered/delivered

Set up of Web server

Installation in our Test environment late August

Presented to Physician IT Planning Committee

Continued Discussion re Deployment of Devices

Application Reviewed by Privacy and IT Security Offices

Mobile MD Functionality -

How to Access:1. User downloads app from

app store on IPhone, IPod

Touch or IPad.

2. Sys Admin adds user (or

groups of users) to CIS

MobileMD security group.

3. Setup required (HD will

assist) on device to point to

services URL

4. Device must be password

protected

5. Can only access Mobile MD

when signed in to MSKwifi.

Mobile MD Functionality -

Logging On...

Mobile MD Functionality

Configuration

Testing Phase Testing completed in Test environment 5.0 SP3 HFRU6

Apple Products (IPhone, IPod, and I Pad) OS version

5.0.1

Scripts developed for testing were devised by each

team as needed

MSK uses Sharepoint - all teams have access to enter

documents and updates on issues

Testing Issues/Outcomes Performance issues with Mobile MD App

Unofficial Hotfix to address performance issues installed

and tested

Official performance Hotfix installed and tested

Testing of this Hotfix presented new issues with observations

on the patient summary screen

Additional Clinician Portal Hotfix applied to address

observations issues {prerequisite Hotfix}

Other observation issues encountered

Lessons Learned Observations

Clinical Summary

Hotfixes

Notifications and alerts

Next Steps Training

Go Live - Pilot

Team Members

David Artz MD

MaryAnn Connor RN, MSN, CPHIMS

Suzanne Kelson

Dan Mooney

Deysi Sulaj RN

June Hunter

Barbara Putz

Kaichiao Lin

Wei Xiong

Steve Lazan

Jonathan Sloan

Richard Donopria

Mary Mitchell

Jackson Wan

Questions

&

Answers

Appendix:

Steps for Software Install

1 Install Microsoft Internet Information Services 7.5

2 Install Microsoft .Net framework 3.5 with service Pack1

3 Install Microsoft Message Queuing

4 Install Sunrise Clinician Portal 5.0 SP3 database components into our SCM database

5 Install ASP.net personalization database and ASP.net state database

6 Install Sunrise Transaction Processor on 2003 Server

7 Install Sunrise Mobility Application on 2008 R2 Server

8 Install Notification certificate on notification server

9 Load mobileMD related MLMs

10 Apply latest patch or HFs

11 Configure Sunrise Mobile MD Service in a DMZ (demilitarized zoon). Our site use intranet, so skip this step.

12 Install/configuration Security Sockets Layer security certificate

13 Configure mobileMD application