Mobile eHealth Devices Update
NHS Lanarkshire Event 2nd Oct 2012
CURRENT SITUATION
• Community Nursing (CNIS) Rollout of
potentially several hundred iPads
• HI&T Pilot of 16 iPads
• Uncontrolled purchase of mobile
devices
Community Nursing
• Any solution must be able to expand to other community staff
such as Health Visiting, Community Psychiatric Nurses
• Drive to blend a form of agile working and electronic access
to patient records to allow nurses to be more efficient
• Current status is for a pilot group of nurses to utilise an SSL
based VPN solution to give access to the clinical system –
access only available if device is within mobile data signal.
• Infrastructure elements are to investigate ‘over the air’
solutions, enhancing existing solutions to then complement
the application use by nursing staff
HI&T Pilot
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The CNIS project highlighted that we were organisationally not ready to
embrace mobile devices on a large scale.
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Decision was made to use HI&T staff to trial the devices over a short
period in a number of areas, with the intention to learn where they are
and are not suitable and also to quantify what effort will be needed to
deploy and support them.
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The Infrastructure Development team will manage the pilot projectensuring procurement and setup of the devices is consistent.
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The team will develop the device management software procedures needed to allow remote
management (over 3G) of the devices.
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The units will be specifically test with Outlook email, TrakCare, EMIS, Acute imaging systems
(Echo plus PACS), GP systems.
HI&T Pilot - continued
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The Acute Applications Team will undertake a proof of concept with a
number of applications and staff groups to determine suitability of the
devices, typically:
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Bed Managers using TrakCare
Nursing staff using HEPMA, Portal and TrakCare
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Junior doctors doing ward rounds using Portal and TrakCare.
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The Infrastructure Operations team will participate in development of
the above mentioned management procedures. Trial areas will include
Corporate email access, determining the suitability for IDE, and access
to enterprise monitoring output related to servers and storage.
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Usage within Health Records has yet to be agreed - expect of use for
corporate email as minimum.
HI&T Pilot - continued
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It is anticipated that all groups will investigate suitability of Webex and
Video Conferencing facilities and also determine if any suitable
collaboration tools can be found.
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Current Status
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16 devices issued to various staff groups
On Premise AirWatch solution implemented
Integration into VPN solution
Free Apple ID setup – staff can later allocate payment vehicle if required
Re-imbursment of purchases and/or volume license purchase still to be developed
Internal policies on usage, data access and supportability being further developed
Review of other uses in areas of the organisation will continue
Uncontrolled purchase of mobile devices
•
HI&T at present do not have iPads as a catalogue item. Each purchase
is handled separately. Confusion exists around how to purchase and
who to purchase from.
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We need to get the devices on our standard Product Catalogue.
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In addition we are seeing a number of purchases which are not under
our control, examples include:
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Yorkhill – Charity Foundation are paying, they don't want any support from HI&T. Ipads will be used
by patients
SALT – staff want to use devices to replace expensive historic solutions
General approach to avoid HI&T by areas of the organisation
CONCLUSION
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These devices will require a different approach to Procurement.
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They can add value to a number of users- giving them easy access to
their desktop from a convenient form factor.
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They won’t suit some apps- iPads are great output devices but not
suited to high volume data input.
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They introduce Security challenges- some genuine and some
organisational baggage.
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They require a different support model and need different support tools.
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They introduce additional MS Licensing concerns.