IT in support of information sharing
between Health and Social Care
24th April 2013
Data 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
Project Scope
 The Deliverables
 Local CPM solution for TDSP
 A strategic plan for future data sharing
 Minimal rework for partners
All I need is Mobile MiDIS
Tracey Wyness
Project Manager
MiDIS
 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?
 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
Mobile Health Application
Future:
User enters/views data
via Mobile Health
Application – data would
be automatically
synchronised to core
system
Project Progress
 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
Mobile Health Application
Select a Profile/User Home Page
User authenticates and
selects appropriate MiDIS
profile
Patient Homepage 1
MiDIS
Episode
 Demographics
 Other Systems
Admissions and Appts
 GP Meds
Patient Homepage 2
 MiDIS
Alerts
Forms
 Other Systems
Repeat Meds
GIRFEC
GIRFEC
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.
Future
• Data Sharing and MAS replacement
• Deliver Mobile Application
• Data Sharing and Mobile Working - hand in hand
Mobile - Benefits
Linda Sharp
Angus District Nursing Service
Current 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 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 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 future
• Mobile health application
• Use of android tablet
• Allow DN service to go “paper light”
The 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 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?