Mobile Working in a Diverse
Community
The Cardiff and Vale UHB Mobile Working Story
Bryn Harries
Mobile Working Lead
Cardiff and Vale University Health Board
The Mobile Working Challenge
Paris EPR rolled out from October 2005
• 2,200 active users per month
• 103,000 unique logons per month
• 6,200,000 casenotes recorded since October 2005
• 131,000 casenotes recorded in the last month
Expected Benefits of Mobile Working
• Remove duplication of work for community staff
• Reduce quantity of insecurely-held data
• Reduced travelling time/costs
• Reduction in printed PID
Spend-to-save initiative, partly funded by Welsh Government
2011 Initial Rollout
Online ‘live’ solution – 470 devices
Netbook with in-built 3G
Battery Life: Minimum 6.5 Hours
Screen Size: 10”  11”
Maximum Weight: 1.4Kg
Restricted USB (allow USB mouse connection)
Disable/Restrict: Wireless LAN, C:Drive, Windows Updates, Webcam
PARIS
Application
server
Citrix
Application
server
Citrix
Access
Gateway
server
Dedicated
10Mb link
Mobile
Network
Operator
3G network
End
Device
2012 Hardware Review
Netbook
Ultrabook /
Ultrathins
Tablet – Windows
7
Tablet – Windows
8
Tablet – Android
Tablet – iPad
Benefits
Disadvantages
Known quantity OS
Standard has been set with the N150
Larger device format (12-14” screen), lightweight, builtin keyboard
Known quantity operating system
Market has shrunk significantly such that 3G enabled
devices are rare
Expensive, 3G-equipped devices are rare
OS-level touch interface
Extended battery life cf. Windows 7
Vast range of devices to choose from
Known manufacturers – Samsung, Sony
3G readily available in many devices
Known quality
Administrative tools available to lock device down
Soft keyboard or additional bluetooth keyboard
3G still optional
None on the market yet
Likely to be expensive
Variable quality depending on manufacturer
Will require a mobile device management (MDM) layer
Desirable to theft
3G device more expensive
Will require a mobile device management layer
2013 Roll-out
Identical, online ‘live’ solution – 186 devices
Netbook with in-built 3G
Battery Life: c7 Hours
Screen Size: 11”
Maximum Weight: 1.4Kg
Restricted USB (allow USB mouse connection)
Disable/Restrict: Wireless LAN, C:Drive, Windows Updates, Webcam
Total: 656 Devices, 676+ users
Mitigation measures
Existing 3G
connection
Smart
Repeater
Wireless link
(Receiver)
Mobile
Network
Operator
Low-power 3G
connection
(Transmitter)
Local
Transmitter
Mast
Wired internet connection
Smart
Repeater
End
Device
Femtocell
(Transmitter)
Other Options
• Multi-network SIM cards
• Bandwidth-enhancing (compression) software
Low-power 3G connection
The next generation – 4G
• 2013 4G auction
• Higher data speeds, better coverage
• Expensive data plans but…
• Obligation to provide coverage:
http://consumers.ofcom.org.uk/2012/07/ofcom-unveils-plans-for-4g-auction-of-the-airwaves/
http://media.ofcom.org.uk/2013/02/20/ofcom-announces-winners-of-the-4g-mobile-auction/
The next generation – 3G Coverage
Cardiff and Vale
The next generation – 3G 900 Coverage
Cardiff and Vale
The next generation – Implied 4G Coverage
Cardiff and Vale
The next generation – 3G Coverage
Rural Areas
The next generation – Implied 4G Coverage
Rural Areas
Online/offline
• Do staff need access to the full patient record in the field?
• Refocus on the working process through the staff diary
• Civica/TotalMobile partnership
• Introduces new advantages: Platform agnostic, reduced hardware
cost, GPS tracking/navigation,
Lessons learnt
There is no ‘one size fits all’
Solution needs to be tailored to purpose
3G Coverage is not ubiquitous – educate and empower users
Ensure long-term persistence of the supply chain
Benefits to home/work balance
Further benefits beyond EPR access
Ongoing work
Secure pull-printing functionality
2013 3G re-test
Ongoing monitoring of the 4G market place
Bryn Harries
Mobile Working Lead
Cardiff and Vale University Health Board
T:02920 903610
E: bryn.harries@wales.nhs.uk