Tayside eHealth
Mobile eHealth devices : progress and potential
“MiDIS and mobile information delivery within the community”
Purpose:
A brief look at the challenges within mobile service delivery and how NHS
Tayside are looking to meet user expectations of a community based
mobile solution suitable for MiDIS consortium partners.
Version 0.4
Introduction
Finlay Stewart
Head of Development Services for eHealth in NHS Tayside
“Introduction and background”
Janice Caithness
Programme Manager – MIDIS Consortium
“Utilising what currently exists”
Barry McGann
Technical Design Lead - NHS Tayside
“Multi platform mobile delivery”
Introduction and background
• It’s easy, just do it; PC World, banking.
• User expectation (personal)
– Need access to internet stuff,
– signal lost / poor,
– switch off / look out window / have coffee.
• User expectation (NHS service)
– Need access to everything,
– it’s not fast enough / unreliable,
– can you fix it please.
Introduction and background
• Security; you are being over cautious.
• User expectation (personal)
– public domain information,
– personal data (banking),
– their data; exposed under their control.
• User expectation (NHS service)
– clinical data,
– shared by multiple people,
– other peoples data; exposed outwith their control.
Introduction and background
• Two key areas that we have to consider;
– critical service over nice to have,
– increased impact of personal data loss.
• Need to - design with mobile in mind
– Fife; BYO device
– FV; changing working practice
– Ayr & Arran; scoping of offline forms
• A successful mobile solution will be based on these
principles not just utilising new Tablets/Smartphone's.
• Test of change (*4) – Janice & Barry
NHS Tayside
Community Mobile Working
Test of Change
Janice Caithness
MiDIS Consortium Programme Manager
Test of Change (1 & 2)
• To support Community Nursing NHS Tayside
are undertaking Tests of Change for solutions
to provide Remote Access to NHS Tayside
Web based systems.
• The aim of this project is to test the solutions,
present findings and make recommendations
for future solutions.
• The Community Nursing staff provide feedback
on each solution within each phase.
Test of Change (1 & 2)
These solutions provide lookup and data entry
capabilities
• Access to MiDIS & NHS Tayside Clinical Portal
• 2 Laptops and 4 iPAD’s were issued to
Community Staff over 2 sites
• 17 members of Staff are involved in these Tests
of Change
Dependencies
• 3G coverage
Evaluation of TOC1 & TOC2
• Test of Change 1 has been completed following
a 2 week trial. Feedback has indicated that the
laptop solution is fairly cumbersome and
accessing to the systems often proved difficult.
• Test of Change 2 has been completed following
4 week trial. Feedback has been more positive.
Feedback
Out of 155 Visits laptops were
used 51 times (33% of visits)
Laptop was used and recording
in the system successful on 25
occasions (49% successful
recording)
Out of 345 Visits iPADs were
used 213 times (62% of visits)
iPAD was used and recording in
the system successful on 165
occasions (77% successful
recording)
Feedback
Was connectivity (3G) an
Issue?
Yes
Yes
No
Did you find 3G
connectivity an issue?
Do you feel the laptop
improved working
processes
Overall Comments
No
Long time to load, page not always available. Quite heavy to carry especially
if doing INR's etc or if taking other supplies to patients homes.
No
I could see the benefits of using mobile devices but not this one. Too long
to load. Certainly increased our Face to Face time. Also quite heavy to carry
when we had other equipment.
No
The laptop took to long to load and was very heavy to carry around. If it
could be left on it would be better but kept timing out. The dongle sticks out
so was frightened of breaking it when moving about.
Do you feel the iPAD
improved working
processes
Overall Comments
No
Yes
No
Yes
Used the user guide initially, but once familiar with iPAD found it very easy to
use. Made life much easier accessing Clinical Portal if patient not known or
registered with the practice.
Good for using OOH's when working remotely. It has taken a while for me to
get used to touch screen but getting better as time goes on. Having the iPAD
is definitely a plus.
Yes
No problem after the glitches in the middle of the trial. Very good & very easy
to use. Patients interested as to why we ask certain questions and are curious
about the paperwork we need to do. Does make the visit longer but the we
can get more info from the patient during chat.
No
Current Developments
• In addition to the Laptop and iPAD Tests of Change
we are working on developments which would provide
a more “store and forward” approach.
• This will enable users to record data and then
synchronise that data back to the required system.
This would circumvent the issues with 3G coverage.
 Digital Pens
 Mobile MiDIS
Test of Change 3 - Digital Pen
What are we doing?
MiDIS forms
20 Digital Pens Synchronisation
of the Pen upon
return to base
Test of Change 4 – Mobile MiDIS
• Testing suitability of NDL development
platform
• Mobile application with MiDIS integration
• Native application, offline/online
capability
Test of Change 4 – Mobile MiDIS
NHS Tayside Data Centre
AWI
Online/Offline
Container
MiDIS API
MiDIS DB
Evaluation and Review
• All tests of change will be evaluated.
• Recommendations for Future Solutions and
requirements to implement a production
service.
Further Information
Finlay Stewart
Head of Development Services for eHealth
NHS Tayside
Email: finlay.stewart@nhs.net
Janice Caithness
MiDIS Consortium Programme Manager
Email: janice.caithness@nhs.net
Barry McGann
Technical Design Lead - NHS Tayside
Email: barry.mcgann@nhs.net
Tracey Wyness
eHealth GMS Team – NHS Tayside
tracey.wyness@nhs.net