IT in support of information sharing between Health and Social Care 24 th 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

 The Deliverables  Local CPM solution for TDSP  A strategic plan for future data sharing  Minimal rework for partners Project Scope

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

Future: User enters/views data via Mobile Health Application – data would be automatically synchronised to core system Mobile Health Application

 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 Project Progress

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?