1. MedipicX

2. Dermatology changes  Delivers to primary care teams access to a system which improves care, and patient care  Gives primary care teams greater access to systems outside surgery  Improving Outcomes for People with Skin Complaints  Quicker referrals to outpatient, and treatment.  Development and accreditation of GPwSIs in dermatology  Most patients will have their skin disorder diagnosed and treated by their GPs  Specialist triage Referral management in Cancer networks

3. National dermatology figures  First appointments - 881,607 (4.2 % of all)  All outpatients attendances - 2,738,796 (4.0% of all)  7 th largest O/P referral speciality after General Surgery, T&O, Opht, Gen Med and Gynae.  Average cost of referral is £120  15% of all the patients who see a GP, will be seeking help for a skin condition  Outpatient referral rate 14.3 per 1,000 patients  Nationally 29.2% of OP 1st GP Referrals that do not have an O/P follow-up 3

4. MedipicX workflow  Patient details  Record skin lesions via camera  Initial assessment  Triage  Care pathway  Referral to secondary care 4

5. MedipicX  Tablet – easily portable  Digital Microscope – with cover  MedipicX software  Reference databases  Protocols  Security- encryption of all patient data  Speech dictation - Command driven& input  Microphone  Patient infection cover 5

6. MedipiX strategy  A package of tools to improve patient care and clinical activity  Dermatology  Later District Nurses

7. MedipicX - status  Developed in Summer 2010  Discussion and meeting with GPs and Practices  Early 2011 production of camera covers and patient infection cover  Clinical trail at Solihull practice  Feedback from GPs and practices

8. Dragon Dictate MedipicX BT200 MedipicX Manager Keyboard MedipicX Manager  First outpatient referral  Review of image and notes  Patient decision  Set the patient outpatient date  Care protocols Internet - Email and 3G MedipicX Microscope

9. Availability & Security of MedipicX  Access from Tablet using Windows 7  Developed using Microsoft‘s Security Development Lifecycle (SDL) framework  Evaluation Assurance Level (EAL) 4 certification  BitLocker Drive Encryption  Volume master key is encrypted with a 256-bit Advanced Encryption Standard (AES) key  The Action Center: security information at your fingertips  Defend your computer against viruses, spyware, and other malware  Reduce risk by enhancing security and control

10. MedipicX  Patient management  Image Management  Annotations  Measurements  Camera  Settings  Database

11. MedipicX – casenotes 11 Patient List Episodes Casenote Search

12. MedipicX – patient management  Add, edit and delete patient details  Add, edit and delete exam details  Add and delete images  Save  All images  Email exam and details 12

13. MedipicX – Image manipulation  Simple image viewing and rotation  Imaging Viewing 13

14. MedipicX - annotations  Arrows  Ellipses  Lines and curves  Polygons  Rectangles  Text 14

15. MedipicX - measurements  Linear measure  Area  Angle 15

16. Microscope, setting and database  Microscope – capture  Setting – camera and email settings  Database – database definition 16

17. Support Contacts  For support requests:  medipicx@aimsability.com medipicx@aimsability.com