Real-time sharing of patient information in multi...
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Real-time sharing of patient information in multi-disciplinary Teams Date 15 th January 2008 Ian Reason - IT Manager
Transcript of Real-time sharing of patient information in multi...
Real-time sharing of patient information
in multi-disciplinary Teams
Date 15th January 2008
Ian Reason - IT Manager
Eastern & Coastal Kent PCT
Disparate organisation:
• Headquarters over 3 sites
• Clinical services over 70+ sites
• Support services (finance / IT / facilities) over 5 sites
• Over 3,500 employees
• Geographical area of the organisation
• Partner organisations – other NHS, voluntary sector and social care
Geographical coverage
IM&T strategy
Connecting for Health Implementation
• NHS Care Records Service
• Choose & Book
Improving Information Governance
• Information security – Smart cards
• Information quality
Better access to technology and information
• Infrastructre expansion
• Rolling refresh program
Supporting a mobile workforce
• Windows mobile
• Groove
Enabling change, assisting service redesign / improvement
• Collaboration
• Mobility
Shepway Intermediate Care Service
Clinical issues• Improve clinical assessment of service user’s needs
• Not enough quality time with patients
• Time needed for communication, continuity
Management issues• No reporting/delay in reporting
• Hard to do clinical audit or operational supervision
Administrative issues• Lots of admin, lots of paper
• Difficult to share information
• Lot of time wasted in travel to office
Aims of Shepway pilot
Test whether Groove technology is a suitable infrastructure for use in multi-disciplinary health care settings
• Improve efficiency of care delivery• Carers not concerned with the technology• Recognise most users not familiar with computers• Technology must “just work”• Meet the challenge of poor connectivity
Identify the potential benefits for the Intermediate Care service
• Support clinical processes; • communication between professionals; • secure log of decision making; responsiveness• Reduce the number of unplanned admissions into hospital
Determine the benefits of Groove as a collaboration platform
Scope of pilot
Patient workspace is initiated from receipt of
referral, pre-populated with templates
To enable:
• Assessment of patient needs
• Development and maintenance of Care Plans
• Task-based Delivery of Care
Re-assessment
Discharge at end of episode of care – workspace
is archived
50 Carers – Nurses, Occupational Therapists,
Physiotherapists, Support workers
• Datacards to provide remote communications
• Laptops with Groove installed
• Office 2007 - XML
• Groove Forms to track patient activity
Technology
Microsoft Office Groove 2007
Software component in Microsoft Office 2007
On-line /offline
Cross organisational
Network independent
Very secure
Create secure workspaces – one per patient
Customised set of tools to support patient information
Join a patient workspace by invitation only
Exchange information – next time you connect
Intermediate Care project–
Groove architecture
Video
Patient workspace
Creating a patient workspace
Tracking Activities using Groove Forms
Tracking Patient progress
Role of Groove
Data Management
• Automatically move all data changes to workspace
members when they next connect
• Synchronisation capability with SharePoint
Application host
• Data capture and tracking using Groove Forms
Collaboration platform
• Presence & alerting
• Instant messaging & communications
• Security, etc.
• Workspace management
Nurses and carers
• Avoids unnecessary travel
• All patient information available offline – the “virtual ward”
• Presence information allows me to see who is online
Care management
• Standard methods of assessment allow us to compare clinical interventions
• Information all located conveniently in a patient workspace
• All key dates are tracked using Groove Forms
Staff time recording
• Automatically captured by patient by discipline
Outcomes measures
• All data exportable and analysable
Experiences so far ….
Benefits
Improved Care Management
• Faster actions and responses
• Clinical safety
– clinical information shared faster
– Up-to-date patient notes
• improved patient/staff interaction
• information sharing
• Potential to avoid unscheduled admissions into
hospital and reduce bed occupancy / length of stay
• Reduction of inpatient stays as staff are more able to
support the patient in the home
Benefits
Operational effectiveness
• Time shifting
– Ability to access information from home (or anywhere)
• Time slicing
– Make unproductive time useful
• Time release
– Reduce unnecessary travel
– Use dead time
• Cross- disciplinary and agency team working
• Notes / actions information capture and sharing
Mobile working
• work / life balance
• reduced travelling
• professional empowerment
Benefits - Management
• Standardised way of reporting activities
• Potential for automatic tracking of targets
• Basis for deployment throughout the Primary
Care Trust (community health provider)
• Demonstrable time saving benefits – travel
to and from home, office and to service
users
Benefits – Clinical staff
• Ability to provide clinical guidance for any
patient from any location immediately
• All Service users confidential information –
including all telephone calls, queries etc., all
in one place – the workspace
• Ability to contact team colleagues by
knowing when they are online (presence
indicator)
• Improved work / life balance
• professional empowerment
Benefits – Service users
• Avoid repetitive questions being asked by
different people (enables an electronic single
assessment)
• Ability to see their own progress from the
comprehensive information in the workspace
• Potential to for staff to provide more time
with the service user
Next steps ….
Comply with governance requirements
• Caldicott
• Care Records Guidelines
Extend application to all 400 IC staff
Integrate workspaces with SharePoint
Use XML schemas
Extend scope to include electronic referral
Real-time sharing of patient information
in multi-disciplinary Teams
Date 15th January 2008
Ian Reason - IT Manager
