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Semelhante a mHealth Symposium 2013 Colin Sweeney
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mHealth Symposium 2013 Colin Sweeney
- 1. Integrating mHealth at King’s College Hospital Colin Sweeney Director of ICT
- 2. Agenda • Background of King’s and our EPR • Why do we need to be mobile? • Examples of projects requiring mobility – What is good/ what is not so good • Examples of devices we have tried • Obstacles and issues
- 5. King’s EPR Milestones • 1999 Implemented pilot of the initial EPR vision • 2002 Completed roll out of orders and results as first stage of EPR • 2000-2 Discharge notifications and TTA drugs • 2003 Replaced old IRC PAS with i.PM • 2004/5 PACS • 2005 First attempt at inpatient prescribing • 2007 Moved i.PM to CSC as part of iSOFT7 • 2009 Inpatient noting • 2008-2010 Inpatient prescribing roll out
- 6. Vision and Tactics Our Vision A single point of access to information about individual patients in electronic real-time format How do we get there? An EPR is a Strategy not a System
- 7. What does that mean? Choose &Book PACS RIS Specialty systems Pathology KCH develop- ments i.CM/EPR PICU TIE E-Rost- ering E-PSB Theatres i.PM/ PAS Maternity Data Ware- house/ABC Finance Score- cards E- Learning ESR Pharmacy A&E NHS Mail NNB Payroll
- 8. Why do we need to be mobile? • Ward and drug rounds go to the patient • Data is best captured in real time with the source present • People expect it • Examples of projects – Results review – ePrescribing – Continuation notes – Vital signs – Blood Tracking
- 10. Images
- 11. Why do results need to be mobile? • Information required by the bedside • Actions can be progressed without delays • Information can be shared with the patient • Ward rounds in some specialties are very quick
- 13. EPMA – What is it good? • Prescribing process the same as ordering a test • Legibility • Availability • Administration monitored • Analysis/audit available • Decision support • Safety
- 15. Continuation notes - Good • Legibility • Availability • Easy to use • Meets national standards • More structured
- 16. Vital Signs
- 17. Vital signs – good • Easy bedside entry • Calculates Early warning scores • Draws graphs • Accessible from wherever • Nurses extremely positive – want to use tools for more
- 18. Blood Tracking • Need to identify patient positively • Need to ensure that the blood product is right • Need to record who administered the product • Need to print labels at source
- 19. Hardware
- 20. Paper • Handheld • Lightweight • Ultra portable • Low cost • Wipe clean or easily replaceable • Easily placed on drug trolley • Clearly visible • Reliable • Easy to use
- 21. Computer on Wheels Handheld Lightweight Ultra portable Easy to push. Bedside care Low cost £1400 + VAT PC additional cost Wipe clean or easily replaceable Most parts wipe clean or easily replaceable Easily placed on drug trolley COW & Drug trolley required Clearly visible 19 inch screens Reliable 4 to 6 hours of battery life Some battery issues Easy to use Standard PC setup Keyboard & mouse
- 22. Mobile Clinical Assistant Handheld Lightweight 1.5 kg Ultra portable Bedside care Low cost £1700 + VAT Wipe clean or easily replaceable Most parts wipe clean Easily placed on drug trolley Clearly visible 9 inch screens Reliable 3.75 hours battery life Issues with hanging Endpoint encryption Easy to use x Pen and virtual keyboard difficult for some users.
- 23. Ruggedized Laptops Handheld Lightweight But can get hot and feel heavy Ultra portable Bedside care Low cost £1700 + VAT Wipe clean or easily replaceable Some parts wipe clean Easily placed on drug trolley The keyboard sticks out covering part of the drug trolley. Clearly visible 10.2 inch Small screens Reliable 4-6 hours battery life Endpoint encryption Easy to use Keyboard useful
- 24. Touch Screen Laptop Handheld Lightweight But can get hot and feel heavy Ultra portable Bedside care Low cost £1800 + VAT Wipe clean or easily replaceable Some parts wipe clean Easily placed on drug trolley Keyboard rotates and used as a tablet. Clearly visible 12.1 inch screens Reliable 6-8 hours battery life (with battery slice) Endpoint encryption Wireless issues Easy to use Keyboard & Touch screen
- 25. Computerised Drug Trolleys (Large) Handheld Lightweight Heavy to push when full Ultra portable Close to bed ends. Low cost £1400 + VAT PC additional cost. Wipe clean or easily replaceable Most parts wipe clean or easily replaceable Easily placed on drug trolley Integrated drug trolley Clearly visible 19 inch screens Reliable 4 to 6 hours of battery life Easy to use Standard PC setup Keyboard & mouse Too large for some users
- 26. Computerised Drug Trolleys (Small) Handheld Lightweight Easy to push when full Ultra portable Closer to bed side Low cost £1400 + VAT PC additional cost. Wipe clean or easily replaceable Most parts wipe clean or easily replaceable Easily placed on drug trolley Integrated drug trolley Clearly visible 19 inch screens Reliable 4 to 6 hours of battery life Easy to use Standard PC setup Keyboard & mouse
- 27. Laptop Trolleys Handheld Lightweight Easy to push Ultra portable Can go most areas Low cost £350 + VAT Laptop additional cost. Wipe clean or easily replaceable Most parts wipe clean or easily replaceable. Anti- microbial keyboard screen. Easily placed on drug trolley But useful if medication is by the bedside. Clearly visible 15 inch screens Reliable 4 to 6 hours of battery life (with 9-cell battery) Easy to use Standard Laptop setup Keyboard & mouse
- 28. iPads Handheld Lightweight But can get hot Ultra portable Can go most areas Low cost £400 + VAT Wipe clean or easily replaceable Most parts wipe clean but issues with cleaners Easily placed on drug trolley Clearly visible x Small screens Reliable 8+ hours of battery life. Different set up Easy to use x Overlay keyboard not built for Windows applications
- 29. iPod touches Handheld Fits in pocket Lightweight Very Ultra portable Can go everywhere Low cost £125 + VAT Wipe clean or easily replaceable Most parts wipe clean but need cases Easily placed on drug trolley Clearly visible x Very small screens Reliable 8+ hours of battery life Easy to use x Overlay keyboard not built for Windows applications
- 30. Concerns • Paper is easier/quicker to use? • The number/variety of devices required • No one device meets all our needs • Dependence upon a reliable, stable and high performing network
- 31. My current image of the future
Notas do Editor
- Good Morning . I am Clive Stringer, Deputy IT Director at Kings College Hospital in London. This is my colleague Steve Groves. We are going to talk about how we have imlemented Docman Rerral management solution at kings in order for us to move to a paperless environment and to give patients a single point of access for referral enquiries. This is the old main Edwardian entrance to King's College Hospital in Sunny Camberwell London
- This is the main entrance of the new bit of the hospital opened around 10 years ago
- Hardware can be one of the most difficult things to decide upon Space – places to store and charge Users – ward based and / or visiting teams, numbers during peak times Drug rounds – do they use drug trolleys or pod lockers? COWs or integrated drug trolleys?