Copyright © Anoto AB - CONFIDENTIAL. Data Capture with Digital Pens CCIO annual nursing conference Richard Sargent – Programme & Project Delivery Director,

Copyright © Anoto AB - CONFIDENTIAL

Data Capture with Digital PensCCIO annual nursing conference

Richard Sargent – Programme & Project Delivery Director, Anoto LimitedTom Dowden – Deputy Service Manager, Sheffield Teaching Hospitals NHS FT

2013


Technology OverviewWhat do digital pens do?


•The vision


Freeing time to care

• Invented by Swedish company Anoto 10 years ago

• A pen that captures what you write when you write on a form printed with a fine dot pattern

• Generates a “scan” of the form• Can also convert your handwriting to text• Captures date & time of pen strokes• Sends data via secure Bluetooth or USB

Digital Pens


Solution Components

• BlackBerry mobile platform• Scheduling visits• Secure upload of digital pen data• Messaging between carers• Lone worker protection

• Digital pens and PaperIQ platform for processing pen data

• Same technology but its the forms that drive the team, department or organisation

How it Works


Paper .... the pleasure


• For many its the most natural way to capture dataPhysical attraction - writing on glass is not the same

• No technology barrier• Easy management• The ultimate back-up• BUT ... in slow decline!

Paper .... the pain!


• Time and cost for processing paper

• Physical storage• Duplicate data entry• Cost for lost records• Comfort zone!

The impact to dateWhere are they being used?

Case studies


Our Credentials : Police Service of Northern Ireland


• 4,500 officers equipped with digital pens running on the PaperIQ platform

• Largest deployment of digital pens to date

Our Credentials : Portsmouth Hospital Trust


Challenges• Reduce travel & manage workload of midwives• Give midwives access to patient notes from the field• Eradicate duplicate/triplicate data entry and errorsSolution• Midwives use digital pens when taking patient notes• The data captured is sent to the maternity record system

via a BlackBerry smartphoneResults• Halved midwives daily admin time from 98 to 48 mins• Protection against mislaid, lost or stolen forms & litigation• No significant change to current working practices• Reduction in errors• Increased patient facing time• Annual savings of £220,000 from 120 midwives

Our Credentials : Aneurin Bevan Health Board Gwent Frailty Programme


Principles/Aims Multi Agency Collaboration Split into Work streams including

‘Information Sharing’ Reduce Hospital admissions and

length of stay 200 staff in 5 new Community Resource

Teams (CRTs) Respond to referrals requiring rapid

response within 6 hours Share information between all carers Empower the citizens receiving care and

enable them to be ‘happily independent’

ABHB VIDEO

Our Credentials : Aneurin Bevan Health Board Gwent Frailty Programme


Return on Investment 200 users in Phase 1 reported an average of 10 minutes

saved per patient visit.

With an average of five visits per shift, this equates to projected annual savings in excess of £600,000

Carers no longer need to go to the office to pick up their schedule or file paperwork, so ABHB expects to see significant savings on travel expenses

Main savings will come in medium term from reduced hospital admissions and length of stay

Sheffield Teaching Hospitals - Jessop Wing

Remote working for community midwives in Sheffield

Tom Dowden – Deputy Service Manager, Obstetrics, Gynaecology & Neonatology


The challenge• 100+ staff working across Sheffield• No access to IT, just a car and a mobile phone.

Issues for The Trust Issues for The Midwives

• Very poor knowledge of activity• Large spend on photocopying

information for midwives.• Reliance on clerical staff to

relay discharges and other information on a daily basis by telephone

• Midwifery time to improve data collection (c. 3.5hrs per week)

• No access to even basic hospital data

• Required to carry large quantities of paper – H&S and governance issues.

• Large amounts of time spent ‘communicating’ with hospital and each other.


The Specification

• Ability for Community Midwives to exchange information securely with the hospital while ‘on the road’.

• To include– Phone– Email– Recording activity– Caseload management– Access to Trust documents


The Initial Solution• Web based system accessed via a BlackBerry.

• Midwives maintain their caseload based on live data from Patient Administration System (PAS).

• Activity recorded in ‘real time’.

• Data from another system (Evolution) re women transferring home are available in real time.

• Referrals to Antenatal clinic made electronically.

• Direct access to results (ICE), outpatient appointments / inpatient stays (PAS) and birth information (Evolution).

• Workload transparent to team and managers for planning.


The next challenge

• Change in maternity tariff from payment by results to payment for pathway package.– Increased requirement to collect clinical data

• Desire to develop the scope of electronic referrals available to community midwives.

• Ongoing requirements to collect specific information for audit and CQUINS.


Vision

• To electronically record clinical information that forms the ‘hand held notes’.

• To ensure that the woman retains access to her hand held record at all times.

• To do the above in a way that is:– Straightforward and convenient for staff– Accessible to all client groups– As cost effective as possible


Why digital pens?

• Digital pen technology enables us to record the information electronically while maintaining a hard copy for the woman to keep.

• The technology is complementary to the systems that we have already developed based on BlackBerry.

• The solution is relatively straightforward for both staff and client groups.


Why Anoto?• We initially began a conversation with Portsmouth

NHSFT as they were developing a set of maternity records using digital pens.

• We found that we had both been working on opposite ends of the problem, and had complementary solutions:– Portsmouth had concentrated on the clinical patient records

and obtaining these in an electronic form through working with a partner (Anoto).

– Sheffield had been working on a business focussed system, with a locally developed maternity information system designed with community working at the forefront.


Where are we now?

• Completed replacement of legacy Maternity Information System (Protos/Evolution).

• Deploying digital pens to all community midwives.

• Working towards replacement of hand held notes by digital version within next two months.

• Objective of replacing all outpatient and inpatient maternity records with digital notes by year end.

• Developing full integration between digital notes and maternity information system.

Want to know more?

Come and visit us on our stand



Thank You

Richard Sargent – Programme & Project Delivery Director, Anoto LimitedFreeing time to care

Documents

Copyright © Anoto AB - CONFIDENTIAL. Data Capture with Digital Pens CCIO annual nursing conference Richard Sargent – Programme & Project Delivery Director,