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Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny Bradshaw EMIS Project Manager Lois Silvano iM Project Co- ordinator Gemma Lloyd LCH District Nurse

Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

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Page 1: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Liverpool Community Health (LCH)& Informatics Merseyside (iM)

EMIS Mobile Project

Jenny Bradshaw EMIS Project Manager

Lois Silvano iM Project Co-ordinator

Gemma Lloyd LCH District Nurse

Page 2: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Presentation Outline

Why is LCH moving to Paperlight working? EMIS Mobile pilot

What did we test? What did we find out?

Viewpoint from Community Nursing team EMIS Mobile for Community

What is coming?

Page 3: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Why is LCH moving to Paperlight working?

Page 4: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Recording of Patient Data

How is data recorded for patients being seen outside a clinic environment? Patient visited at home (or elsewhere) Data handwritten onto paper records Clinician returns to base Patient data entered retrospectively into

EMIS Web patient electronic record

Page 5: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Why is this not effective?

Security of patient data whilst in transit Increased administrative time for clinician Errors in data entry when translated from

handwritten notes into electronic record Delay in visibility of patient data to other

clinicians/services

Page 6: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Introducing the LCHEMIS Mobile Pilot

Page 7: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Preparation

Project Preparation Stage 1 (March 2013) System configuration Mobile devices issued System testing

Project Preparation Stage 2 (April 2013) User Acceptance Testing Training

Page 8: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

LCH EMIS Mobile Pilot

Pilot underway (May 2013) 20 Pilot users

10 District Nurses 6 Children’s service users 4 Heart Failure Nurses

Mobile Devices Samsung Galaxy (7” & 10”) iPad (standard)

Page 9: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

EMIS Mobile - Phase 1

Patients booked into clinicians home visit session in EMIS Web prior to visit

Patient records synchronised to mobile device Patient demographics & medical record

available on mobile device Patient data entered using mobile device Patient data synchronised back to EMIS Web

Page 10: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Synchronisation

Synchronisation method via secure token 3G or Wi-Fi connection needed for

synchronisation to take place

Page 11: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

EMIS Mobile Phase 1 DEMO

Lois Silvano

Page 12: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

EMIS Mobile Icon

Page 13: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Log On to Organisation

Page 14: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Synchronise Data

Page 15: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Enter Secure Token ID

Page 16: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Data Synchronises

Page 17: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Appointments

Page 18: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Patient Summary

Page 19: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Changing View

Page 20: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Values View

Page 21: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Values History

Page 22: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Patient Summary

Page 23: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Tasks

Page 24: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Adding a Contact

Page 25: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Choosing a Template

Page 26: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Example Template

Page 27: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Entering Data

Page 28: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Pop up Keyboard

Page 29: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Saving a Template

Page 30: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Completed Contact

Page 31: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Synchronise Data

Page 32: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

End of Demonstration

Page 33: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Aim of Pilot

Test EMIS Mobile Synchronisation of patient data EMIS Mobile functionality Ease of use System speed

Report issues Log requirements for EMIS Mobile for

Community users

Page 34: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Positive Feedback

Ability to view accurate electronic patient data whilst away from the office

Patient data held securely Time saving benefits due to ability to add

data at point of care Extra patients can be added to a session

(by a colleague/clerk at the office) and their data accessed in real time

Page 35: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Issues Reported

Passwords re-sets Size & type of device Strength of Wi-Fi or 3G Synchronisation Issues

Page 36: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Viewpoint from Community Nursing

Gemma LloydDistrict Nurse LCH

Page 37: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

EMIS Mobile for Community

Full consultation properties Access to shared data Ability to synchronise a caseload Appointment schedules Referral to Treatment options Soft Tokens

Page 38: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

And finally…

Pilot users continue to test Feedback when update to EMIS mobile

Phase 2 Pilot EMIS mobile for Community

Page 39: Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator

Any Questions?