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Mobile Technology: 2 nd October 2012 Chairmans Intro. Sean Brennan NHS Lanarkshire. Visits Out. Patients. Attends A&E. The world has changed. Visit s. GP/practic e. nurse. Is visited at home. Nurse or care worker. midwife etc. In-Patient. NHS 24 online. Attends as an Inpatient.
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Mobile Technology:2nd October 2012Chairmans Intro Sean Brennan NHS Lanarkshire
Visits Out Patients Attends A&E The world has changed Visits GP/practice nurse Is visited at home Nurse or care worker midwife etc In-Patient
NHS 24 online Attends as an Inpatient Goes to the Pharmacy Uses the Visits Home Health GP/practice Care Guide nurse Calls OOH Visits Out Calls 999 service Is visited at home Patients by GP, nurse, social / care worker, midwife etc Calls NHS Visits a 24 walk-in centre Visits the Attends A&E dentist
Capturing Clinical Data in a paperless NHS Tablets/Handhelds Handwriting Recognition Bar Codes OCR Forms Light Pens Digital Pens Digital Dictation/Speech Recognition
Tools for digital captureof clinical information Clinician: Computer Interface
Digital Pen • One heart failure nurse • Data Capture form created/revised • Hardware delivered (one pen/docking station) • Dry run with forms • 3 month trial • Evaluation
A new approach to Paper Review error messages on mobile, make corrections and re-send Automatic routing of form images via email if no data editing required Complete form Send via mobile Or Dock with PC Check & edit of form data on AuraQ forms management portal prior to publishing (if required) Publish data and forms to TRAK (?)
Digital Pen Evaluation • A quantitative account of how long it takes to put the info into the computer program now. This is at the office, before and after the pen • A quantitative account of how many patients are seen and for how long before and after, to ensure that any benefits are not lost elsewhere • a qualitative account of whether there is a change in time for data capture in consultation • a qualitative account of whether there is a downside to quality of consult when using the system • a qualitative account of what any freed up time is used for • a quantitative account of communication with Drs./ others. How long to get letters out faxes out etc., before and after pen.
Digital PenIssues so far and solutions • Design of form critical • Try and structure the data • Don’t allow (too loose) free text box • Have associated content tables • Digital Pen data must end up in an integrated database • PMS • EPR • Other • Consider innovative workflows • When and where are they best used?