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Mobile Working in a Diverse Community

Mobile Working in a Diverse Community. The Cardiff and Vale UHB Mobile Working Story Bryn Harries Mobile Working Lead Cardiff and Vale University Health Board. The Mobile Working Challenge. Paris EPR rolled out from October 2005 2,200 active users per month

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Mobile Working in a Diverse Community

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  1. Mobile Working in a Diverse Community The Cardiff and Vale UHB Mobile Working Story Bryn Harries Mobile Working Lead Cardiff and Vale University Health Board

  2. The Mobile Working Challenge • Paris EPR rolled out from October 2005 • 2,200 active users per month • 103,000 unique logons per month • 6,200,000 casenotes recorded since October 2005 • 131,000 casenotes recorded in the last month • Expected Benefits of Mobile Working • Remove duplication of work for community staff • Reduce quantity of insecurely-held data • Reduced travelling time/costs • Reduction in printed PID • Spend-to-save initiative, partly funded by Welsh Government

  3. 2011 Initial Rollout Online ‘live’ solution – 470 devices Netbook with in-built 3G Battery Life: Minimum 6.5 Hours Screen Size: 10”  11” Maximum Weight: 1.4Kg Restricted USB (allow USB mouse connection) Disable/Restrict: Wireless LAN, C:Drive, Windows Updates, Webcam PARIS Application server Citrix Application server Citrix Access Gateway server Mobile Network Operator End Device Dedicated 10Mb link 3G network

  4. 2012 Hardware Review

  5. 2013 Roll-out Identical, online ‘live’ solution – 186 devices Netbook with in-built 3G Battery Life: c7 Hours Screen Size: 11” Maximum Weight: 1.4Kg Restricted USB (allow USB mouse connection) Disable/Restrict: Wireless LAN, C:Drive, Windows Updates, Webcam Total: 656 Devices, 676+ users

  6. Mitigation measures Smart Repeater (Receiver) Smart Repeater (Transmitter) Existing 3G connection Low-power 3G connection Wireless link Femtocell (Transmitter) Wired internet connection Low-power 3G connection Mobile Network Operator Local Transmitter Mast End Device • Other Options • Multi-network SIM cards • Bandwidth-enhancing (compression) software

  7. The next generation – 4G • 2013 4G auction • Higher data speeds, better coverage • Expensive data plans but… • Obligation to provide coverage: http://consumers.ofcom.org.uk/2012/07/ofcom-unveils-plans-for-4g-auction-of-the-airwaves/ http://media.ofcom.org.uk/2013/02/20/ofcom-announces-winners-of-the-4g-mobile-auction/

  8. The next generation – 3G Coverage Cardiff and Vale

  9. The next generation – 3G 900 Coverage Cardiff and Vale

  10. The next generation – Implied 4G Coverage Cardiff and Vale

  11. The next generation – 3G Coverage Rural Areas

  12. The next generation – Implied 4G Coverage Rural Areas

  13. Online/offline • Do staff need access to the full patient record in the field? • Refocus on the working process through the staff diary • Civica/TotalMobile partnership • Introduces new advantages: Platform agnostic, reduced hardware cost, GPS tracking/navigation,

  14. Lessons learnt There is no ‘one size fits all’ Solution needs to be tailored to purpose 3G Coverage is not ubiquitous – educate and empower users Ensure long-term persistence of the supply chain Benefits to home/work balance Further benefits beyond EPR access Ongoing work Secure pull-printing functionality 2013 3G re-test Ongoing monitoring of the 4G market place

  15. Bryn Harries Mobile Working Lead Cardiff and Vale University Health Board T:02920 903610 E: bryn.harries@wales.nhs.uk

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