1. Liverpool Community Health (LCH) & Informatics Merseyside (iM) EMIS Mobile Project Jenny BradshawEMIS Project Manager Lois SilvanoiM Project Co-ordinator Gemma LloydLCH District Nurse

2. 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?

3. Why is LCH moving to Paperlight working?

4. 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

5. 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

6. Introducing the LCH EMIS Mobile Pilot

7. Preparation  Project Preparation Stage 1 (March 2013)  System configuration  Mobile devices issued  System testing  Project Preparation Stage 2 (April 2013)  User Acceptance Testing  Training

8. 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)

9. 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

10. Synchronisation  Synchronisation method via secure token  3G or Wi-Fi connection needed for synchronisation to take place

11. EMIS Mobile Phase 1 DEMO Lois Silvano

12. EMIS Mobile Icon

13. Log On to Organisation

14. Synchronise Data

15. Enter Secure Token ID

16. Data Synchronises

17. Appointments

18. Patient Summary

19. Changing View

20. Values View

21. Values History

22. Patient Summary

23. Tasks

24. Adding a Contact

25. Choosing a Template

26. Example Template

27. Entering Data

28. Pop up Keyboard

29. Saving a Template

30. Completed Contact

31. Synchronise Data

32. End of Demonstration

33. 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

34. 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

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

36. Viewpoint from Community Nursing Gemma Lloyd District Nurse LCH

37. EMIS Mobile for Community  Full consultation properties  Access to shared data  Ability to synchronise a caseload  Appointment schedules  Referral to Treatment options  Soft Tokens

38. And finally…  Pilot users continue to test  Feedback when update to EMIS mobile Phase 2  Pilot EMIS mobile for Community

39. Any Questions?