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Mobile eHealth Devices Update

Mobile eHealth Devices Update. NHS Lanarkshire Event 2 nd Oct 2012. CURRENT SITUATION. Community Nursing (CNIS) Rollout of potentially several hundred iPads HI&T Pilot of 16 iPads Uncontrolled purchase of mobile devices. Community Nursing.

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Mobile eHealth Devices Update

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  1. Mobile eHealth Devices Update NHS Lanarkshire Event 2nd Oct 2012

  2. CURRENTSITUATION • Community Nursing (CNIS) Rollout of potentially several hundred iPads • HI&T Pilot of 16 iPads • Uncontrolled purchase of mobile devices

  3. Community Nursing • Any solution must be able to expand to other community staff such as Health Visiting, Community Psychiatric Nurses • Drive to blend a form of agile working and electronic access to patient records to allow nurses to be more efficient • Current status is for a pilot group of nurses to utilise an SSL based VPN solution to give access to the clinical system – access only available if device is within mobile data signal. • Infrastructure elements are to investigate ‘over the air’ solutions, enhancing existing solutions to then complement the application use by nursing staff

  4. HI&T Pilot • The CNIS project highlighted that we were organisationally not ready to embrace mobile devices on a large scale. • Decision was made to use HI&T staff to trial the devices over a short period in a number of areas, with the intention to learn where they are and are not suitable and also to quantify what effort will be needed to deploy and support them. • The Infrastructure Development team will manage the pilot project- ensuring procurement and setup of the devices is consistent. • The team will develop the device management software procedures needed to allow remote management (over 3G) of the devices. • The units will be specifically test with Outlook email, TrakCare, EMIS, Acute imaging systems (Echo plus PACS), GP systems.

  5. HI&T Pilot - continued • The Acute Applications Team will undertake a proof of concept with a number of applications and staff groups to determine suitability of the devices, typically: • Bed Managers using TrakCare • Nursing staff using HEPMA, Portal and TrakCare • Junior doctors doing ward rounds using Portal and TrakCare. • The Infrastructure Operations team will participate in development of the above mentioned management procedures. Trial areas will  include Corporate email access, determining the suitability for IDE, and access to enterprise monitoring output related to servers and storage. • Usage within Health Records has yet to be agreed - expect of use for corporate email as minimum.

  6. HI&T Pilot - continued • It is anticipated that all groups will investigate suitability of Webex and Video Conferencing facilities and also determine if any suitable collaboration tools can be found. • Current Status • 16 devices issued to various staff groups • On Premise AirWatch solution implemented • Integration into VPN solution • Free Apple ID setup – staff can later allocate payment vehicle if required • Re-imbursment of purchases and/or volume license purchase still to be developed • Internal policies on usage, data access and supportability being further developed • Review of other uses in areas of the organisation will continue

  7. Uncontrolled purchase of mobile devices • HI&T at present do not have iPads as a catalogue item. Each purchase is handled separately. Confusion exists around how to purchase and who to purchase from. • We need to get the devices on our standard Product Catalogue. • In addition we are seeing a number of purchases which are not under our control, examples include: • Yorkhill – Charity Foundation are paying, they don't want any support from HI&T. Ipads will be used by patients • SALT – staff want to use devices to replace expensive historic solutions • General approach to avoid HI&T by areas of the organisation

  8. CONCLUSION • These devices will require a different approach to Procurement. • They can add value to a number of users- giving them easy access to their desktop from a convenient form factor. • They won’t suit some apps- iPads are great output devices but not suited to high volume data input. • They introduce Security challenges- some genuine and some organisational baggage. • They require a different support model and need different support tools. • They introduce additional MS Licensing concerns.

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