Acredita MobileQuality and Safety Strategy in Mobile Health Applications

Javier FerreroCIO, Andalusian Agency for Healthcare Qualityjavier.ferrero@juntadeandalucia.es

1. About mHealth

2. The Andalusian Public Health System

3. The Andalusian Agency for Healthcare Quality (ACSA)

4. Acredita Mobile: focus on healthcare professionals

5. mHealth Integration, Personalization and Regulation

Contents

2005 near St. Peter's Basilica to bid farewell to Pope John Paul II

Introduction to mHealth

St. Peter's Basilica at the Vatican on March 13, 2013.

A changing world, even if some ancient traditions remain the same.

Introduction to mHealth

The use of mobile technologies in addressing health problems can transform the way in which health services are delivered worldwide.

About mHealth

About mHealth

Andalusia

Surface: 87.597 Km2

Population: 8.302.323 hab.

+ 21 M Tourists/year

Andalusian Public Health System

AndalusiaAndalusia

Primary Care CentresPublic HospitalsHealthcare ProfessionalsM€ Annual Budget (2013)Pharmacies

Primary Care CentresPublic HospitalsHealthcare ProfessionalsM€ Annual Budget (2013)Pharmacies

1.51448

102.0008.4313.602

1.51448

102.0008.4313.602

The Andalusian Healthcare Model

Andalusian Public Health System

95 M appointments/year 121 M e-prescriptions/year8.24 M individual eHR

95 M appointments/year 121 M e-prescriptions/year8.24 M individual eHR

Patient-CenteredCare

Patient-CenteredCare

Professional competencesProfessional competences

ProcessManagement

ProcessManagement

ClinicalManagement

ClinicalManagement

Public foundation developed by the Health department of the Andalusian Regional Government to promote and develop quality policies in the Andalusian Health System.

www.juntadeandalucia.es/agenciadecalidadsanitaria

The Andalusian Agency for Healthcare Quality

The Andalusian Agency for Healthcare Quality

Knowledge ManagementKnowledge Management

Process ManagementClinic Management

Patient Safety

Process ManagementClinic Management

Patient Safety

CompetencesManagement

CompetencesManagement

Excellence in ManagementExcellence in Management

Quality of CareQuality of Care

Professional QualityProfessional Quality

Improved

Process

Certification

Improved

Process

Certification

Certification (Accreditation)

Accreditation… why?

Acredita Mobile

To reduce variabilityTo share knowledge

and best practices

To favour continuous professional development and excellence in care practice

To ensure quality care service delivery

To improve health centers organization and collaboration

To promote efficiency

ACSA Accreditation Model

ACSA accreditation model grants a role to self-assessment in all the programmes.

Continuous improvement is based on the potential possessed by the people and organizations.

Accreditation means getting explicit and public recognition of compliance with the requirements to provide quality care and the beginning of a line of continuous improvement.

Accreditation is not an end in itself, but a dynamic, continuous and evolving process, which provides the opportunity to establish development options to grow in quality.

The Andalusian Agency for Healthcare Quality

Certification Activity

The Andalusian Agency for Healthcare Quality

+27.000 training activities+50 training units

+20.900 professionals incorporated into the process of accreditation of their competences

+80 web pages

+700 Health Centers and Units: primary care, hospitals, emergencies, clinic, management units, pharmacies, laboratories,, blood transfusion centers, etc.

ACSA Acreditation Model

International Activity

The Andalusian Agency for Healthcare Quality

The Andalusian Agency for Healthcare Quality

Diabetes

ReferenceStandardsReferenceStandards

ExpertCommittee

ExpertCommittee

PatientCare

PatientCare

BestPractices

BestPractices

CertificationManual

CertificationManual

Objectives

- To facilitate learning and continuous

improvement of health professionals.

- To improve the delivery of health services,

bringing best professional practices to the

point of care.

- To optimize the working time of health

professionals, reducing the administrative

burden.

- To increase efficiency of operating

processes of the Health Centres.

Acredita Mobile: focus on healthcare professionals

Development of a mobile application for reaching quality standards and best practices in real and daily work, the continuous improvement of healthcare processes and the accreditation of healthcare professionals skills.

Solution

Accreditation in mobility

Acredita Mobile: focus on healthcare professionals

Improvement through mobility

Bedside information, providing access to tools, utilities and references at the point of care.

Communication area, including a realtime chat with coordinators, tutors and

other colleagues in the accreditation process, allowing documents sharing.

Push notifications service and social networks integration.

Access to information resources, such as documentary references related to the process, and links to metasearch engines, based on keywords and subject areas.

Acredita Mobile: focus on healthcare professionals

Improvement through mobility

Simplification of the evidences submission process, through the generation of drafts; tools to incorporate new proofs on real-time (scanning of documents, voice recording...); automatic creation of reports from self-auditing processes; suggestion, by the app, of different evidences that can be completed using the same patient health record.

Enhancement of the submitted evidences accuracy, by using a checklist with all the requirements that ensure their validity. Creation of a FAQ list.

Assessment process planner, setting milestones and deadlines notifications, integrated with the device calendar.

Secuential self-assessment, according to the healthcare process and grouping evidences by tasks and type of patient

Acredita Mobile: focus on healthcare professionals

Intel Case Study

Acredita Mobile: focus on healthcare professionals

App development, integration and personalization

- For citizens: Apps and PHR.

- For healthcare professionals: Accreditation and Continuous Improvement.

Project “It’s in your hand”

mHealth Integration,Personalization and Regulation

Checklist verificationIncident reportingRecuerdaMed

Service Connector

Citizen health folder

Ask about your Health

A set of mobile applications to support the quality and safety of health care

appointment with the doctor

mHealth Integration,Personalization and Regulation

Integration

E.P.H. Costa del Sol (Malaga)

H. U. Puerta del Mar (Cádiz)

HARE Utrera (Seville)

www.calidadappsalud.com

Recommendations for the design, use and evaluation of health apps

mHealth Integration,Personalization and Regulation

First reference guide for health Apps in Spanish language worldwideFirst reference guide for health Apps in Spanish language worldwide

Developers HealthcareProfessionals

Users

September, 2012September, 2012

Health App Certification

mHealth Integration,Personalization and Regulation

Evaluation

App Library

Self-assesment

May, 2013May, 2013

…Sep, 2013…Sep, 2013

www.calidadappsalud.com

@CalidadAppSalud

facebook.com/CalidadAppSalud