technology consultation: shared records, telehealth and patient-held informtion

Encompass MCP VanguardTransformation Champions Event

22 November 2017

Technology Consultation: Shared Records, Telehealth and Patient-held Information

1. IT solution for Integrated Case Management

2. Helping the urgent care pathway with our WaitLessAPP

3. Working with key partners to roll out Wound Matrix soft ware

1.

2.

3.

Care Plan

Agreed with patient/ carer

All members of the team are involved in developing the care plan….

which is ultimately agreed and owned by the patient and reflects their own goals.

Working across health and social care, including the voluntary sector combines a wealth of information; ensuring gaps in care are identified.

Our Integrated Case

Management (ICM)

Approach:

Integrated health and social care into or coordinated close to the home

How do we all access the Care Plan?

CHOC IT Progress• Use of EMIS Clinical Services as

live access to push and pull relevant information from the GP system

• One anticipatory care plan with key things which keep someone out of hospital

• Members of the multi-disciplinary team have access to enter data

• Flows immediately back into the GP EMIS system

• Can be viewed by out of hours staff

• Patient / carers / relatives also have information in printed form

Other Enablers;• Video/ tele

conferencing equipment for moving to more virtual working

Care Plan

Compatible with the data required on the Medical Interoperability Gateway which will eventually connect all systems in east Kent

CHOC Development Progress

• Created with full patient participation, the WaitLess App gives real time data for all the MIUs and A&Es in east Kent.

• Launched in Dec 2016 this innovation was the first of its kind in the UK and the potential impact was unknown.

Waitless:

WaitLess Live MIU and A&E waiting times in east Kent

Health Help Now Symptom advice and guidance on treatment

Geolocates you

Data as of the 10/11/17 18:53

• Over 15,000 downloads and 130,000 usages to the end of October 2017

• It was anticipated that perhaps 5% of patients attending A&E would be routed to MIU facilities. Overall shift of just over 6%

• Initial results from the east Kent pilot have been independently validated by the University of Greenwich and the Behavioural Insights Team.

WaitLess App has been through national scrutiny, led by a panel, chaired by Sir Bruce Keogh, for the National Innovation Accelerator

• Adheres to National Wound Assessment Form

• Wound Type and Location (multiples of each if required)

• Photograph of wound(s) (for each visit/assessment)

• Measurement of wound by area (of each individual tissue type within the wound)

• Care Objectives and Outcomes• ‘Off-line’ Working• Instant comparison reports (against

previous visits)

Web based or Tablet Application

for mobile working

Tablet View tracing and measurement

Click on image from list above

Reports For individual patientWound Location Comparative reports

Outcome details reports

Outcome details reports:

• By date range• By patient group• By status• By healing rate• Dressing type

Abcess/Infection1%

Abscess/Infection1% Arterial Leg Ulcer

2%

Burn (dry burn)6%

Burn/Scald0%

Cellulitis (Weeping)1%

Decubitus Ulcer3%

Dehisced Wound

4% Diabetes w/Gangrene2%

Diabetic Foot Ulcer23%

Diabetic Ulcer

4%

Fungating Lesion1%Fungating Lesion/Malignancy

3%

Leg Ulcer7%

Moisture Lesion1%

Post-Op1%

Post-Operative4%

Pressure Sore1%

Pressure Ulcer13%

Scald (Wet Burn)3%

Skin Tear3%

Surgical Wound3%

Traumatic Wound

6%

Ulcer2%

Venous Leg Ulcer

4%

Anti-Microbial Dressings Silver Hydrocolloid fibrous dressings Aquacel

Ag (P) , 27, 29%

Anti-Microbial Dressings Silver Fibrous, 14

Anti-Microbial Dressings Cutimed (P) , 19

Anti-Microbial Dressings Iodine Dressings { Iodoflex (P) }, 17

Anti-Microbial Dressings Iodine Dressings Inadine (P), 6

Anti-Microbial Dressings Silver Foam Dressings

Biatain Ag (P), 10

Antimicrobial gels / soaks , 1

Type of dressing and usage

Outcome Summary Reports (all patients as chosen

within a date range)

Contact us:

Strategic Project Manager: Cathy Bellmancathy.bellman@nhs.net

@encompassmcp

Website:www.encompass-mcp.co.uk

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