australian cio summit 2012: mobility @ southern health by dr. philip nesci
TRANSCRIPT
Mobility @ Southern Health
CIO Summit
July 2012
Overview
• Southern Health – who are we?
• Why focus on mobility?
• Wireless is only an enabler
• The Casey Hospital Pilot
• What lessons did we learn• What lessons did we learn
• Where to next
Victoria’s largest health service
Over 40 sites in South eastern Melbourne
Including:
– Six major public hospitals– Six major public hospitals
– One private hospital
– Eight community health sites
– Five aged residential care facilities
– Community rehabilitation centres
– Mental Health facilities
– University affiliated research and teaching centre.
Our care fast facts - 2010-2011
1.51 million episodes
Total episodes of caremore than 1.51 million episodes of care provided across our services to the community
193,000 193,000 admissionsHospital admissionsmore than 193,000 people admitted to our hospitals
172,000 people
Emergencymore than 172,000 people came to our three emergency departments for treatment
The need for mobility is not new
Nursing Practice
•Documentation 35%
•Care Coordination 21%
•Direct Care 22%
• Most systems are built around centralised phones and system access at nurses station
• The average distance walked in a shift is of the order of 5km!
• Space for tethered PC is often at a premium at bedside
•Direct Care 22%
Early attempts- some progress
but… COWS
• Mobile but large form factor
• Batteries, locks
Changing the game - enter Apple
• Enter the iphone and the ipad
• Enter the Mac
• Executives and doctors love the them!
• IT had to react and change the paradigm
From ToFrom To
•Corporate device
•Standard PC and OS
•Total control of device
•Total control of the applications
•Management tools for control
•Open up the IT environment
•More flexibility
•Little control of applications
•Immature management tools
•Personal device!
Casey Hospital Pilot… Ipads
• 3 months pilot, 15 Ipads
• Built wireless infrastructure – 100% coverage
• Security considerations led to the introduction of Citrix for remote access
• Built clinicians’ portal for accessing • Built clinicians’ portal for accessing applications
• Applications – Emergency, Pathology, Diagnostic Imaging, Scanned Medical Record
• Mail and calendar
….. And BYO Devices!
• Pilot highlighted the need for more computing devices and access to critical applications
• Pressure from clinicians to use own device
• Opened up the IT platform – device agnostic!• Opened up the IT platform – device agnostic!
• Rush of BYO devices!
How are we using them?
• Bedside
• Theatres
• Office
• Home
Key considerations for tablets-
risks• Security policy
• No storage of data on device or in the Cloud
• Awareness and training
• Costs blowouts• downloading video, turn off global roaming
• Remote management and support and • Remote management and support and tracking technology – be transparent
Key considerations for tablets-
limitations
• Data entry
• Printing
• Many applications not tablet friendly
• Infection control?• Infection control?
Key considerations in the introduction
of BYO computing
• Who can use one?
• Staff compensation?
• IT support for the devices
• Limitation of applications particularly around • Limitation of applications particularly around display and data entry and printing
• Speed can be an issue
What did we learn?
• Staff love mobility aspect
• Ipad is not a silver bullet
• Limitation of applications particularly around display and data entry and printing
• IT team needs to support a device • IT team needs to support a device independent platform
Where to next
• Applications to be increasingly device independent
• Progressive rollout of wifi across all Southern Health sites
• Wifi is an enabler of other technologies• Portable communication devices
• Nurse call replacements• Nurse call replacements
• Duress alarms
• Triangulation etc
QuestionsThank you
Philip Nesci
Consulting Director
Business Catalyst Intl.
Dr. Philip Nesci
Chief Information Officer
Southern Health