Transcript Presentation Title

Smart Healthcare
Live – Mobile and
Wireless Healthcare
Colin Sweeney - ICT Director
Ben Fidler – EPMA Team Leader
King’s College Hospital NHS Foundation
Trust
Mobile and Wireless healthcare
Background
The issues
The current solutions
The future?
King’s Milestones
2002 Implemented and rolled out orders and results as first stage of EPR
2002 Discharge notifications and TTA drugs
2005 PACS
2005 First attempt at inpatient prescribing
2009 Inpatient noting
2008-2010 Inpatient prescribing roll out
King’s EPR – current functionality
Patient summary data
Results and reports including images
Requests and referrals (Order sets)
Take home prescribing and discharge notifications
Documents (Clinic letters and full discharge summaries)
Document imaging
Various Data capture and forms
Clinical Noting
Inpatient prescribing
Results
Clinical Notes
Images
Drug Charts
Issues
2-3 desktop PCs per ward
Lots of pertinent information
Requirement is at the bedside
Must therefore be mobile
Don’t want to log out and in every time
Electronic Prescribing and Medication
Administration at Kings
Pilot Nov 2008 – Busy general medicine ward.
May 2009 began trust rollout
June 2010 – 10 Wards actively using EPMA. Paper drug chart
has been replaced with electronic chart.
Wireless device requirements vary from ward to ward
Technical ability of ward staff vary from ward to ward
30 wards to go!
Paper drug chart
Handheld
Lightweight
Ultra portable
Low cost
Wipe clean or easily
replaceable
Easily placed on drug
trolley
Clearly visible
Reliable
Easy to use
Computer on Wheels
Handheld

Lightweight

Ultra portable
portable

Easy to push. Bedside care
Bedside care
Low cost

£1400 + VAT
PC additional cost
Wipe clean or
or easily
replaceable

Most parts wipe clean or
clean or easily replaceable
replaceable
Easily placed on 
placed on drug
drug trolley
COW & Drug trolley
required
Clearly visible
visible

19 inch screens
Reliable

4 to 6 hours of battery life
battery life Some battery
Mobile Clinical Assistant
Handheld

Lightweight

1.5 kg
Ultra portable
portable

Bedside care
Low cost

£1700 + VAT
Wipe clean or
or easily
replaceable

Most parts wipe clean
clean
Easily placed on 
placed on drug
drug trolley
Clearly visible
visible

9 inch screens
Reliable

3.75 hours battery life
life
Issues with hanging
Ruggedized Laptops
Handheld

Lightweight

Ultra portable
portable

Bedside care
Low cost

£1700 + VAT
Wipe clean or
or easily
replaceable


Some parts wipe clean
clean
Easily placed on 
placed on drug 
drug trolley
The keyboard sticks out
out covering part of the
the drug trolley.
Clearly visible
visible

10.2 inch Small screens
screens
Reliable

4-6 hours battery life
life
Endpoint encryption
Touch Screen Laptop
Handheld

Lightweight

Ultra portable

Bedside care
Low cost

£1800 + VAT
Wipe clean or
easily replaceable
replaceable


Some parts wipe clean
clean
Easily placed on
on drug trolley
trolley

Keyboard rotates and
and used as a tablet.
tablet.
Clearly visible
visible

12.1 inch screens
Reliable


6-8 hours battery life
life (with battery slice)
slice)
Endpoint encryption
encryption
Computerised Drug Trolleys (Large)
Handheld

Lightweight

Heavy to push when full
full
Ultra portable
portable

Close to bed ends.
Low cost


£1400 + VAT
PC additional cost.
Wipe clean or
easily replaceable
replaceable

Most parts wipe clean or
clean or easily replaceable
replaceable
Easily placed on
on drug trolley
trolley

Integrated drug trolley
trolley
Clearly visible
visible

19 inch screens
Reliable

4 to 6 hours of battery life
Computerised Drug Trolleys (Small)
Handheld

Lightweight

Easy to push when full
full
Ultra portable
portable

Closer to bed side
Low cost


£1400 + VAT
PC additional cost.
Wipe clean or
easily replaceable
replaceable

Most parts wipe clean or
clean or easily replaceable
replaceable
Easily placed on
on drug trolley
trolley

Integrated drug trolley
trolley
Clearly visible
visible

19 inch screens
Reliable

4 to 6 hours of battery life
Laptop Trolleys
Handheld

Lightweight

Easy to push
Ultra portable

Can go most areas
Low cost

£350 + VAT
Laptop additional cost.
cost.
Wipe clean or
easily replaceable
replaceable

Most parts wipe clean or
clean or easily replaceable.
replaceable. Anti-microbial
microbial keyboard screen.
screen.
Easily placed on
on drug trolley
trolley

But useful if medication is
medication is by the
bedside.
Clearly visible
visible

15 inch screens
What next?
Panel PCs?
Wall mounted
laptops?
iPads?
Mobile Equipment
Computer
On
Wheels
(COW)
Mobile
Clinical
Assistant
?
Equipment
Laptop
Trolley
Ruggedized
laptops
Computerised
Drug
Trolleys
Touch screen
Laptops
Thank you for listening
Any questions?
[email protected]
020 3299 3211
[email protected]
020 3299 9000
Ext: 7584