Changing from paper to digital patient care records can present multiple benefits to organisations. Microsoft Dynamics was put in place in the the Western Trust in Northern Ireland and has aided health professionals in their day to day acute and community care visits. This presentation illustrates the importance of technology in health today.

1. Digital BabiesFamily Nursing Partnership
Des O’Loan
ICT Strategy Manager
Health & Social Care Board

2. Project Background
•Family Nurse Partnership -voluntary home visiting programme for first time young mums (and dads), aged 19 or under
•A specially trained family nurse visits the young mum regularly, from earlyin pregnancy until the child is two years old
•The programmeaims to enable young mums to:
oHave a healthy pregnancy
oImprove their child’s health and development
oPlan their own futures and achieve their aspirations

3. •Western Trust pilot > Paper based forms used by Family Nurses
•Focus is on mother and child NOT data capture
•BUT… Paper forms quickly became unmanageable:
oDifficult to share data between Nurses and Nurse Supervisors
oDuplicate data re-keying
oLimited reporting
oPrinted forms = distribution time and cost + hard to secure
oFixed form layout
Trial and Error –Paper Forms

4. Original Paper Form

5. •Paper forms > Digital Pen technology
•Nurses liked convenience and unobtrusive nature of pens when with clients
•BUT… there were limitations:
oRecognition rates < 80% = lengthy manual forms verification process
oPurchase Cost -Pens nearly as expensive as Tablet technology to purchase!
oSupport Cost for lost or broken pens
oDigital pens just capture the data –another application is required to:
oAutomate the business processes
oProvide Reporting & Analysis
Digital Baby Steps

6. Digital Pen technology + Application
•Business process automation
•Shared data
•Reporting & Analysis
OR:
Microsoft Dynamics Application
•Design of forms to meet the programme needs
•Automation of business processes via workflow
•Ease of data sharing
•Reporting & Analysis
•Secure platform
•Delivered quickly at manageable cost
A New Approach –2 Solutions Considered

7. •Application available under regional health licencing arrangements
•Off the shelf Customer Relationship Management (CRM) solution + agile application development platform = “customisation rather than development”
•Can extend with bespoke components, plug-ins, web resources etc.
•Centrally hosted = ability to re-use existing investment in Dynamics platform for other scenarios and projects
Why Microsoft Dynamics?

8. •Iterative development approach + stakeholder input = better business outcomes
•Data security via role based access:
•Nurse Supervisors see all clients in their Health Trust
•Nurses see only their own clients
•Each of the five NI Health Trusts see only data pertaining to their clients
•20 Customised Forms and 35 Standard Reports developed
•Mobile application developed on Resco platform, a third-party extension for Dynamics – single development, multiple platform support for Android, iOS and Windows 8
•FNP programme’s business processes now electronically managed
Becoming a Digital Reality

9. Business Process
The programme has a business process that is automated within
the Dynamics platform

10. Desktop View & Mobile View
Mobile Forms developed in HTML5.0
Desktop Forms have standard
Microsoft Dynamics look and feel

11. Original Paper Form
Desktop (Dynamics) Form
Windows 8 Mobile Form

12. Mobile Calendar View
•20 flexible FNP forms developed once and supported on multiple platforms: Android, iOS, Windows 8
•Intuitive & simple GUI design = less obtrusive when nurses are with clients
•Supports off-line working
•Synchronises to server when network is available. Always used off-line to enable working where no Wi-Fi or 3G is available
Mobile Solution (Resco)