Transforming mental health services through digital technology...Transforming mental health services...
18
Transforming mental health services through digital technology Dr James Reed CCIO Birmingham & Solihull Mental Health NHS FT
Transcript of Transforming mental health services through digital technology...Transforming mental health services...
Transforming mental health services
through digital technology
Dr James Reed
CCIO
Birmingham & Solihull Mental Health NHS FT
2003 2010 2011 2012 2013 2014 2015 2016 2017
Digital Exemplar
Mental Health & Global Digital Exemplars
• Seven Mental Health GDEs and eight fast followers
• Currently almost 100 GDE blueprints available covering a
range of pathway, care setting and capability solutions
• Step-by-step guides that explain how a particular system
or innovation was developed and introduced and can be
tailored to suit local requirements
• Outline what’s needed for sustainable digital
transformation such as; organisational leadership, culture,
technical guidance and clinical and staff engagement
The Problem
• Therapeutic observations unique to Mental Health inpatients
• Observe patients at set intervals (eg 5 mins)
• Staff with a clipboard and a watch
• Difficult to do well, poor accountability
• Errors often found
“Paper… lots of paper”
WHO
observed
[employees]
WHERE
we observed
[ward]
WHEN
we observed
[date time]
WHAT
was
observed
WHY
observe
[admission]
WHEN
to observe
[level]
WHAT
to observe [prescription]
WHO
to observe
[patient]
Observation
An Observation Record
INPATIENT
PORTAL
observatio
ns
WHO
patient
registration
WHO
patient’s
photo
WHO
patient’s
description
WHY
ward
WHY
admission
(absence &
leave)
WHEN
observation
level [ratio]
frequency
WHAT
observation
prescription
WHO
employees
[users]
Informing Observations
Informing Observations
START POINT
Servelec RiO
END POINT
BSMHFTInpatient Portal
MIDDLEWARE
Intersystems Healthshare
RiO ITK, ADT & workflow triggersMessage translation, augmentation & routing
Web-based portal collects & displays information
Recording Observations
Touch to see the observation details
Touch to see the patient details
Begins with a list of the patients admitted to your ward
Bed Management
Quickly see for each ward the occupied, DtoC, Leave and available beds, patient observation levels and recent ADT events. Filter the board to focus by gender, security level, age and
type.
The same information used to complete therapeutic observations informs our bed management team
WIP – Physical Observations
Ward BoardExtended to include physical
observations with corresponding NEWS scores
and chart
Physical ObservationsSimple NEWS centric mechanism for
recording physical observations
Next steps
• For us
– Further developments
– Seclusion, food & fluid already live
– Section 17 booking in & out in planning
• For you
– Read the blueprint!
– [email protected] for access
– Contact me [email protected]
– Think about what you would need to accomplish this for yourselves
