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Apps for AHPs

Apps for AHPs. An evaluation of Allied Health Professionals’ use of iPads for a variety of clinical specialties within NHS Fife. Background, preparation & pilot. More detail on our poster or ask us!

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Apps for AHPs

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  1. Apps for AHPs An evaluation of Allied Health Professionals’ use of iPads for a variety of clinical specialties within NHS Fife

  2. Background, preparation & pilot • More detail on our poster or ask us! • 2012/13 Scottish Government funding to support the increased use of mobile devices in community health services • Several NHS Fife AHP services successful in their bid for iPads - combination of 3G and wi-fi only devices • Lots of prep work with e-Health team • Main aim of trial was to explore a range of applications and to determine whether they added value to service delivery. • Data we are presenting is a combination of the pilot project & new uses in the last 9 months

  3. “SAFE” • Took video footage of person eating & drinking to share with SLT colleague – allowed triage without a further visit • Pharmacist scanned & emailed prescription change to GP immediately – medication error much less likely • Guided access function – service users can only access the app being used

  4. “SAFE” • Translation app for patient with limited English ensured accuracy of information • Use of Cisco Jabber being trialled by paediatric OT - Allows therapist and support workers to call each other from different locations to seek guidance

  5. “EFFECTIVE” • Checking emails or writing letters in car during unexpected gap in the day – less mileage & better use of time • Taking unplanned Photographs for assessment or personalised programmes saves an extra visit • Check equipment store for stock levels & order in house while measurements available

  6. “EFFECTIVE” Bethany’s story “I asked my OT for advice about some small aids I wanted to buy to help me around the house. Because she had her 3G iPad with her she was able to do an internet search and talk me through my options there and then. It was great this could be done immediately and I got my equipment ordered soon after”

  7. “PERSON CENTRED” • Using ipad games that can be played with a sibling makes engagement in rehab more likely & continued at home • Use of 3D anatomy app to discuss with patient and carer about their health problem – increases understanding so increases likelihood of following advice • Choosing own pictures for Accessible Information ensures the patient understands it fully & improves engagement

  8. “PERSON CENTRED” Rachel’s story “I liked it when my physio took a video of me walking, then played it back to me. It helped me to understand what I was doing wrong and why it was making me sore. My walking is much better now that I’m aware of how to correct it”

  9. “PERSON CENTRED” • Use of relaxation apps during pain programme means patients can download same on their own phones & ipads later • Using video footage to give feedback on progress increases motivation – particularly good for reflecting slow progress over long periods

  10. Challenges we faced! • Logging on difficulties – need to be in NHS wifi zone • Inconsistent network reception in some geographical areas • Difficulties of switching iPad use between multiple users • Confusion between network passwords and log-ins vs device passcode • Automatic deletion of iPad contents after several failed log-in attempts • Short default time on screenlock – impact on patients • Unable to print from ipad – rely on emailing documents • Certain files wont open on ipad e.g. embedded documents • Some useful features disabled by e-Health because of security concerns e.g. face time

  11. Cost Savings & Efficiencies • Wifi devices have no ongoing cost just initial outlay However…… • lots of the examples given relied on having 3G enabled device • Current 3G contracts are £4.50 pcm per device • 1 business journey of 20 miles costs £11.20 • 1 hour of a band 6 costs approximately £15 Preventing extra home visits or using unexpected time gaps efficiently, saves money and frees up professionals time to use with another patient

  12. Conclusion Data from our pilot and our experience so far, suggests iPads (or similar mobile devices) have an important role to play in improving the efficiency and cost effectiveness of working practices, increasing patient safety and enhancing the patient experience during their rehabilitation journey

  13. Future plans • Developing postural advice for use of ipads • Developing guidance on ‘screen time’ for patients • Sharing information about accessories • Sharing information about useful apps • Further development of Jabber for communication purposes

  14. Thank you for listening! Questions Amanda Leech Physiotherapy Manager Learning Disabilities & Chronic Pain services Lynebank Hospital Dunfermline 01383 565253 amandaleech@nhs.net

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