My Health Memory Adj. A/Professor Cheryl McCullagh Director - PowerPoint PPT Presentation

My Health Memory Adj. A/Professor Cheryl McCullagh Director Clinical Integration Sydney Children’s Hospitals Network HIC 2018

Co design – Patients and families My Health Vendors, Techies and Clinicians My Health Record Memory • Stay in touch • Communicate with teams Health direct • Real time information Kids SCHN Health • Share history with other providers eMR Buddy • Safety net • On the phone

Outpatient Appointments Clinician/patient comms. Orientation Inpatient Survey links Assigning education About me – free text PREMs /Goals EMR docs Skype social media internet/Entertainment

How’s it work? App download and verification 4

New Appointment

Appointment reminders and calendar integration

Reschedule appointment

Supporting Telehealth

Communications

Documentation

Analytics • Pilot Live May 2017 • Launched CHW Feb 2018 • Total active users 4745 • Approximately 800 D/C summaries/mth 20% uptake Built upon existing systems Interoperability in and out Shifting control

LeAP: Leveraging e-Applications for Patients and Families aims : – understand the work and care implications of My Health Memory app for health professionals and hospital staff. – help clinicians understand how technology and face-to-face appointments can be integrated to better support patients and their families. – Review the way technology impacts hospital staff workflows.

Early Findings LeAP Study

Participant information • Parents aged between 26-53 years • These parents used the MHM app for children aged between 8 months and 15 years. • All but two parents spoke English as their first language.

Frequency of use and perceived helpfulness • Most participants (64.3%) reported using the app at least a few times a month • Overall, 96.4% participants reported the app as being helpful or very helpful. • One participant indicated that the app was not helpful, stating that they liked the communication function but experienced a number of technical difficulties. • All participants indicated that they believed the app is beneficial to patients/carers.

Features that parents liked • More convenient communication between families and team (66.7%). • More time efficient than phone calls and emails, more cost effective for one parent who did not always have phone credit • Provided a record of the conversation they could review later • The opportunity for between-clinic communication led to more efficient use of face-to-face appointment times • Liked “feel[ ing] as though I am not intruding on the day of the CNCs with calls .” • The ability to keep track of appointments (23.8), • To sms the team for scripts etc before clinic” ( 9.5%),

How it changed interactions with care team • Seventeen participants reported that the app had positively changed their interactions with the team. • Parents indicated that the app made it “easier to communicate with treating staff” (70.6 %), and led to them • feeling “more connected and very well supported” (17.6%). • Some participants also stated that the app helped them build confidence in speaking with hospital staff as they felt they were not intruding on the other person’s work. •

Suggestions for improvement • Simplify Access and log in (47%) • Access to test results and more medical records ability to send images • Being able to communicate with multiple team members simultaneously • Request appointments • Login using Touch ID

Challenges for SCHN • New to apps and mobile devices • Privacy and communication • Clinical team workflow • Two patient facing apps • Users go beyond the organisation • Pace of change

Review New features • Connect Admin Console - September • App Refresh with existing security and workflow - October • App updates with improved security and registration workflows - December.

Next Continued development of solution • Integration with My Health Record • Patient reported measures • Patient added documents • Education link • Implementation across SCHN Feb • Publish

Thank you Families Sydney Uni OneView Sansoro ADHA Team