Changing the current infrastructure
Health care operates in four keys areas
There are currently very few mobile health applications operating in the NHS, and the disparate nature of the current NHS IT infrastructure means that there is no efficient digital communication and no digitally coordinated healthcare delivery from end to end. Indeed, much of the IT and healthcare still operates in silos.
This is where the service has been commissioned and my mhealth perform an assessment of the current infrastructure to enable the delivery of myCOPD and other my mhealth products. This is a simple assessment of the providers’ infrastructure, and the availability of devices with up to date web browsers. Normally, all that is required is an update of the current preferred browser to the latest version and, if necessary, a revision on the specific firewall rules in place to allow access to the mymhealth.com domain.
Clinician / Provider Activation
This is where there’s a clear message, from the commissioners of the pathway to the providers to embed myCOPD and other my mhealth products into current working practice and the patient pathway.
This then enables the delivery of high quality education, inhaler technique correction, symptom reporting and pulmonary rehabilitation. The digital transformation team work with the local clinicians to:
- Introduce them to the product(s)
- Discuss the evidence base behind the mHealth interventions
- Identify use of the product in acute, community, rehabilitation and primary care
- Discuss training requirements
- Run workshops on pathway design and transformation at all levels
Patients are activated by introducing them to the product in 2 ways:
Face to face coaching and registration – which takes just 10-15 minutes
Provision of username and password – 90% of patients can self-register through a simple user interface. This can be done by e-mail.
By far the most successful method is face to face coaching and implementing the applications within the current patient pathway.
This small upfront investment reaps rewards many times over in terms of better patient self-management and reduced clinician interactions.
The patient deployment can then take place at the following levels (depending on pathway and local assets):
Primary care diagnosis and annual review
Acute sector admission discharge bundle and outpatient clinic
Community pharmacy medicine use review
The digital transformation team provide:
my mhealth clinicians appraise the current pathway and work with local clinicians to identify where the my mhealth apps will be distributed and implemented
Project managers then help with the app deployment, are key points of communication and are digital ambassadors for the local community and provide reports on progress and feedback on metrics
There is then 2 days local training – 2hrs per individual – for clinicians and administrators
Develop with the provider and commissioners a ‘local’ tile which will provide local information for patients on services such as patient groups, clinical contacts etc. and is an opportunity to present videos of local clinicians introducing this product to their patients