Alongside our work with the partners of the Innovate UK testbed project Smart with your Heart, we were delighted to be able to facilitate their data analysis with a purpose-built dashboard for all data to be processed, integrating with University Hospital of North Midlands Trust’s (UHNM) Hospital Episode Statistics (HES) system.
Bitjam won the contract to evaluate the Smart with your Heart service because of our expertise with Big Data. Our dashboard imports data from the HES system, community services provided by Midlands Partnership NHS Foundation Trust and the 3 digital technologies partners.
Future additions to the service will be data from GP surgeries in the area, which will be a groundbreaking achievement, to bring together primary and secondary healthcare data.
It has been a complex Information Governance (IG) task, and Bitjam have worked closely with the IG team at UHNM. Hosted on the Hospitals mainframe system. Our valuable healthcare experience has enabled us to create a robust, user-friendly and IG compliant piece of software which we are proud of.
The dashboard’s aim is to see in real-time how the service is doing, and if it is meeting its Key Performance indicators (KPIs). In essence, it allows clinicians and management the ability to see how many patients are signed up and using the system and of those patients how many have been able to manage their condition in the community and prevent readmittance into hospital.
Please note: This image is exclusively for demonstration purposes and is NOT a reflection of current project data.
The data will be academically evaluated by two participating universities, Staffordshire University and University of East Anglia. They will have access to anonymised data to perform their analysis. An interim report is due to be published before this pilot project ends. Once full data analysis has taken place, then a full report, including a medical journal article, will be published for public view.
This project has been a great challenge which all the team at Bitjam has really enjoyed developing. We have worked hard with UHNM to ensure this is a robust system and feel it is a big achievement.
For future healthcare project work, get in touch with us in the new Smart Innovation Hub at Keele University.
What Is Interoperability in Healthcare
Interoperability is the extent to which systems and devices can exchange and interpret shared data. In healthcare, effective interoperability occurs when IT and software systems to exchange shared data to create information that can be used to assist clinicians and other medical professions with patient care.
Issues Healthcare Staff Are Currently Facing
“Staff suffer from increasing workload and stricter performance measures with less flexibility. This has caused psychological and physical stress…” Science Daily.com
It’s no secret that digitising healthcare IT systems has been a slow and frustrating process for all stakeholders involved, especially the end users who have the responsibility of delivering safe patient care in a secure manner. This adds further pressure to staff who are already suffering from increased workloads and limited resources.
“We physicians have the longest training time of any profession, yet we now spend roughly two-thirds of our workday as data-entry clerks, tending to digital paperwork and administrative burdens” – WSJ.com
How Is Data Currently Manifesting Itself in Healthcare?
- Notes entered into the EHR (electronic health record)
- Documents that have been scanned as image files or pdf documents
- Discrete data such as lab test results.
“The data arrives from many different sources and systems and in multiple formats. It has to be parsed into a format that everyone understands and has been trained to act upon in an appropriate manner” Alan Brookstone
- The Tech
Data presentation can negatively influence decision making if it is presented in an illogical or intuitive way
- Human Skills
The computer skills of all staff members and knowledge of their EHR has a significant impact on data interpretation. There are many reasons why some people are less digitally literate than others.
- Upgrades and Disruption
According to AmericanEHR one of the most frequent complaints of users is that their EHR does not have the necessary tools or capabilities to perform a certain function. Sometimes the staff are unaware that their EHR has the functionality as they haven’t been trained to use the product properly. In other cases their system may require an upgrade. Upgrades can be complex and entire servers may need to be shut down for maintenance. Consequently, upgrades are often delayed because of the disruption.
How Can We Succeed?
Lack of interoperability leads to poor outcomes, therefore the issue must be tackled to ensure quality control.
We believe merging simple-to-use, reliable technology and adequate human support and training will result in the ultimate success of any EHR implementation.
So a move towards cloud-based systems will have a definite advantage as the software is updated centrally by the vendor with limited need to update technology at the user end.
The most significant impact would become apparent with changes to government regulations. G Cloud is an initiative that assists with the procurement by public sector departments in the UK of cloud based commodity IT services. Traditionally, vendors have to be certified as compliant by the Department of Health which inhibits better products and slows down new system implementation. G Cloud is a way of shifting away from more primitive systems and offers a positive step towards improving the efficiency of EHR software and communication tools.
At Bitjam we pride ourselves on finding continuous ways to improve developer documentation, with cloud-based systems and use of more consistent data design at the forefront of what we do. Our mission is to use technology for social good, so if you have a digital healthcare problem that you’d like to solve, email us at [email protected] to find out more about our previous work.
2018 has opened lots of opportunity for us to focus on more data and IoT projects recently, including Staffordshire-based environmental measurement and control company Meaco.
“(Meaco provide) a range of environmental monitoring and control equipment to include data loggers, handheld devices, humidifiers, dehumidifiers and controllers”.
They specialise in providing products and services for high profile national treasures including museums, industrial archives, heritage sites and financial institutions.
Bitjam are to provide a modern solution to replace the current, soon-to-be outmoded hardware and provide effective and highly secure software. To discover more about the project, we’re using our R&D cycle to decipher the requirements, to accurately develop and test hardware and to build appropriate software with scalability in mind.
Currently we’re in the process of getting two units working in the field trial. This has involved the setup of Raspberry Pi’s with software and security configuration, and installing in two different real-situation environments such as a museum or bank.
The project is part of a longer process of working in partnership with Meaco to replace existing software to more modernised and scalable cloud-based technology.
The technology will revolutionise the way that Meaco provide high profile partner services, who deliver a mostly public sector service themselves. This boost of their services has a social benefit so it’s an appealing project to us, as it’s our preference to work in partnership with companies who have a similarly social vision.
We are working in partnership with Meaco director and system creator Michael Hall to innovate the entire system, which has given us a very hands-on experience (something we very much prefer to do at bitjam!). Together we’re working through the challenges of innovating the systems in such a way that business as usual is not affected and that clients are not disrupted during the transition.
If you have an IoT project with a social or public sector benefit and need a partner to develop both hardware and/or software, get in touch! You can drop us an email for a chat at [email protected]
Also, if you have requirements for an environmental monitoring system, we can highly recommend Meaco.
Contact Michael at [email protected]