Exclusive Free Trial of MIA Maternity for RCM Conference 2016

The Royal College of Midwives Annual Conference is one of the biggest dates in our diary. Last year we met so many amazing people, all striving to improve care in Maternity departments in the NHS. This year we’re rewarding those people with an exclusive free trial of MIA Maternity.

Isosec strive to improve the working lives of Midwives with MIA Maternity, the mobile app that replaces inefficient paper processes. MIA reduces admin, travelling and as well as using that time to improve patient care, it also ensures MIA Midwives get home on time! We’ve decided to make your RCM Conference 2016 even more special… We are (very!) excited to officially announce that we are offering an exclusive free trial of MIA Maternity to attendees of the RCM Annual Conference 2016!

This includes the tablet devices, the process redesign to get MIA configured exactly to your working practices and a short pilot period*.

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Do you think this sounds like a good idea, but aren’t sure how it could work in your Trust? Or perhaps you need solid evidence of the benefits to having mobile midwives?

Imperial College Healthcare NHS will be showcasing their digital transformation journey with MIA at 12.10 on Day 1. Come along to discuss the benefits of a more efficient workforce through the use of mobile technology.

Midwives from Imperial College Healthcare NHS and our Co-Founders will be on Stand 17 both days to answer any questions you might have.

We are proud sponsors of the RCM Conference App this year so be sure to download it to plan your conference and read more about Isosec.

RCM exhibitor 2016 MIA maternity

Why not follow us on twitter @isosec to keep up with us before the event starts? We’ll be live tweeting from the event using #RCMConf16 and also posting some great tips and tricks from our MIA Midwives on #MIAMidwives.

If you would like any more information or to arrange a meeting at the RCM Conference or otherwise, please email info@isosec.co.uk or use the contact form on our website.

We’re really looking forward to meeting everyone, see you there! 

RCM conference 2016 MIA free trial

*Isosec terms and condition apply.

New NHS Tariff System Offers Good News For Maternity

“Tariff proposal would see maternity spend increase by 8 per cent” Esther Oxford, Health Service Journal, 2nd August 2016

 

The recent HSJ article suggests that with the newly proposed NHS tariff system spending on Maternity could increase by £221M, a total increase of 8.3%.

Under existing policy, providers are paid according to which care pathway an expectant mother is assigned to. In order to assign pregnant women to the right care pathway, clinicians identify which “clinical complexities” and co-morbidities a woman may develop prior to birth. Women are they then assigned according to the NHS tariff system as standard, intermediate or intensive care pathways, with trusts paid more for the most complex cases.

As a result of the new tariff system, the proportion of women put on pathways providing intensive care is expected to rise from 7.1% of expectant mothers to 11.3%, while 38.7% of women on maternity pathways will be classed as intermediate – up from 27.3% at present. Consequently the proportion of women put on maternity pathways classed as standard – the least expensive tariff – is expected to fall from 65.5% to 50%.

This is great news on the surface but in Isosec’s experience from working closely with Imperial College Healthcare NHS midwives is that the allocation of mothers to the correct category was not always given the attention it warranted. Consequently Trusts were missing out on a large amount of funding (and exposing themselves to potential risk). When the MIA Maternity app was adopted at Imperial College Healthcare NHS the data showed percentages of mums allocated to each category were far from NHS national averages. Senior midwives could soon see that there were some issues with the process (too many women being allocated almost by default to the standard category) and now provide education to their midwives to ensure that (approximately) £170k of potential additional income is recovered.

The moral of this particular piece is that although the message is inherently positive and should be applauded, data must be available to ensure that the correct costs are recovered. This is just one example of data that is very difficult to collect and evidence with paper processes and where using mobile devices will improve the system. MIA collects, evidences and analyses all data passively and presents it as part of our analytics dashboard, so a Trust can easily drill down into their own data and identify any areas for improvement. As the renowned statistician W. Edwards Deming said, “Without data you’re just another person with an opinion.”

NHS signage new tariff system

If you think your Trust or organisation may be missing out on revenue because of inefficient paper processes or loss of data please visit our website or arrange a MIA Maternity demo to find out more.

 

Oxleas NHS Foundation Trust mobilise their community workers with solution from Isosec and Partners

Mobile app solution ‘MIA’ from Isosec means Oxleas NHS clinicians can reduce unproductive admin and travel time to be better spent on patients.

Oxleas NHS Foundation Trust has been working on providing community based staff with the ability to access and update clinical records securely, whilst working remotely.

Geographically, Oxleas covers over 125 sites across the London Boroughs of Bexley, Bromley, Greenwich and into Kent, so mobile working is crucial to improving patient care whilst maximising efficiency and productivity.

The partnership solution between Isosec’s MIA, Servelec’s RiO and Precise Biometrics’ smartcard reader has allowed the Trust to become the first NHS organisation in the country to use the mobile working solution on an iOS platform. This provides safe and secure remote access for clinicians.

The mobile solution reduces the need for clinicians to come into base to gather and update records as they now do this directly on their tablet device.

“My ability to be out and about for most of the day certainly benefits my patients. Rather than having to come back to pick up information, to get addresses or phone numbers, I can be much more responsive.” – Daniel Baptiste, Enteral Feeding Specialist Dietician, Oxleas NHS Foundation Trust

Additional benefits include:

  • Minimising unnecessary travel time and expenses
  • Reducing duplication of administrative tasks
  • Costs recovered from reducing unproductive tasks
  • Maximising data quality by supporting digital working
  • A paperlite service
  • Time gained now spent on patient care
  • Isosec Analytics provides real time usage data to measure success

Oxleas have over 1,000 users with plans to extend the service provision to several hundred more. This makes Oxleas the first Trust in the country to use the partnership solution at scale.

You can watch the Oxleas case study video or download the white paper from www.isosec.co.uk to hear users talk about the solution in more detail. If you would like to request a MIA demo please visit the website or contact info@isosec.co.uk.

Oxleas Pinewood House

Award-winning CMFT team using MIA Infant Feeding app

Central Manchester Children’s Community Services: Health Visiting Infant Feeding Team are winners of the Journal of Health Visiting 2016 Award for ‘Best practice in promoting and maintaining breastfeeding’ and have chosen clinical mobile app MIA from Isosec

The national award is in recognition of the work the Infant Feeding team have done to support women in Manchester to breastfeed their babies when presented with complex or ongoing challenges. By offering a home visiting service for clients experiencing urgent feeding difficulties and delivering community sessions for ongoing feeding challenges the team are able to ensure women are given every opportunity to maintain their chosen feeding method and feel confident they receive support when they really need it alongside the ongoing care from their named Health Visitor.

The team has chosen to work with Isosec and adopt the MIA Infant Feeding app to ensure that not only are we able to capture data relating to specific types of referral with measurable outcomes, but we also make best use of client feedback that has been inbuilt into the process. Our client voice is very important to us and by collecting information around performance as well how it has impacted on the relationship between mother and baby, we feel we will be able to ensure our commissioners and service leads feel confident in our ability to provide a quality and effective service.

Our Trust values are at the heart of everything we do and we are working with Isosec to ensure MIA provides us with the opportunity to showcase our hard work.

To read the CMFT Case Study or to book a MIA demo please visit www.isosec.co.uk.

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Winners of HSJ Value Awards 2016

Health Service Journal Awards 2016 reveal Isosec Ltd. didn’t win this time in the Obstetrics and Gynaecology category for their mobile app MIA Maternity.

Isosec would like to congratulate St George’s University Hospitals Foundation Trust for their win in the HSJ Award in Obstetrics and Gynaecology recognising Value in Healthcare. Congratulations to Wrightington, Wigan and Leigh Foundation Trust who were highly commended in the category. Isosec was also nominated recognising the success of MIA Maternity at Imperial College NHS in London. It was the third high profile awards nomination for MIA Maternity in the past year.

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Marc Poulaud, Co-Founder of Isosec says, “As a company focussed upon delivering solutions that improve patient outcomes, it’s great even to have been nominated so many times for the work we’re doing. The team at Isosec and Imperial look forward to seeing what exciting opportunities MIA Maternity will bring us in the near future.”

Kathy Lanceley, Deputy CIO at Imperial College NHS added, “Working with Isosec has been an absolute revelation. They’ve been responsive to everything we’ve needed; we’ve really learnt how we can do this together. Their maternity solution that we’ve deployed is unique and it’s the first time that our midwives, and probably any others, have had a solution that’s really designed around their working practices, it’s a tailor made fit and they’re very happy.”

The midwives at Imperial have found numerous benefits to using the MIA Maternity app, such as an increase in breastfeeding mothers, an increase in staff satisfaction, decreasing staff sickness, increased data quality and having more time to spend on patient care.

To request a MIA demo please contact us on info@isosec.co.uk or to find out more about the winners HSJ Awards 2016 please visit: www.hsj.co.uk.

 

New Pilot Analytics Service Announced

We are preparing the next set of Isosec products as part of our Isosec Roadmap and would like to announce a pilot Analytics service. This first instalment will enable trusts to access all their user authentication records for all Isosec products.

Initially the analytics service information available is limited to:

    Authentication Timestamp, Isosec Product, Isosec Product Version, Device Id, User Certificate Id, Platform Operating System

This applies to our MIA platform and MIA applications such as MIA Maternity as well as iO and iO Local which is embedded as part of RiO Store and Forward and Open RiO.

As part of the roadmap, we’ll then look to add a rich set of additional information, including user information, GPS location information, clinical application information and detailed device information.

This will culminate with an analytics dashboard providing key business insights and governance information on the usage of clinical applications by users on desktop, virtual or mobile devices.

What can Analytics do?

Analytics provides a complete and detailed view of how users access which applications from which device and where. This can be done directly through inspecting a specific user, device or application or even location. It can also be done indirectly by identifying patterns in this information.

This can enable:

  • Uncovering of Information Governance issues directly or indirectly through unusual behaviour such as the sharing of smartcard credentials
  • Identifying where applications are or not being used by certain users

A glimpse of things to come:

Isosec Analytics Dashboard Screen

If you would be interested in being part of a pilot for the analytics service email support@isosec.co.uk to register your interest.

App Update for MIA Maternity: Version 1.2.4860

This is the latest release from Isosec for the MIA Maternity app. This update contained a number of user experience improvements and fixes to some underlying issues.

The time taken for the initial synchronisation is significantly faster than before due to a number of performance optimisations. This means that after the initial MIA download from the App Store new users will be ready to work in seconds. We have changed the logic to only collect data from the server from the past 90 days, whereas previously it was pulling the entire database history as well as fetching and deleting unnecessary records. This has lead to an improved speed that is 20x faster than the performance of the previous version.

The companion app to MIA Maternity, MIA Manager, has undergone a number of enhancements including the addition of a Custom Form Generation page. This page removes the need for Isosec to issue updates for minor editorial changes such as changing a user phone number. It will allow users with Admin privileges to make such changes to the Contacts page on the MIA Manager application. The form is fully editable and includes drag and drop elements for ease of use, in table editing for impromptu changes and MIA saves a hard copy which is then pushed to all user’s iPads.

One issue that has emerged from the overall process redesign is that patient discharge rates were not often on target. As a result of this we have made another addition to MIA Manager in the form of the Discharge Analysis page. This displays analytics on teams and individuals showing the number of patients that have not been discharged within the recommended 28-day period. Patients in this list are prioritised based on how many days overdue their estimated discharge date they are. The purpose of this Discharge Analysis page is simply for team leaders to monitor the distribution of work in their team and address potential workflow issues in order to work more efficiently and productively.

In conclusion we have clearly demonstrated our main goal of transforming and finessing process design in order for organisations that use our products to work smarter. These seemingly small changes in the products save time and resources, which add up to a more productive workforce. If you are interested in MIA and how we could improve your processes with mobile technology, please get in touch on info@isosec.co.uk.

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The latest MIA Client is here!

We are excited to announce that the latest MIA is now available in the Apple App Store! The new client brings with it some fantastic changes that will result in a more pleasant user experience as well as enhanced security.

The new MIA client is compatible with the new Version 8 cards that are being rolled out across the NHS. This will eliminate any potential issues that may have arisen when the new cards were issued to users.

The most significant change to the client has been the improvement to the data encryption engine and security of the data that is being synchronised. MIA now uses a very strong method of encryption (a combination of symmetric AES256 encryption and asymmetric encryption with a public key), which allows the client to run faster due to decreased load.

Users will notice that the initial synchronisation is 10 to 15 times faster than before.  As well as being faster, the combination of the symmetric and asymmetric encryption is also even more secure than the previous encryption method. MIA now also works with any synchronisation server that enables the encrypted communication by making use of the latest version of the OpenSSL cryptographic library, and supporting secure https communication.

Finally we have modified the MIA Client using some of the new tools that became available with the release of Apple’s iOS 9. This includes the app thinning feature which makes the client a smaller application, taking up less space on devices by downloading only the files required for a specific device. For example, for iPad mini, only the iPad mini files are downloaded as opposed to all of the iPad files as was the case previously. The MIA client was also cleared of depreciated functionality that was rendered obsolete with the release of iOS 9.

With the new version users can look forward to a faster, smoother and more secure MIA experience with the release of MIA Version 1.2.4722.

Isosec MIA App logo

The Isosec MIA app logo

A Day with Mobile Working in the NHS

Alice the midwife with MIA on tablet device

Alice the midwife with MIA on tablet device

First thing in the morning Alice launches the MIA Maternity app on her iPad and connects to a network while she’s having breakfast at home. MIA automatically synchronises all patient and observations data from her team as well as Alice’s appointment list for the day. This takes seconds. Alice can easily flick back through patient notes so she is up to date with them before she visits their house. Alice can then pack the iPad away and start her day, without needing to go into the community hub where she works.

MIA Maternity knows the location of each mother and baby and will automatically display the nearest patient based on proximity to Alice using GPS which saves her having to search for each patient address as well as being more efficient with fuel.

Whilst with mum, observations are recorded straight into MIA on the iPad, together with the patient’s next appointment or discharge details if applicable. A dashboard highlights whether a Pathway form must be completed, together with reminders for time-constraint items such as Newborn Bloodspot Screening Tests. The observations are done with intuitive drop down menus and toggle selections, rather than having to write everything up, this increases the data quality, as all of Alice’s team will use the same standards, rather than having to read through pages of written notes. There is also a place for typing should any notes be absolutely necessary.

If Alice visits a patient in a rural area or somewhere without any signal there is no compromise to what information she can input, the functionality of MIA is the same. MIA will alert Alice when it is working offline, and keep track of how many records have been input since the last synchronise. This encourages Alice to keep MIA up to date so it can push all of the data straight back into the hospital’s internal data system- all without an administrator having to duplicate Alice’s work and typing up handwritten notes!

Alice the midwife using MIA offline

Alice the midwife using MIA offline

Each midwife in the team has access to all patient information for that team so can quickly review notes for any patient. So any information Alice inputs to MIA will be available for the whole team to see, most importantly for the next midwife who comes to visit mum and baby. This is particularly helpful if someone is on holiday or off, anyone else in the team can easily pick up on the important information.

At the end of the day Alice can go online anywhere with a secure data connection and MIA automatically synchronises all patient records, pathway forms, observations and appointments. After just a few seconds the synchronisation is complete and the iPad can be packed away or used normally as a personal device – as no NHS data can be accessed without Alice’s NHS smartcard.

Lord Prior on the NHS Five Year Forward View

A recent HSJ article reporting on Lord Prior’s comments on the ‘Five Year Forward View’ acknowledged that according to the Commonwealth Fund the NHS was recently ranked the safest and most efficient healthcare system in the world. It is certainly great to see some positive news about the NHS for a change. It is all too easy to focus on the bad news stories but this really is a testament to staff and the great work they do day in and day out for the vast majority of people who come into contact with the NHS. However that isn’t to say everything is perfect – we all know it isn’t and the NHS must adapt to survive. Lord Prior goes on to say that there is huge potential to do things better in the NHS – and that is crucial if we are to achieve the care system envisaged in the Five Year Forward View.

One of the ways Lord Prior refers to is the need to shift care from acute settings to out-of-hospital settings, reversing a trend we have witnessed since the early 2000s – of policy decisions driving activity and resources into acute providers, rather than primary and community care. It entails changing the way care is delivered, ensuring we develop a more integrated, place-based system.

In order to enable this we need to provide mobility solutions that enable staff to do their jobs more effectively whilst mobile in the community, whether online within range of a signal or offline when not. Neither is it sufficient to provide mobile workers with their legacy desktop applications running on laptops or in windows on a tablet device – that is not true mobility. What is required are truly mobile apps designed to work on gesture driven devices that make life easier for the frontline staff and better for patients. At Isosec we think we have part of the solution and we look forward to working with colleagues in the NHS to make the five year forward view a reality.

“There is broad consensus on what [the] future needs to be. It is a future that dissolves the classic divide, set almost in stone since 1948, between family doctors and hospitals, between physical and mental health, between health and social care, between prevention and treatment. One that no longer sees expertise locked into often outdated buildings, with services fragmented, patients having to visit multiple professionals for multiple appointments, endlessly repeating their details because they use separate paper records.”

“One organised to support people with multiple health conditions, not just single diseases. A future that sees far more care delivered locally but with some services in specialist centres where that clearly produces better results.”

– NHS Five Year Forward View, October 2014, https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf

You can read the original HSJ article ‘Lord Prior: Two Ways to Help Deliver Our Promise of Transformation’ here: http://www.hsj.co.uk/newsletter/home/lord-prior-two-ways-to-help-deliver-our-promise-of-transformation/7000969.article?WT.tsrc=email&WT.mc_id=Newsletter308

Lord Prior NHS