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Patient Care - Case Study


Solution


OCSL’s acceSSOnce Clinical Desktop Solution delivers seamless, fast and secure access to clinical and business applications on any device anywhere with an Internet connection. The solution uses a Microsoft Private Cloud. Desktop services and applications are delivered seamlessly from this platform to the end user, with a consistent look and feel irrespective of device type.


acceSSOnce uses Single Sign-On (SSO) and Patient Context technology from Caradigm to complete the technology stack, making it highly relevant to a clinical setting. Hosted on HP Converged Infrastructure, the acceSSOnce solution is available on premise or via OCSL Managed Services. Devices including iPads and HP ElitePad tablets provide the interface via Windows8 to the clinical teams.


The follow-me desktop functionality of acceSSOnce allows the clinical user to deliver care closer to the bedside, while the fast user switching ensures a ward workstation is never left locked to another user if a clinician leaves their session open. Streamlining the search for patient information across multiple applications means less time wasted logging in and out of disparate systems and more time for the clinician to focus on delivering patient care.


From an IT department perspective, acceSSOnce provides a smooth migration path to Windows 8 and beyond, while leveraging the Microsoft Server 2012 Hyper-V and System Center 2012 platforms, to give a dynamic and fully integrated management stack. Employing the System Center 2012 Automation and Orchestration features allows the more mundane tasks to be managed by users, removing the headache from the IT department.


Finally, acceSSOnce is delivered as a scalable


appliance-based architecture making the whole solution simple for a healthcare organisation to adopt and support.


England rejects the idea that clinicians are resistant to change, or unwilling


to embrace new technology:


“Clinicians and consultants are pushing for a higher percentage of the patient record to be captured electronically – they want an IT experience that is as simple as their use of personal devices. They know and we know that point-of-care access to information is crucial. It is the number of people involved, and the workflow planning that makes this so complex.”


The L&D site is already fully wireless, so the network infrastructure was already in place to support mobile devices. Advances in tablet computing – light, gesture commands, high definition screens, extremely portable -


39 INSIGHT ON


HOSPITAL & HEALTHCARE MANAGEMENT VOL. 3 ISSUE 3 August 2014


“Clinicians and consultants are pushing for a higher percentage of the patient record to be captured electronically – they want an IT experience that is as simple as their use of personal devices. They know and we know that point-of-care access to information is crucial. It is the number of people involved, and the workflow planning that makes this so complex.”


Mark England, Director of Information Management & Technology at L&D


mean clinicians would be able to now retrieve patient records at the bedside. This would allow them to order medication at the same time, rather than waiting until the end of the ward round, with the pharmacy immediately responding. Follow ups with specialist consultants could also be logged.


England says the ease of adoption of acceSSOnce, particularly on tablet devices, has been well received by clinicians: “Tablets, small touch devices that you can use ergonomically and move around, really fit into clinical workflows. Delivering technology to the point of care is always a challenge because it’s an extra device between the clinician and the patient but as soon as you get data entry happening away from the patient the quality, timeliness and the accuracy of the data start to degrade. The closer to the patient you capture it, the more ergonomic it is. The quicker it is to use, the better.”


All of this has been achieved with no loss of security, he continues: “The single password with acceSSOnce means we can take a stronger line with regard to information security and governance. We have a faster refresh rate for passwords, and a much improved audit trail on access to the applications. The more we put onto a person’s individual log on the more interested they are in keeping it secure and maintaining good governance.”


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