Mobile Investment Toolkit: Exemplar benefits maps

Transcription

1 Mobile Investment Toolkit: Exemplar benefits maps These are exemplar benefits maps to illustrate how benefits dependencies can be mapped to aid benefits identification and benefits realisation. While drawing on real life experience, these are examples only and are intended to be both system agnostic and organisationally generic. Each project will have to create their own benefits maps to reflect local circumstances. Contents Benefits Map : Mobile Working Community Setting High Level... Benefits Map : Mobile Working Community Setting Palliative Care... Symbol Definitions Benefits Maps and... Benefits Map : Mobile Working Acute Setting - Electronic Vital Signs... 5 Symbol Definitions Benefits Map... 6

2 Benefits Map : Mobile Working Community Setting High Level Mobile Working (Community Setting) High Level Benefits Map Example Map for HSCIC Mobile Investment Toolkit. March 06 Work Outcomes (Dis)Benefits Objectives Mobile working Output P: Configure & Rollout Mobile Solution Output P: Data sharing and consent model agreed Output P: Updated policies (e.g. mobile working) Business Change C: Minimum record in patient home agreed Business Change C: Change working practices Business Change C: Culture Change & Adoption Output P: Establish Connectivity Output P5: Estate Strategy Output P6: Ability to use mobile device for & training 6 O: Staff take photos of wounds to track improvement or get advice O9: Electronic patient notes O5: Users access & update records while in the O: Templates configured to capture rich information O: E-learning can be made A: Device has camera R: Can make data entry cumbersome O: Staff able to do some training remotely O0: No longer have to carry paper records 8 O6: less printing & storage of paper notes O: Richer activity data O: Colleagues consulted without need for a joint appointment O6: More consistent and timely activity reporting 6 5 O: No longer have to collect/ return records from and to base O: Wound improvement/ change can be tracked 8 O7: Data used to improve services O5: Team meeting frequency/ location/mode/ timing redefined O: / more efficient travel O5: Clinical templates & guidelines O: More time for patient contact O8: Optimised ratio of FF/non FF contacts O6: More efficient use of base locations O: More confident decision making & consistent care A: Extra time means fewer visits for patient O9: Increased activity O7: Access instructions reliably for home visits O: More time spent with a patient O0: Increased efficiency A: Current or future link between activity and income O8: Fewer no access visits 0 B:Improved patient satisfaction 5 B: costs for paper, printing, archiving B6: Increased income B9: Office space savings/re-use B: Better patient outcomes B5: Better work/life balance; increased staff satisfaction B: travel cost B7: Less use of agency staff 9 J: Improve Quality of Services J: Be the local provider of choice J: Be the local employer of choice J: Improve financial position Output P7: Ability to use mobile device for Friends & Family test O: F&F Tests completed in patient s home O: Better compliance with F&F completion 0 Benefits Map : Mobile Working Community Setting Palliative Care

3 Mobile Working in Community Setting, Example Use of mobile tasking, notes forms and alerts - generic Work Outcomes (Dis)Benefits Objectives Output P: Configure notes and forms O: Electronic case notes & forms completed O: Ability to reuse information O: repetitious questions O: distress B: Improved Patient & Family & Experience: distress Output P: Roll out system 5 O5: Electronic patient notes O: Quicker completion of forms O: Info on preferred place of treat/death accessible in Mobile working Output P: Configure diaries Business Change C: Change palliative care worker working practices Output P: Roll out G/Wifi mobile devices Business Change C: Change work allocation processes Output P5: Configure tasking O7: Users can access records while in the O9: Receive tasks while in the 5 O6: No longer have to carry paper records O8: Users have access to personal and team diary O: Increased patient-facing time spent O0: travel to and from base O: Improved compliance with preferred place of treat/ death O5: likelihood of necessity to admit O6: Quicker actioning of tasks B: Improved Patient & Family & Experience: treat/death in chosen place B: Improved Patient & Family & Experience: Faster response J: Better experience for our patients Symbol Definitions Benefits Maps and

4 Benefits we want to achieve Disbenefits we want to control and minimise The work needed to be done to get the change The outcomes i.e. a change of state The assumptions we ve based our benefits on i.e. risks The organisational objective contributed to The connections between all of these (where they would cross each other these are often replaced with numbers) What we re going to measure Milestones/checkpoints for the project plan

5 Benefits Map : Mobile Working Acute Setting - Electronic Vital Signs Electronic vital signs high level example benefits map v0. 0/6 Clare Cape enablers capabilities outcomes benefits objectives Integrated vital signs recording with EPR Sufficient hardware located at the bedside infrastructure +/- mobile devices Vital signs data are in context of other clinical data Less time spent on entering / transcribingvital signs data Prompt attention to deterioration / concern assessment and treatment Released time to care / efficiency Risk that clinicians loose skills in manual vital signs observations (eg use of sphyg) Safe care Improve health outcomes Integrated Sepsis Six triggers and protocols Order comms E-prescribing More accurate and timely vital signs data entry Less deterioration / quicker recovery complications / healthcare aquired infections Financially stable organisation Clinical noting Paper recording stopped Staff familiar with accessible downtime process costs of providing paper vital signs charts LoS / improved patient flow / throughput

6 Symbol Definitions Benefits Map Enablers - work or functionality needed for the change Capabilities or outputs delivered by the enablers Outcomes change of state Milestones on the project plan Assumptions Measurements Benefits we want to achieve Dis-benefits we want to control and minimise Strategic objectives to which the changes and benefits contribute Connections