nhs direct and eduserv dreamcore europe presentation

#DreamcoreEU

Gaining efficiencies with an interactive symptom

checker

Roger Donald, NHS DirectMichael Edwards, Eduserv

9th June, 2011

Twitter : #DreamcoreEU

Gaining efficiencies with interactive symptom checkers

Roger Donald (@rogerdonald)Associate Director – Multi-ChannelNHS Direct

What does NHS Direct do?

* 2

“We need to think about patients who

choose to access us by looking on the web

first, and then seek phone contact if that is

what they need”

Nick Chapman – NHS Direct CEO

A web first organisation

17,500 NHS Direct members surveyed

New multi channel services

Gathering information

The goals

40 online assessments / symptom checkers

Covering over 200 clinical algorithms

Produced by our Clinical Development Team

Clinically safe

Closely mirrors call centre processes

Dispositions & explanations (Call 999, Go to A&E, Call-back from a nurse)

Distributed via multiple channels

Web, Digital television, Mobile devices,

Patients demand digital services

Symptoms

Call back

Other NHS

ServicesSelf Care

Further triage required

Guiding principles

Principles & Guidelines

Innovate and provide usable services

Maximising benefits to the many rather than minimising risk to the few

Lead in the use of best practice in usability and user centred design.

Interoperable content and services, available for syndication

Become the centre of excellence in digital health information services

Empower patients to manage their own health and the health of their

family supported by our clinicians.

Key requirements to fulfil

Patient self service, where safe to do so

Lower cost per transaction

An engaging trusted user experience for patients

Simple, reliable content management facilities

Digital analytics to show patient demand and use

Syndicated clinical content

12 month stretch delivery plan

Procure

Partner-up with leading experts

Build, migrate and change

Test

Launch

Syndicate the HaSCs

Digital is a major channel - now

Analytics

NHS Direct’s online health and symptom checkers receive

around 20,000 visits a day

Busiest day of the week – Monday

Peak usage – public holidays, health scares

Our awards

2011 onwards - Apps and mobile web services

The major challenges

From phone algorithms to digitally delivered transactions

Ensuring teams understand a patient centered design approach

The H1N1 (Swine Flu) pandemics

Measuring what we do digitally

Project management – the size of the task

SiteCore was chosen because...

It integrates with other Microsoft platforms

Specifically Arezzo a clinical decision support tool from InferMed (Prime

Contractor to NHS Direct)

Easy to implement workflow

It versions our content

Inline editing out the box

An easily accessed web interface

An API to syndicate our services to other organisations

Delivery of content across multiple channels

A proven service used by major organisations

Building the solutionObject mapping and Spark rendering Michael Edwards (@mikeedwards83)

Who is Eduserv?

• 11 years experience providing information services to public sector

• Not-for-profit registered charity with commercial approach

• 1st UK Sitecore Partner • 8 years delivering Sitecore solutions

NEEDS TO BE RESIZED

CDE

CDE

Why?

• Focus on the business problem• Development is much quicker• Removes boiler plate/mapping code• Unit testing

Adding a Rendering Engine

XSLT

http://sparkviewengine.com/

• Html dominates flow• Less clutter• Works directly with the

object model• Compiled rather than parsed • No view state• Quicker than Web Forms

Template...

Code...

Config…

Why?

• Spark works how we want to work• Spark has less friction than XSLT or

Web Forms• Speed, less time spent solving

syntax problems• Use an engine makes the solution

easier

Demonstration..

#DreamcoreEU

Q&A Twitter : #DreamcoreEU

Roger Donald, Roger.Donald@nhsdirect.nhs.ukMichael Edwards, Michael.Edwards@eduserv.org.uk