nhs direct and eduserv dreamcore europe presentation

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#DreamcoreE U Gaining efficiencies with an interactive symptom checker Roger Donald, NHS Direct Michael Edwards, Eduserv 9 th June, 2011 Twitter : #DreamcoreEU

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NHS Direct's and Eduserv's Dreamcore Europe 2011 presentation.

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Page 1: 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

Page 2: NHS Direct and Eduserv Dreamcore Europe Presentation

Gaining efficiencies with interactive symptom checkers

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

Page 3: NHS Direct and Eduserv Dreamcore Europe Presentation

What does NHS Direct do?

* 2

Page 4: NHS Direct and Eduserv Dreamcore Europe Presentation

“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

Page 5: NHS Direct and Eduserv Dreamcore Europe Presentation

17,500 NHS Direct members surveyed

New multi channel services

Gathering information

Page 6: NHS Direct and Eduserv Dreamcore Europe Presentation

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,

Page 7: NHS Direct and Eduserv Dreamcore Europe Presentation

Patients demand digital services

Symptoms

Call back

Other NHS

ServicesSelf Care

Further triage required

Page 8: NHS Direct and Eduserv Dreamcore Europe Presentation

Guiding principles

Page 9: NHS Direct and Eduserv Dreamcore Europe Presentation

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.

Page 10: NHS Direct and Eduserv Dreamcore Europe Presentation

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

Page 11: NHS Direct and Eduserv Dreamcore Europe Presentation

12 month stretch delivery plan

Procure

Partner-up with leading experts

Build, migrate and change

Test

Launch

Syndicate the HaSCs

Page 12: NHS Direct and Eduserv Dreamcore Europe Presentation

Digital is a major channel - now

Page 13: NHS Direct and Eduserv Dreamcore Europe Presentation

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

Page 14: NHS Direct and Eduserv Dreamcore Europe Presentation

Our awards

Page 15: NHS Direct and Eduserv Dreamcore Europe Presentation

2011 onwards - Apps and mobile web services

Page 16: NHS Direct and Eduserv Dreamcore Europe Presentation

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

Page 17: NHS Direct and Eduserv Dreamcore Europe Presentation

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

Page 18: NHS Direct and Eduserv Dreamcore Europe Presentation

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

Page 19: NHS Direct and Eduserv Dreamcore Europe Presentation

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

Page 20: NHS Direct and Eduserv Dreamcore Europe Presentation
Page 21: NHS Direct and Eduserv Dreamcore Europe Presentation

NEEDS TO BE RESIZED

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Page 25: NHS Direct and Eduserv Dreamcore Europe Presentation

CDE

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CDE

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Why?

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

Page 32: NHS Direct and Eduserv Dreamcore Europe Presentation

Adding a Rendering Engine

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XSLT

Page 34: NHS Direct and Eduserv Dreamcore Europe Presentation

http://sparkviewengine.com/

Page 35: NHS Direct and Eduserv Dreamcore Europe Presentation

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

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

Page 36: NHS Direct and Eduserv Dreamcore Europe Presentation
Page 37: NHS Direct and Eduserv Dreamcore Europe Presentation

Template...

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Code...

Page 39: NHS Direct and Eduserv Dreamcore Europe Presentation

Config…

Page 40: NHS Direct and Eduserv Dreamcore Europe Presentation

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

Page 41: NHS Direct and Eduserv Dreamcore Europe Presentation

Demonstration..

Page 42: NHS Direct and Eduserv Dreamcore Europe Presentation

#DreamcoreEU

Q&A Twitter : #DreamcoreEU

Roger Donald, [email protected] Edwards, [email protected]