Mobile MD Planning & Testing Phases

Suzanne Kelson, MPH Senior Project Manager

Deysi Sulaj,

RN Senior Application Analyst

All presenters have indicated they have no relevant financial relationships to disclose in regard to the content of this presentation.

Memorial Sloan-Kettering Cancer Center Academic medical center focusing on cancer treatment and research, located in NYC and Tri-state region  Est. 1884 – The world's oldest and largest private cancer center  470 Inpatient Beds  595,000 Outpatient Visits  19,000 Surgical Cases  11,400 Employees  2,000 Nursing Staff

Discussion Points  Objectives  The Current State  Mobile MD Overview

 Mobile MD Functionality  Testing Process, Considerations and Configuration Tools

 Outcomes  Lessons Learned  Next Steps

Objectives 

Demonstrate the approach of how MSKCC will utilize the Mobile MD app



Discuss testing approach, challenges, lessons learned

Design Process Allscripts

Clinical Documentation/ Information Systems/ CIS Core Teams

Clinician Feedback

Design & Implementation Process Approval Group

The Informatics Committee

The Current State of CIS 

Orders



Results



Clinical Documentation



Flowsheets



eMAR



Custom Tabs (Including Clinical Data Viewer)



Inbox



ED Manager – Status Board

The Current State: How the Clinicians View Data in CIS

Patient List Orders Tab

Documents Tab

Clinical Data Viewer

Flowsheet Tab Results Tab

Mobile MD Overview  SOW was signed 3/10/2011  CDs were ordered/delivered  Set up of Web server  Installation in our Test environment late August  Presented to Physician IT Planning Committee  Continued Discussion re Deployment of Devices  Application Reviewed by Privacy and IT Security Offices

Mobile MD Functionality How to Access: 1. User downloads app from app store on IPhone, IPod Touch or IPad.

2. Sys Admin adds user (or groups of users) to CIS MobileMD security group. 3. Setup required (HD will assist) on device to point to services URL 4. Device must be password protected 5. Can only access Mobile MD when signed in to MSKwifi.

Mobile MD Functionality Logging On...

Mobile MD Functionality

Mobile MD Functionality

Mobile MD Functionality

Mobile MD Functionality

Mobile MD Functionality

Mobile MD Functionality

Mobile MD Functionality

Mobile MD Functionality

Mobile MD Functionality

Configuration

Testing Phase  Testing completed in Test environment 5.0 SP3 HFRU6  Apple Products (IPhone, IPod, and I Pad) OS version 5.0.1

 Scripts developed for testing were devised by each team as needed

 MSK uses Sharepoint - all teams have access to enter documents and updates on issues

Testing Issues/Outcomes  Performance issues with Mobile MD App  Unofficial Hotfix to address performance issues installed and tested  Official performance Hotfix installed and tested  Testing of this Hotfix presented new issues with observations on the patient summary screen

 Additional Clinician Portal Hotfix applied to address observations issues {prerequisite Hotfix}

 Other observation issues encountered

Lessons Learned  Observations  Clinical Summary

 Hotfixes

 Notifications and alerts

Next Steps  Training

 Go Live - Pilot

Team Members 

Suzanne Kelson



David Artz MD



Dan Mooney





Deysi Sulaj RN

MaryAnn Connor RN, MSN, CPHIMS



June Hunter



Barbara Putz



Richard Donopria



Kaichiao Lin



Mary Mitchell



Wei Xiong



Jackson Wan



Steve Lazan



Jonathan Sloan

Questions & Answers

Appendix: Steps for Software Install 1

Install Microsoft Internet Information Services 7.5

2

Install Microsoft .Net framework 3.5 with service Pack1

3

Install Microsoft Message Queuing

4

Install Sunrise Clinician Portal 5.0 SP3 database components into our SCM database

5

Install ASP.net personalization database and ASP.net state database

6

Install Sunrise Transaction Processor on 2003 Server

7

Install Sunrise Mobility Application on 2008 R2 Server

8

Install Notification certificate on notification server

9

Load mobileMD related MLMs

10

Apply latest patch or HFs

11

Configure Sunrise Mobile MD Service in a DMZ (demilitarized zoon). Our site use intranet, so skip this step.

12

Install/configuration Security Sockets Layer security certificate

13

Configure mobileMD application