Towards shared information in healthcare - Or we’d rather talk about plans…

1. Towards shared information in healthcare- Or we’d rather talk about plans… Øystein NytrøDepartment of computer and information science Norwegian University of Science and Technology

2. Words: Cooperation Continuity of care Shared care Seamless care Integrated care Øystein Nytrø, tdt4210, oktober 2004

3. CONTsys (CEN TC 251/WGII Terminology and knowledge representation)says: • Continuity of care : an organisational principle, where one or more health care providers deliver several heath care services to a subject of care. This organisational principle focuses on the timerelated links between those different healthcare services. • Shared care : an organisational principle where two or more health care providers jointlly co-operate to provide healthcare services to a subject of care for a continuing health issue. This organisational principle focuses on joint objectives and responsibilities. • Seamless care : a quality principle, focusing on the timely and appropriate transfer of activity and information, when responsibility for the delivery of healthcare services is wholly or partly transferred from ahealthcare provider to another. • Integrated care : an organisational principle, encompassing at the same time continuity of care, shared care, and seamles care principles. Øystein Nytrø, tdt4210, oktober 2004

4. Shared information – Must add perspectives, time and modalities: • Roles / Individuals / Organizations • Responsibility / Ownership • Objectives / Reality / Revised objectives • Different perspectives and perceptions of • Objectives and outcomes • Plans / History • Records of things to be done • Deviations / Revisions • Records of what happened Øystein Nytrø, tdt4210, oktober 2004

5. A Norwegian example: The individual careplan The objective of making an individual careplan is: • To support a coordinated, unified and individual health service, and ensure a responsible care provider at all times. • To map the patients objectives, resources and needs for different services in different domains and coordinate and evaluate actions to meet those needs. • To increase cooperation between a serviceprovider, patient and other involved (peer/family), between service providers and other organizations at the same or across levels of service.. Øystein Nytrø, tdt4210, oktober 2004

6. Roles in an individual plan Øystein Nytrø, tdt4210, oktober 2004

7. Plans integrate health information Øystein Nytrø, tdt4210, oktober 2004

8. Plans are dynamic Øystein Nytrø, tdt4210, oktober 2004

9. The message(s): • Sharing information is not the same as sending information. • Sharing means sharing responsibility in a planned way. • Records may not be the appropriate platform for cooperation. • Plans may change how responsibility, and thus information is passed around. • Plans require rethinking of health service organization • Plans have goals: • For the patient • For different actors • Plans are revised, discrepancy is recorded and goals evaluated. Question: How do individual plans, episodes of care and procedures interact? Øystein Nytrø, tdt4210, oktober 2004