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Health IT and the Francis Report Dr Paul Shannon 30 th April 2014

Health IT and the Francis Report Dr Paul Shannon 30 th April 2014. How IT systems can help address the key findings of the Francis report. What is ‘culture’?. Surface manifestations Artefacts, ceremonies, rituals, heroes, sagas, etc. Values and Beliefs. Basic assumptions

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Health IT and the Francis Report Dr Paul Shannon 30 th April 2014

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  1. Health IT and the Francis ReportDr Paul Shannon30th April 2014 How IT systems can help address the key findings of the Francis report

  2. What is ‘culture’?

  3. Surface manifestations Artefacts, ceremonies, rituals, heroes, sagas, etc Values and Beliefs Basic assumptions e.g. nature of reality, truth, relationships Schein’s 3-layers model • Schein, E.H. (1985) Organizational Culture and Leadership, Jossey-Boss, San Francisco, CA.

  4. Analysis of cultural diversity in a NHS Trust using Schein’s 3 level scheme

  5. Key finding: ‘Secrecy’ ‘...doing the right thing even when no-one is watching’ (C S Lewis)

  6. Key finding: ‘A lack of openness to criticism’ ‘To focus on blame will perpetuate the cycle of defensiveness, concealment, lessons not being identified and further harm.’ (p35, Executive Summary)

  7. Key finding: ‘Acceptance of poor standards’ Urgent improvement necessary

  8. Key finding: ‘Misplaced assumptions about the judgements and actions of others’ There should be ‘...no place for favourable assumptions’. (p1678)

  9. Key finding: ‘Defensiveness’ “We can only be sure to improve what we can actually measure.” (Lord Darzi)

  10. Key finding: ‘Looking inwards not outwards’ ‘[The NHS] is self-referencing. It’s not good at listening’ (Ombudsman, p1363)

  11. Key finding: ‘A failure to put the patient first in everything’ ‘The Trust prioritised its finances and its FT application over its quality of care, and failed to put patients at the centre of its work’. (p45, Executive Summary)

  12. Conclusion • Patient stories have high impact! ‘a rich and varied source of information on each patient to help patients avoid or manage chronic disease, deliver truly personalised health care and proactively monitor safety and quality of care.’ (CSC, 2012)

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