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Patients in your heart

Patients in your heart. Patientsand families. Patients in mind. Electronic Patient Records and the new national agenda: Where do Radiology Management systems and PACS fit in today?. The scale of change. Have we reduced the mountain of suffering?. Do health costs matter?.

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Patients in your heart

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  1. Patients in your heart Patientsand families Patients in mind Electronic Patient Records and the new national agenda: Where do Radiology Management systems and PACS fit in today? Dr Charles Gutteridge Clinical Informatics

  2. The scale of change Dr Charles Gutteridge Clinical Informatics

  3. Have we reduced the mountain of suffering? Dr Charles Gutteridge Clinical Informatics

  4. Do health costs matter? Dr Charles Gutteridge Clinical Informatics

  5. It is global.... Dr Charles Gutteridge Clinical Informatics

  6. Productivity and growth Dr Charles Gutteridge Clinical Informatics

  7. NPfIT - Spine Service Connections Otherconnectedsystems GP systems, Pharmacy systems,Hospital systems, Electronic Staff Record MoD, Home Countries,Other government systems Nationalapplications supported Summary Care Record, Choose and Book, Electronic Prescription Service, Healthspace,GP2GP, NN4B, QMAS Reporting Test & Training environments Identity management Messaging Care records Demographics Prescriptions Services provided • Unstructured data • Choose & Book • GP 2 GP • Infrastructure • LRS • ETP • PDS • GP Summary • PSISQ • Discharge • Emergency Dept • Healthspace • Outpatients • Sealed Envelopes • Alerts • Health / Social Care Integration • Pathology • Common P2P • Admissions • Out of Hours • Ambulance • Mental Health • NHS Direct • Diagnostic Imaging • NMS National Monitoring Service Messagessupported Infrastructure Testenvts Identity mgt Data transfer Messaging (TMS & DTS) SUS SCR Demographics Directories Reporting info Data Dr Charles Gutteridge Clinical Informatics

  8. Health IT use Dr Charles Gutteridge Clinical Informatics

  9. Lesson 1 - Interoperability It is possible to deliver systems nationally but: • Time frame is long • Leadership challenge is great • Innovation gets left behind Dr Charles Gutteridge Clinical Informatics

  10. Lesson 2 – Professional leadership Professional engagement in solutions is critical: • Local works better than national • Nurse involvement is critical • Usability is a key factor Dr Charles Gutteridge Clinical Informatics

  11. Lesson 3 - Innovation IT and software innovation is a key to change but: • Innovation outstrips organisational capacity to introduce change • Innovation is costly for first in type users • Innovation disrupts established processes Dr Charles Gutteridge Clinical Informatics

  12. Lesson 4 - Analytics Analytics must be built in from the start: • Clinical data extraction is the key to use by doctors and academics • Performance management tools deliver engagement Dr Charles Gutteridge Clinical Informatics

  13. Lesson 5 – User training User training is key to good system performance and: • Is always underestimated and under delivered • System implementation has a stronger focus than sustainable use Dr Charles Gutteridge Clinical Informatics

  14. Are we clear about what we want to do? Dr Charles Gutteridge Clinical Informatics Dr Charles Gutteridge Clinical Informatics

  15. Focus on changing care delivery At present it is: • Centred on infrastructure • Led by professional groups • Digital solutions remain disconnected Clinical variation Dr Charles Gutteridge Clinical Informatics

  16. % of high risk TIAs treated within 24 hours Dr Charles Gutteridge Clinical Informatics

  17. The changed paradigm – local delivery • Wellness and self care • Defined by citizens • Innovative use of digital solutions • Information and knowledge • Comparison and choice • Apps and mobile devices Dr Charles Gutteridge Clinical Informatics

  18. Opp0rtunities for care • At the bedside • Care and treatment discussions • Safety • Quality • Productivity • Decision support • Video and application support • Training routines • Comparative information • Analytics Dr Charles Gutteridge Clinical Informatics

  19. Digital care delivery So how might we do that….? Dr Charles Gutteridge Clinical Informatics

  20. 5 challenges for a clinical leader Knowledge and content management Measurement and performance Patient experience at the frontline Innovation Education and training Dr Charles Gutteridge Clinical Informatics

  21. Connecting the data Dr Charles Gutteridge Clinical Informatics

  22. Dr Charles Gutteridge Clinical Informatics

  23. Data quality Dr Charles Gutteridge Clinical Informatics

  24. Dr Charles Gutteridge Clinical Informatics

  25. Comparative OECD 2010 data Dr Charles Gutteridge Clinical Informatics

  26. Patient involvement Dr Charles Gutteridge Clinical Informatics

  27. Dr Charles Gutteridge Clinical Informatics

  28. Dr Charles Gutteridge Clinical Informatics

  29. Teaching and education • Link the professions • Teach advanced informatics • Teach analytics • Teach performance management Dr Charles Gutteridge Clinical Informatics

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