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Healthcare Change in the NHS Practical considerations of VistA Dr. Tony Shannon

Healthcare Change in the NHS Practical considerations of VistA Dr. Tony Shannon. Tony Shannon . M.B. B.Ch. B.A.O. Ireland Fellow of College of Emergency Medicine England Fellowship in Informatics USA MSc in IT Management England

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Healthcare Change in the NHS Practical considerations of VistA Dr. Tony Shannon

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  1. Healthcare Change in the NHSPractical considerations of VistADr.Tony Shannon

  2. Tony Shannon M.B. B.Ch. B.A.O. Ireland Fellow of College of Emergency Medicine England Fellowship in Informatics USA MSc in IT Management England Consultant in Emergency Medicine, Leeds Teaching Hospitals Chief Clinical Information Officer, Leeds Teaching Hospitals (Clinical Lead, NHS Connecting for Health – National Programme for IT) (Chair, Clinical Review Board, openEHR Foundation) Honorary Research Fellow, University College London

  3. Key points • Healthcare Change • People, Process & Technology • VA & Vista International Leaders • Challenges in the NHS • Integration • Code & Community • UI & Usability • Next Steps • Towards Gold Standard

  4. NHS Model Communities: People + Process + Technology Thinking in silos Clash between process and IT ?

  5. Standards & Interoperability Templates ‏ Specific Generic Archetypes

  6. Test Requirement Build Design AoMRC Generic Medical Documentation

  7. eHealth Ecosystem International Standards eHealth Bodies & Vendors Local Innovators

  8. International Leaders

  9. NHS Innovation- from Bottom Up • Leeds, England • 4 Hospital Site • 14,000 employees • £800m annual budget • £7m annual IT spend • Clinically Led • Process Improvement • Agile OS development

  10. Informatics Strategy CUI Clinical Portal 1 2 3 4 5 PAS System X Scheduling Orders Results ePrescribing TIE Clinical Docs 200+ Primary Care B C A

  11. Clinical Portal: Patient Oriented & User Centred

  12. A B C Common Web UI VA Vista Enterprise Wide Modular SOA 1 2 3 4 5 Core Process Core Process Enterprise wide System X Core Process Core Process Cache Gt.M Core Process PPMSQL Integration Engine ESB Leeds TH 200+

  13. Challenge # 1: Integration

  14. Challenge 2: Code & Community

  15. Challenge 3: UI & Usability

  16. LeedsTH NHS: Steps towards VistA • User Centred Design • Clinically Led • Agile Development • 10 Days • Technology • ExtJS4 • EWD • Mumps • Gt.M/Cache NoSQL

  17. Clinical UI Patterns North- User Context West Navigation (Via Accordion +/- Tree) Inc external sources Eg Meds Allergies Diagnosis Clinical Docs Centre Data Group in focus Via Chart/Grid/Table +/- data source to explain data context (eg Leeds/ Washington) East Data in Detail Create/Update/Delete Data Data Entry done in popup NB may be external component Create Data Update/Delete Data Save

  18. High level- Aggregate Patient Data ClinUiP.wordpress.com

  19. Mid level- Patient Group Data

  20. Low level- Patient Detail Data

  21. Patient Detail Data- Data Entry

  22. ClinUiP on Vista

  23. ClinUiP Benefits • Intro to OS EHR development • Intro to ExtJS/EWD/GtM • Introduction to Mumps & Vista • Align towards Vista/Vista Integration

  24. Next Steps • Knowledge Transfer in the NHS • Gold Standard for NHS • Standards- CUI & AoMRC • Admission, Handover & Discharge • Integration with a.n.other • Explore Integration with Vista & Others • EWD & NodeJS- XML, Mumps/Javascript • NoSQL & SQL

  25. ...towards evolving ecosystem…. International Standards National eHealth Bodies & Vendors Regional Local Frontline Innovators

  26. Key points • Healthcare Change • People, Process & Technology • VA & Vista International Leaders • Challenges in the NHS • Integration • Code & Community • UI & Usability • Next Steps • Towards Gold Standard

  27. Thank you tony.shannon@frectal.com www.frectal.com

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