Health Informatics Professionalism and Improving Patient Care Di Millen Head of Informatics Development NHS Connecting for Health (England)‏

Why Invest in the Development of Health Informatics Specialists? Deliver high quality, flexible, modern health services, which are efficient, effective and safe.

Deliver high quality, flexible, modern health services, which are efficient, effective and safe.

What do want? Secure information and secure systems Systems that support process improvements – for patients and clinicians Systems that minimise risk - to prevent adverse incidents Patients and clients to have access to and control over their information

Secure information and secure systems

Systems that support process improvements – for patients and clinicians

Systems that minimise risk - to prevent adverse incidents

Patients and clients to have access to and control over their information

So, where are we now?

From that, to this:

Information – at heart of most medical errors 27% of medication errors caused by poor or unavailable information 1200 people die in England and Wales each year through medication errors 10% of all in patients experience an adverse event of which 46% preventable; 33% led to death or greater morbidity Each adverse event leads to average 8.5 days in patient care

27% of medication errors caused by poor or unavailable information

1200 people die in England and Wales each year through medication errors

10% of all in patients experience an adverse event of which 46% preventable; 33% led to death or greater morbidity

Each adverse event leads to average 8.5 days in patient care

IT enabled change – the reality Choose and book – 23 steps in the manual pathway, reduced to 10 in on-line also less DNAs; quality of service etc PACs – manual system 6 days turnaround and 13 steps in the process digital speedier diagnosis leads to speedier recovery

Choose and book – 23 steps in the manual pathway, reduced to 10 in on-line also less DNAs; quality of service etc

PACs – manual system 6 days turnaround and 13 steps in the process

digital

speedier diagnosis leads to speedier recovery

Good health informatics v bad health informatics? Informatics professionals need to be able to: Design and innovate Translate Lead business change and service modernisation Informatics professionals in health also need to: Understand health and care processes Understand the culture and politics of health Deliver safe and secure systems Be aware of ethical considerations

Informatics professionals need to be able to:

Design and innovate

Translate

Lead business change and service modernisation

Informatics professionals in health also need to:

Understand health and care processes

Understand the culture and politics of health

Deliver safe and secure systems

Be aware of ethical considerations

Technical expertise is not enough We need excellent technicians but we also need specialists with equally excellent knowledge of care processes, able to communicate with clinical colleagues etc We need flexible, well qualified professionals who can manage – people, resources, contracts; help to design hardware and software solutions; identity and realise the potential of IT information and IT enabled change …..not only to support current delivery mechanisms but also new approaches to remote diagnosis, monitoring and care – new focus on care in the home care in the community

We need excellent technicians but we also need specialists with equally excellent knowledge of care processes, able to communicate with clinical colleagues etc

We need flexible, well qualified professionals who can manage – people, resources, contracts; help to design hardware and software solutions; identity and realise the potential of IT information and IT enabled change …..not only to support current delivery mechanisms but also new approaches to remote diagnosis, monitoring and care – new focus on care in the home care in the community

So what do we need to do? Make health an attractive place to work Build opportunities – career pathways, remuneration packages, opportunities for personal and professional development Professionalise – registration/accreditation – individuals, teams and education and development opportunities

Make health an attractive place to work

Build opportunities – career pathways, remuneration packages, opportunities for personal and professional development

Professionalise – registration/accreditation – individuals, teams and education and development opportunities

Issue 1 – lack of career pathways The challenge – developing career pathways across a complex, multi-disciplinary function National activity – filling the gaps: Apprenticeships, Foundation Degrees, Graduate Training Scheme; with further/higher education establishments and employers

The challenge – developing career pathways across a complex, multi-disciplinary function

National activity – filling the gaps: Apprenticeships, Foundation Degrees, Graduate Training Scheme; with further/higher education establishments and employers

Issue 2 – pay and conditions of service The challenge – market forces, local strategies and local culture and a national pay system National activity – national occupational standards; job profiles and recruitment premia; professionalism and status

The challenge – market forces, local strategies and local culture and a national pay system

National activity – national occupational standards; job profiles and recruitment premia; professionalism and status

Issue 3 – opportunities for personal and professional development The challenge – communicating information; quality assurance; value for money National activity – information portal (“onestopshop”); guidance e.g. mentoring; Health Informatics Quality Scheme; CPD; Microsoft Academies; national leadership development scheme

The challenge – communicating information; quality assurance; value for money

National activity – information portal (“onestopshop”); guidance e.g. mentoring; Health Informatics Quality Scheme; CPD; Microsoft Academies; national leadership development scheme

Issue 4 – accreditation or registration? The challenge – accreditation or registration?; individuals and teams?; voluntary or statutory? engaging with employers National activity – support for UKCHIP; national Health Informatics Service benchmarking/ accreditation scheme; marketing and communications

The challenge – accreditation or registration?; individuals and teams?; voluntary or statutory? engaging with employers

National activity – support for UKCHIP; national Health Informatics Service benchmarking/ accreditation scheme; marketing and communications

Issue 5 – developing a sense of community The challenge – engagement; time; energy and return on investment National activity – NHS Faculty of Health Informatics; national conferences; Health Informatics on-line Community; Accolades

The challenge – engagement; time; energy and return on investment

National activity – NHS Faculty of Health Informatics; national conferences; Health Informatics on-line Community; Accolades

Remaining Issues Developing capacity and capabilty: Eduction, training & development practitioners Project and programme management expertise Senior responsible owners, CEOs, executive & non-executive directors Clinical education

Developing capacity and capabilty:

Eduction, training & development practitioners

Project and programme management expertise

Senior responsible owners, CEOs, executive & non-executive directors

Clinical education

Remaining Issues Who should own and champion a national strategy? Variable levels of funding Local approaches and policies No routine workforce data collection Lack of acknowledgement by mainstream human resource and workforce planning specialists

Who should own and champion a national strategy?

Variable levels of funding

Local approaches and policies

No routine workforce data collection

Lack of acknowledgement by mainstream human resource and workforce planning specialists

Other challenges Links with Higher Education How far is informatics in health special? Is health informatics too broad a church? Measuring the benefits of investment

Links with Higher Education

How far is informatics in health special?

Is health informatics too broad a church?

Measuring the benefits of investment

Conclusions Much of this is an act of faith but … Choose and Book can reduce DNAs with associated benefits PACs can speed up diagnosis, treatment and recovery POE can speed up tests, results and therefore diagnosis, treatment etc Nurses who are trained to ECDL level in computer usage can save 30 mins a day each day …..

Much of this is an act of faith but …

Choose and Book can reduce DNAs with associated benefits

PACs can speed up diagnosis, treatment and recovery

POE can speed up tests, results and therefore diagnosis, treatment etc

Nurses who are trained to ECDL level in computer usage can save 30 mins a day each day …..

Links www.connectingforhealth.nhs.ukcommunities www.ukchip.org.uk www.ecdl.nhs.uk [email_address]

www.connectingforhealth.nhs.ukcommunities

www.ukchip.org.uk

www.ecdl.nhs.uk

[email_address]