Information Literacy – An NMAHP perspective

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Heather Strachan
Nursing, Midwifery and Allied Health Professions
eHealth Directorate
NHS Scotland
(17/10/08, Plenary session 1)

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  • I was delighted to be invited to speak at your annual Health Informatics Conference, not least because I enjoyed my last visit to New Zealand some 7 years ago when I attended world congress on Nursing Informatics but because it always a pleasure to take time to listen, question, and share information with colleagues. So I have been practicing my information literacy skills. Now I want to share some information with you about how we are tackling some of the eHealth challenges in Scotland. Just to say NMAHPs stand for Nurses, Midwives and Allied Health Professionals.
  • Information Literacy – An NMAHP perspective

    1. 1. Information Literacy – An NMAHP perspective October 2008 Heather Strachan NMAHP Clinical Lead Scottish Government [email_address]
    2. 2. Population 5,057,400 Approximately 150,000 NHS staff 06/07 eHealth expenditure £225m (592m $NZ)
    3. 3. <ul><li> </li></ul>The Challenge! We are drowning in a sea of data. The challenge is to learn to swim. Lyman and Varian 2000
    4. 4. <ul><li>Define Information Literacy. </li></ul><ul><li>How Information literacy works. </li></ul><ul><li>Why we need to bother. </li></ul><ul><li>How eHealth can support. </li></ul><ul><li>Examples from Scotland </li></ul>Overview
    5. 5. Information? Information is data that are processed to be useful: provide answers to who, what, where and when. Dictionary definition
    6. 6. Information? “ The power of information is in its capacity to reduce uncertainty.” Alan Hyslop, Head of eHealth Strategy, Scottish Government
    7. 7. Information qualities (1) Information must be fit for purpose!
    8. 8. Finagle's Law of Information The information you have is not what you want! The information you want is not what you need! The information you need is not what you can obtain! The information you can obtain costs more than you want to pay! Source: Campbell (Ed), 1957, Publication of Astounding Science Fiction
    9. 9. Applied Information Illiteracy! © Bill Waterman
    10. 10. Literacy? “ The possession of education” “ A person’s knowledge about a particular subject or field” Dictionary
    11. 11. Information qualities (2) Information must be fit for purpose and used for a purpose!
    12. 12. Better Health Better Care Action Plan Health Improvement Tackling Health Inequalities Improving Quality of Healthcare Mutuality
    13. 13. Culture of Information Literacy <ul><li>Promotes openness and sharing of </li></ul><ul><li>information. </li></ul><ul><li>Enables learning from mistakes </li></ul><ul><li>rather than blame. </li></ul><ul><li>Supports creativity and innovation. </li></ul><ul><li>Supports team working. </li></ul><ul><li>Is clear about its mission and goals. </li></ul>
    14. 14. Information Literacy “ a generic set of skills, values and behaviours which support evidence-based practice, lifelong learning, self-management, social inclusion and service improvement .” NHS Knowledge Services: Information Literacy Framework 2008
    15. 15. Too much data! <ul><li>The amount of newly stored information in </li></ul><ul><li>2002 was estimated as 5 exabytes of data. </li></ul><ul><li>This compares with 2-3 exabytes of data </li></ul><ul><li>produced in 1999 (and only 12 exabytes for </li></ul><ul><li>the first 3000 years of the human race). </li></ul><ul><li>Lynman and Varian, 2003 </li></ul>
    16. 16. Too little time! <ul><li>“ Estimates show 5 years after a nursing </li></ul><ul><li>student graduates, 50% of the knowledge </li></ul><ul><li>acquired will be obsolete”. </li></ul><ul><li>McCormick 1984 </li></ul><ul><li>“ Seventeen years, on average, are needed </li></ul><ul><li>to fully use study findings in clinical </li></ul><ul><li>practice.” </li></ul><ul><li>Balas 2001 </li></ul>
    17. 17. <ul><li>“ Storage does not correlate with significance, not volume with value. Standing atop gigabytes, terabytes, and even exabytes of information will not necessarily help us see further. It may only put our heads in the clouds.&quot; </li></ul><ul><li>Brown and Duguid 2002 </li></ul>Limited value!
    18. 18. Barriers to evidence based practice <ul><li>The major barrier to using current research evidence is time, effort and skills needed to access the right information among the massive volumes of research. </li></ul><ul><li>Cabana et al. 1999 </li></ul>
    19. 19. Why does it matter ? “ Knowledge is the enemy of disease. The application of what we know already will have a greater impact on health and disease than any drug or technology likely to be introduced in the next decade.” Muir Grey MEDINFO 2007
    20. 20. Our Vision for eHealth “ exploiting the power of electronic information to help ensure that patients get the right care, involving the right clinicians, at the right time, to deliver the right outcome” Better eHealth Better Care NHS Scotland eHealth Strategy 2008 www.ehealth.show.scot.nhs.uk
    21. 21. The eHealth Contribution <ul><li>make patient care safer and more </li></ul><ul><li>effective. </li></ul><ul><li>contribute to ‘health literacy’ to support </li></ul><ul><li>citizens managed their own health. </li></ul><ul><li>safeguard confidentiality by handling </li></ul><ul><li>patient information securely. </li></ul><ul><li>enable more efficient use of healthcare </li></ul><ul><li>resources . </li></ul>
    22. 22. Six eHealth Strategic Principles <ul><li>Safeguard confidentiality </li></ul><ul><li>Continue the eHealth Journey, </li></ul><ul><li>Focus on benefits, supported by </li></ul><ul><li>technology and change </li></ul><ul><li>Virtual electronic patient records </li></ul><ul><li>Technology development, </li></ul><ul><li>standardisation and convergence. </li></ul><ul><li>Collaborative approach to delivery, </li></ul><ul><li>drawing on best expertise </li></ul>
    23. 23. eHealth Architecture Vision <ul><li>What will we get? </li></ul><ul><li>Portal summary view of patient information </li></ul><ul><li>from multiple systems. </li></ul><ul><li>Seamless access to source systems for </li></ul><ul><li>viewing and data entry. </li></ul><ul><li>Ability to query data from range of </li></ul><ul><li>sources. </li></ul><ul><li>How does it work? </li></ul><ul><li>Web based portal accessible from any site. </li></ul><ul><li>Single sign on provides login to source </li></ul><ul><li>systems. </li></ul><ul><li>Source systems feed information stores </li></ul><ul><li>using unique patient ID Number. </li></ul><ul><li>Record locator knows the stores that </li></ul><ul><li>hold information </li></ul><ul><li>The integration platform streamlines the </li></ul><ul><li>retrieval of information from multiple </li></ul><ul><li>sources. </li></ul>
    24. 24. Only If! <ul><li>We know what questions we </li></ul><ul><li>want answered! </li></ul><ul><li>The right data is collected. </li></ul><ul><li>Business process and patient </li></ul><ul><li>pathways are defined. </li></ul><ul><li>Appropriate technology, data </li></ul><ul><li>and terminology standards </li></ul><ul><li>exist. </li></ul>
    25. 25. NMAHP Contribution
    26. 26. NMAHP Leadership and engagement in eHealth Use eHealth to deliver, Improve quality of care and improve health Represent the NMAHP community Develop national strategy and policy Influence national strategy and lead implementation locally NHS Boards Nursing and AHP Directors National eHealth Strategy Board NMAHP eHealth Advisory Group and Network NMAHPs Community
    27. 27. www.elib.scot.nhs.uk
    28. 28. An Educational Framework! Proctor and Ward 2008
    29. 29. Information Literacy Cycle NHS Knowledge Services, Information Literacy Framework 2008
    30. 30. www.clinicaltemplates.org
    31. 31. Clinical Templates Clinical Templates + Paper form Evidence Experts = Logical Data Model/ Compound Clinical Concepts Data Schema Output data set/ via the portal EPR
    32. 32. Community Nurses Measure Up <ul><li>Support development of the Electronic Patient Record for use by Community Nurses: </li></ul><ul><ul><li>Identify standard terminology </li></ul></ul><ul><ul><li>Test National Clinical Data standards </li></ul></ul><ul><ul><li>Establish Minimum Nursing Dataset </li></ul></ul><ul><li>Provide information and intelligence to support service redesign, workload management and policy decisions: </li></ul><ul><ul><li>Diversity of Health problems </li></ul></ul><ul><ul><li>Variation in nursing practice, roles, location </li></ul></ul><ul><ul><li>Provide national nursing contact baseline </li></ul></ul>www.isdscotland.org/isd/5373.htm l
    33. 33. www.clinicaldecisions.scot.nhs.uk
    34. 34. Supporting Evidence Based Practice at Point of Care
    35. 35. www.usinginfo.org
    36. 36. Key messages Information must be fit for purpose and used for a purpose. Information is a tool to support organisational learning We must develop confidence and a shared understanding about using information in practice. eHealth is a journey but we can gain benefits as we travel.
    37. 37. Gaun Yersel! The phrase “Guan Yerself” is used to cheer a person on as they embark on a challenge. It is a vote of confidence and a message that the person has your support!
    38. 38. Embrace Information literacy

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