Healthcare Change in the NHSPractical considerations of VistADr. Tony Shannon
Tony ShannonM.B. B.Ch. B.A.O.                                IrelandFellow of College of Emergency Medicine          Engla...
Key points• Healthcare Change  – People, Process & Technology• VA & Vista International Leaders• Challenges in the NHS  – ...
NHS Model Communities: People + Process + Technology     Thinking in silos   Clash between process and IT
Standards & Interoperability                             TemplatesSpecificGeneric                              Archetypes
Test                   Requirement        AoMRC Generic Medical DocumentationBuild                      Design
eHealth Ecosystem        International   Standards                                eHealth Bodies                          ...
International Leaders
NHS Innovation- from Bottom Up•   Leeds, England•   4 Hospital Site•   14,000 employees•   £800m annual budget•   £7m annu...
Informatics Strategy              CUI Clinical Portal                          PAS              1                         ...
Clinical Portal: Patient Oriented & User Centred
A                     B                       C           Common Web UI                                      VA Vista     ...
Challenge # 1: Integration
Challenge 2: Code & Community
Challenge 3: UI & Usability
LeedsTH NHS: Steps towards VistA• User Centred Design  – Clinically Led• Agile Development  – 10 Days• Technology  –   Ext...
North- User Context                             Clinical UI PatternsWest                Centre                            ...
High level- Aggregate Patient Data    ClinUiP.wordpress.com
Mid level- Patient Group Data
Low level- Patient Detail Data
Patient Detail Data- Data Entry
ClinUiP on Vista
ClinUiP Benefits• Intro to OS EHR development• Intro to ExtJS/EWD/GtM• Introduction to Mumps & Vista• Align towards Vista/...
Next Steps• Knowledge Transfer in the NHS• Gold Standard for NHS  – Standards- CUI & AoMRC  – Admission, Handover & Discha...
...towards evolving ecosystem….                   International   Standards            National                           ...
Key points• Healthcare Change  – People, Process & Technology• VA & Vista International Leaders• Challenges in the NHS  – ...
Thank youwww.frectal.com
Tony Shannon: Health care change in the NHS: Practical considerations of VistA
Tony Shannon: Health care change in the NHS: Practical considerations of VistA
Tony Shannon: Health care change in the NHS: Practical considerations of VistA
Tony Shannon: Health care change in the NHS: Practical considerations of VistA
Tony Shannon: Health care change in the NHS: Practical considerations of VistA
Tony Shannon: Health care change in the NHS: Practical considerations of VistA
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Tony Shannon: Health care change in the NHS: Practical considerations of VistA

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In this slideshow, Dr Tony Shannon, Consultant in Emergency Medicine and Chief Clinical Information Officer, Leeds Teaching Hospitals, outlines the practical considerations for implementing VistA in the NHS in the context of driving change in people, processes and technology.

Dr Shannon presented at the Nuffield Trust seminar: Sharing international experience: Is implementing the VA's electronic health record system an option for the NHS? in July 2012.

Published in: Health & Medicine, Technology
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Tony Shannon: Health care change in the NHS: Practical considerations of VistA

  1. 1. Healthcare Change in the NHSPractical considerations of VistADr. Tony Shannon
  2. 2. Tony ShannonM.B. B.Ch. B.A.O. IrelandFellow of College of Emergency Medicine EnglandFellowship in Informatics USAMSc in IT Management EnglandConsultant in Emergency Medicine, Leeds Teaching HospitalsChief 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. 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. 4. NHS Model Communities: People + Process + Technology Thinking in silos Clash between process and IT
  5. 5. Standards & Interoperability TemplatesSpecificGeneric Archetypes
  6. 6. Test Requirement AoMRC Generic Medical DocumentationBuild Design
  7. 7. eHealth Ecosystem International Standards eHealth Bodies & VendorsLocal Innovators
  8. 8. International Leaders
  9. 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. 10. Informatics Strategy CUI Clinical Portal PAS 1 Scheduling 2 Orders Results 3 ePrescribing 4 Clinical Docs 5 TIE 200+ Primary CareA B C
  11. 11. Clinical Portal: Patient Oriented & User Centred
  12. 12. A B C Common Web UI VA Vista Modular Enterprise SOA Core Process 1 Wide Core Process 2 Enterprise Core Process 3 wide Core Process 4 System X Core Process 5 Cache PPM Gt.M SQL Integration EngineLeeds TH ESB200+
  13. 13. Challenge # 1: Integration
  14. 14. Challenge 2: Code & Community
  15. 15. Challenge 3: UI & Usability
  16. 16. LeedsTH NHS: Steps towards VistA• User Centred Design – Clinically Led• Agile Development – 10 Days• Technology – ExtJS4 – EWD – Mumps – Gt.M/Cache NoSQL
  17. 17. North- User Context Clinical UI PatternsWest Centre East Data Group in focus Data in DetailNavigation(Via Via Chart/Grid/TableAccordion +/- data source to+/- Tree) explain data context Create/Update/DeleteInc external (eg Leeds/ Datasources Washington) Data Entry doneEg in popupMeds NB may beAllergies externalDiagnosis componentClinical Docs Create Data Update/Delete Save Data
  18. 18. High level- Aggregate Patient Data ClinUiP.wordpress.com
  19. 19. Mid level- Patient Group Data
  20. 20. Low level- Patient Detail Data
  21. 21. Patient Detail Data- Data Entry
  22. 22. ClinUiP on Vista
  23. 23. ClinUiP Benefits• Intro to OS EHR development• Intro to ExtJS/EWD/GtM• Introduction to Mumps & Vista• Align towards Vista/Vista Integration
  24. 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. 25. ...towards evolving ecosystem…. International Standards National eHealth Bodies & Vendors RegionalLocal Frontline Innovators
  26. 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. 27. Thank youwww.frectal.com
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