Health Informatics Professionalism and Improving Patient Care

2,197 views

Published on

Di Millen
Head of Informatics Development
NHS Connecting for Health (England)‏

1 Comment
8 Likes
Statistics
Notes
  • good points on improving patient care! love the slide well done! and just amazing health info! http://www.fithuman.net/
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
No Downloads
Views
Total views
2,197
On SlideShare
0
From Embeds
0
Number of Embeds
30
Actions
Shares
0
Downloads
0
Comments
1
Likes
8
Embeds 0
No embeds

No notes for slide
  • Health Informatics Professionalism and Improving Patient Care

    1. 1. Health Informatics Professionalism and Improving Patient Care Di Millen Head of Informatics Development NHS Connecting for Health (England)‏
    2. 2. Why Invest in the Development of Health Informatics Specialists? <ul><li>Deliver high quality, flexible, modern health services, which are efficient, effective and safe. </li></ul>
    3. 3. What do want? <ul><li>Secure information and secure systems </li></ul><ul><li>Systems that support process improvements – for patients and clinicians </li></ul><ul><li>Systems that minimise risk - to prevent adverse incidents </li></ul><ul><li>Patients and clients to have access to and control over their information </li></ul>
    4. 4. So, where are we now?
    5. 7. From that, to this:
    6. 11. Information – at heart of most medical errors <ul><li>27% of medication errors caused by poor or unavailable information </li></ul><ul><li>1200 people die in England and Wales each year through medication errors </li></ul><ul><li>10% of all in patients experience an adverse event of which 46% preventable; 33% led to death or greater morbidity </li></ul><ul><li>Each adverse event leads to average 8.5 days in patient care </li></ul>
    7. 12. IT enabled change – the reality <ul><li>Choose and book – 23 steps in the manual pathway, reduced to 10 in on-line also less DNAs; quality of service etc </li></ul><ul><li>PACs – manual system 6 days turnaround and 13 steps in the process </li></ul><ul><li>digital </li></ul><ul><li>speedier diagnosis leads to speedier recovery </li></ul>
    8. 13. Good health informatics v bad health informatics? <ul><li>Informatics professionals need to be able to: </li></ul><ul><ul><li>Design and innovate </li></ul></ul><ul><ul><li>Translate </li></ul></ul><ul><ul><li>Lead business change and service modernisation </li></ul></ul><ul><li>Informatics professionals in health also need to: </li></ul><ul><ul><li>Understand health and care processes </li></ul></ul><ul><ul><li>Understand the culture and politics of health </li></ul></ul><ul><ul><li>Deliver safe and secure systems </li></ul></ul><ul><ul><li>Be aware of ethical considerations </li></ul></ul>
    9. 14. Technical expertise is not enough <ul><li>We need excellent technicians but we also need specialists with equally excellent knowledge of care processes, able to communicate with clinical colleagues etc </li></ul><ul><li>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 </li></ul>
    10. 15. So what do we need to do? <ul><li>Make health an attractive place to work </li></ul><ul><li>Build opportunities – career pathways, remuneration packages, opportunities for personal and professional development </li></ul><ul><li>Professionalise – registration/accreditation – individuals, teams and education and development opportunities </li></ul>
    11. 16. Issue 1 – lack of career pathways <ul><li>The challenge – developing career pathways across a complex, multi-disciplinary function </li></ul><ul><li>National activity – filling the gaps: Apprenticeships, Foundation Degrees, Graduate Training Scheme; with further/higher education establishments and employers </li></ul>
    12. 17. Issue 2 – pay and conditions of service <ul><li>The challenge – market forces, local strategies and local culture and a national pay system </li></ul><ul><li>National activity – national occupational standards; job profiles and recruitment premia; professionalism and status </li></ul>
    13. 18. Issue 3 – opportunities for personal and professional development <ul><li>The challenge – communicating information; quality assurance; value for money </li></ul><ul><li>National activity – information portal (“onestopshop”); guidance e.g. mentoring; Health Informatics Quality Scheme; CPD; Microsoft Academies; national leadership development scheme </li></ul>
    14. 19. Issue 4 – accreditation or registration? <ul><li>The challenge – accreditation or registration?; individuals and teams?; voluntary or statutory? engaging with employers </li></ul><ul><li>National activity – support for UKCHIP; national Health Informatics Service benchmarking/ accreditation scheme; marketing and communications </li></ul>
    15. 20. Issue 5 – developing a sense of community <ul><li>The challenge – engagement; time; energy and return on investment </li></ul><ul><li>National activity – NHS Faculty of Health Informatics; national conferences; Health Informatics on-line Community; Accolades </li></ul>
    16. 21. Remaining Issues <ul><li>Developing capacity and capabilty: </li></ul><ul><ul><li>Eduction, training & development practitioners </li></ul></ul><ul><ul><li>Project and programme management expertise </li></ul></ul><ul><ul><li>Senior responsible owners, CEOs, executive & non-executive directors </li></ul></ul><ul><li>Clinical education </li></ul>
    17. 22. Remaining Issues <ul><li>Who should own and champion a national strategy? </li></ul><ul><li>Variable levels of funding </li></ul><ul><li>Local approaches and policies </li></ul><ul><li>No routine workforce data collection </li></ul><ul><li>Lack of acknowledgement by mainstream human resource and workforce planning specialists </li></ul>
    18. 23. Other challenges <ul><li>Links with Higher Education </li></ul><ul><li>How far is informatics in health special? </li></ul><ul><li>Is health informatics too broad a church? </li></ul><ul><li>Measuring the benefits of investment </li></ul>
    19. 24. Conclusions <ul><li>Much of this is an act of faith but … </li></ul><ul><ul><li>Choose and Book can reduce DNAs with associated benefits </li></ul></ul><ul><ul><li>PACs can speed up diagnosis, treatment and recovery </li></ul></ul><ul><ul><li>POE can speed up tests, results and therefore diagnosis, treatment etc </li></ul></ul><ul><ul><li>Nurses who are trained to ECDL level in computer usage can save 30 mins a day each day ….. </li></ul></ul>
    20. 25. Links <ul><li>www.connectingforhealth.nhs.ukcommunities </li></ul><ul><li>www.ukchip.org.uk </li></ul><ul><li>www.ecdl.nhs.uk </li></ul><ul><li>[email_address] </li></ul>

    ×