Breaking Down Barriers: Interoperability in Primary Care
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A presentation by Mike Smith, Interoperability Lead for Primary Care, NHS England.
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Breaking Down Barriers: Interoperability in Primary Care
- 1. www.england.nhs.uk Breaking down barriers Interoperability in primary care Mike Smith Interoperability Lead for Primary Care NHS England 30th June 2016
- 2. www.england.nhs.uk Interoperability • Interoperability is the ability for one or more systems to communicate in a manner that is seamless to users to achieve a task or goal • Interoperability is an element of coalition willingness to work together over the long term to achieve and maintain shared interests against common threats • Interoperability is the ability of different information technology systems and software applications to communicate, exchange data, and use the information that has been exchanged.
- 3. www.england.nhs.uk A Historical perspective NATO was established by the U.S. and Western Europe in 1949 after World War II This new organisation was presented with the challenge to make different participating nations’ forces, units and systems operate together as one military unit. NATO identified three elements for successful interoperability: • Unity of purpose • Unity of effort • Unity of command In other words, it needs to be clear to everyone what they are there to do, how they are going to do it, who is in charge
- 4. www.england.nhs.uk Interoperability Barriers Barriers Potential Solutions Thinking and acting in Silos Patient storyboards to get everyone on the same page/ LDRs Costs of delivering interfaces Community shared effort Lack of Standards C4H, PRSB Governance and Trust Tools for data controllers & Patient Supplier engagement Build Foundation APIs which can be used for multiple uses Inflexible Technology Reusable components, vendor neutral Lack of Knowledge Demonstrators, Ecosystem
- 5. www.england.nhs.uk Opportunities from being interoperable • Products work across health economies • Measurable efficiencies from providing interfaces • Differentiate products by adhering to standards • Putting patients in control builds trust in sharing and your product • Strengthening supplier relationships • Providing Technical solutions
- 6. www.england.nhs.uk Interoperability Capabilities Openinterfaces Appointments Manage appointments in order to co- ordinate access to care Tasks Manage tasks in order to work effectively across care settings Access Record Access a patient’s care record for the purpose of direct care TransfersofCare eDischarge Discharges from inpatient care back to the general practitioner A&E eDischarge Information sent to the general practitioner from an A&E attendance Emerging needs
- 7. www.england.nhs.uk An Example: System One & Self- referral integration
- 9. www.england.nhs.uk Self referral to Physiotherapy: Now Patient makes web based self referral Self referral electronically triaged Patient receives email advice/exercises PDF created, saved and manually attached to System one Referral picked up by admin team Patient called by admin team to book System One Appointment
- 10. www.england.nhs.uk Self referral to Physiotherapy: Proposal Patient makes web based self referral Self referral electronically triaged Patient self referral details imported to System One Patient receives email advice/exercises & link to System One to book their appointment
- 11. www.england.nhs.uk Benefits of Self referral • Patient in control of booking • Allows patient to continue electronic journey • Reduces administration time required significantly • Reduces human error in IT booking / registering
- 12. www.england.nhs.uk Fundamentally, technology integration with S1 would deliver the required patient journey benefits and in fact the scale becomes unwieldy without an overall Health Digital approach. Dr Phillip Dale, Clinical Director Allied Health Professionals Surrey 12
- 13. www.england.nhs.uk Neutral Platforms will drive success • Interoperability relies on being: • Open • Collaborative • Reusable • Extensible • Standards driven • The interoperability platforms that will be successful will exhibit these principles
- 14. www.england.nhs.uk GP Connect - “A” Neutral Platform Example
- 15. www.england.nhs.uk Code4Health Interoperability Community Creating a common and open set of APIs to support information sharing across health and care
- 16. www.england.nhs.uk Exploring new opportunities An Ecosystem being developed by HSCIC will help suppliers explore, develop and assure interoperability opportunities more rapidly. The first three APIs are: Access Record Appointments Tasks 16
- 17. www.england.nhs.uk Reasons to be cheerful • We are listening • Applying the TechUK Interoperability Charter • Building Open APIs • Developing an Ecosystem to accelerate progress • Supports Interoperability Communities • C4H, Aperta, Synapta, OpenHealthHub • Building national supporting services • Patient record locator • Security proxy 17
Editor's Notes
- What’s happening now that will make this happen Building capabilities through - GP Connect – providing a way to join up local and national systems Access to GP systems across care settings