The document discusses the importance of information literacy in the NHS, emphasizing its role in improving healthcare through effective use of data and ehealth strategies. It highlights challenges faced in accessing relevant information, the need for a culture that promotes information sharing, and the vision of leveraging electronic information for better patient care. Key principles and contributions from various stakeholders are outlined to enhance the quality of healthcare services in Scotland.

1. Information Literacy – An NMAHP perspective October 2008 Heather Strachan NMAHP Clinical Lead Scottish Government [email_address]

2. Population 5,057,400 Approximately 150,000 NHS staff 06/07 eHealth expenditure £225m (592m $NZ)

3. The Challenge! We are drowning in a sea of data. The challenge is to learn to swim. Lyman and Varian 2000

4. Define Information Literacy. How Information literacy works. Why we need to bother. How eHealth can support. Examples from Scotland Overview

5. Information? Information is data that are processed to be useful: provide answers to who, what, where and when. Dictionary definition

6. Information? “ The power of information is in its capacity to reduce uncertainty.” Alan Hyslop, Head of eHealth Strategy, Scottish Government

7. Information qualities (1) Information must be fit for purpose!

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. Applied Information Illiteracy! © Bill Waterman

10. Literacy? “ The possession of education” “ A person’s knowledge about a particular subject or field” Dictionary

11. Information qualities (2) Information must be fit for purpose and used for a purpose!

12. Better Health Better Care Action Plan Health Improvement Tackling Health Inequalities Improving Quality of Healthcare Mutuality

13. Culture of Information Literacy Promotes openness and sharing of information. Enables learning from mistakes rather than blame. Supports creativity and innovation. Supports team working. Is clear about its mission and goals.

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. Too much data! The amount of newly stored information in 2002 was estimated as 5 exabytes of data. This compares with 2-3 exabytes of data produced in 1999 (and only 12 exabytes for the first 3000 years of the human race). Lynman and Varian, 2003

16. Too little time! “ Estimates show 5 years after a nursing student graduates, 50% of the knowledge acquired will be obsolete”. McCormick 1984 “ Seventeen years, on average, are needed to fully use study findings in clinical practice.” Balas 2001

17. “ 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." Brown and Duguid 2002 Limited value!

18. Barriers to evidence based practice 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. Cabana et al. 1999

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. 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. The eHealth Contribution make patient care safer and more effective. contribute to ‘health literacy’ to support citizens managed their own health. safeguard confidentiality by handling patient information securely. enable more efficient use of healthcare resources .

22. Six eHealth Strategic Principles Safeguard confidentiality Continue the eHealth Journey, Focus on benefits, supported by technology and change Virtual electronic patient records Technology development, standardisation and convergence. Collaborative approach to delivery, drawing on best expertise

23. eHealth Architecture Vision What will we get? Portal summary view of patient information from multiple systems. Seamless access to source systems for viewing and data entry. Ability to query data from range of sources. How does it work? Web based portal accessible from any site. Single sign on provides login to source systems. Source systems feed information stores using unique patient ID Number. Record locator knows the stores that hold information The integration platform streamlines the retrieval of information from multiple sources.

24. Only If! We know what questions we want answered! The right data is collected. Business process and patient pathways are defined. Appropriate technology, data and terminology standards exist.

25. NMAHP Contribution

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. www.elib.scot.nhs.uk

28. An Educational Framework! Proctor and Ward 2008

29. Information Literacy Cycle NHS Knowledge Services, Information Literacy Framework 2008

30. www.clinicaltemplates.org

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. Community Nurses Measure Up Support development of the Electronic Patient Record for use by Community Nurses: Identify standard terminology Test National Clinical Data standards Establish Minimum Nursing Dataset Provide information and intelligence to support service redesign, workload management and policy decisions: Diversity of Health problems Variation in nursing practice, roles, location Provide national nursing contact baseline www.isdscotland.org/isd/5373.htm l

33. www.clinicaldecisions.scot.nhs.uk

34. Supporting Evidence Based Practice at Point of Care

35. www.usinginfo.org

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. 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. Embrace Information literacy