Mark Thomas, Chair of the North East Health CIO Network, presented at the Health Informatics Forum on collaboration and integrated care. The objectives were to set the context of the forum in aiming for collaboration across integrated care systems without boundaries through pan-community services and empowering healthcare clinicians with information. The forum promotes sharing knowledge and resources across organizations from coast to coast in the North East and North West through collaborative projects, bids, and expertise. Integrated care systems supported by informatics can provide accurate information in real time to clinicians across primary, community, and acute care to improve quality, safety, and decision making for patients.

2. Mark Thomas
Chair
North East Health CIO Network

3. Health Informatics Forum
Presented by
Mark Thomas

4. Objectives of the Presentation
• Set the context of the HIF and our aims
– Collaboration
– Integrated care systems
– Care without walls
– Delivery pan-community services
– Empowered Health Care Clinician, at the point of care

5. Collaboration
• Membership extends coast to coast to pick up North East and North
West
– Collaborative projects (pathology, e-Chemotherapy)
– Collaborative bids to the Technology fund
– Sharing knowledge and resources
– Single lead Trust / Organisation for key topics
• Email
• PSN (Public Services Network)
– Willingness to learn from others
– Openness to share with others

6. Integrated Care Systems
Better for
patients and
health
economy
underpinned
by Informatics
Enterprise
architecture
(Integrated)
Integrated
systems where
information
follows the
patient
Address whole
health
economy
Accurate
information in
real time
improves
quality and
safety
Good
information
supports good
decision
making

7. Empowering the Clinician
Within Primary Care
Systm One
Emis (Web)
Vision
Ability to provide and consume
information
In the Community
Access to Information from anywhere
End of life care
Integration with Community
information
Integration with Social Care
Acute and Mental Health Trusts
Interaction with primary, community
and AHPs
Understanding of the care
pathway, before and after the acute
episode
Seamless integration

8. Delivering pan-community services
Planned interventions
Emergency Care
Complex diagnostic treatment & inpatient care
Basic diagnostic services
Day interventions and minor injuries
Nurse-led inpatient care and Intensive
rehabilitation
Chronic care management
Social care
Outreach care
Information and advice from AHP’s
Self care monitoring
Automated treatment
Information and advice
NHS Direct
Referral
pathway from
home through
community
into
hospital, inform
ation flows
must cross
organisational
boundaries
seamlessly and
follow the
patient.
Ask the
patient
once
Confirm
with the
patient
for
safety

9. Empowered Health Care Clinician
Primary Care
Medication
Allergies
Past medical history
Monitoring and diagnostics eg COPD
Trust Information
Investigations
Previous activity
Electronic Observations
Community Activity
Community Nursing
Child health
Palliative care
Information Access
At the point of care
Shared with the patient
Shared with GP and AHPs
Improved clinical outcome in any location, at any time enabled by
accurate patient information to provide clinical decision support at the
point of care, enabled through effective use of technology

10. Enablers to support clinical decision making
through agile and flexible Informatics
Enablers
Strategic
Direction via
HIF
Shared vision
and common
goals
Willingness to
share
E-
Communication
embedded with
clinicians
Collaboration for
care without
boundaries

11. Good information supports effective clinical decision making with
improved outcomes for patients.
Improved targeting and deployment of health economy resources
through the Health Informatics Forum seeks to ensure that, where
possible and appropriate, organisations and healthcare systems
promote understanding and act on accurate and timely information at
the point of care.