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Bringing knowledge to bear
on commissioning
Sue Lacey Bryant, Chief Knowledge Officer
11th
February 2011
“If Only we knew what we know”
“Knowledge is the
enemy of disease,
the application of
what we know will
have a bigger impa...
Who are we?
Your virtual knowledge team:
• Anne Gray – Knowledge Officer,
NHS MK Public Health
• Linda Potter – Primary Ca...
The programme
1. What is Knowledge Management? Sue
2. KM - an ABC; starting at A Sue
3. KM in practice: informing referral...
1. What is knowledge management?
• Using knowledge to improve business
performance, reduce costs and improve
quality
• Consciously moving the right knowled...
Practical and pragmatic
• Applying knowledge
• Building ‘know-how’
• Continuing to learn
As Chief Knowledge Officer ...
• Ensure strategic and operational activity is informed
by sound evidence
• Ensure informat...
Director of GP Commissioning
Consortia Development
Business intelligence team
Refining, analysing and combining,
and interpreting
D
A
T
A
I
F
O
R
M
A
T
I
O
N
Meaningful
Time...
Implementing primary care systems
Knowledge is everyone's business
Across the organisation including -
Communications and Engagement
Corporate Affairs
Human...
2. Knowledge management – an ABC
Starting at A
A = Applying knowledge
• Data on activity, cost, outcomes
• Research evidence on clinical outcomes and
cost effectiveness
...
KM in practice: opportunities for innovation
Adjusted Clinical Groups system: ACGs
• 1 of several predictive models to target case management
• Identifies patients wit...
3. KM in practice
Informing referrals management
Steve Hance
Project manager, Referrals project
• The challenge:
Reducing un-warranted variation in activity and
outcomes of care to increase value and
improve quality
• ...
Communication
• So much data: how come I never see it?
• Data : Referral Data, Referral data from Choose & book,
Monthly d...
Education: Learning opportunities
• Referrals wheel
• Top tips
• GP Referral LES
• Practice visits
• Sharing best practice...
Commissioning:
What next? How can we use these data?
• Identify areas which are performing
well/badly
• Formulate action p...
Referrals support service
What works best for you in consortia?
• Reviewing the sample of documents on
referrals –
• How would you prefer to receive...
4. Knowledge management
from B- C
B = Building Know-How
to improve performance
Establish commissioning
methodology
Commissioning, Disinvestment
and Contracting Manual, July 2010
NHS MK Model of improvement
C= Continuing to learn
• Master-classes
• 1:1 sessions
• Group presentations
• Shadowing
• Learning sets
• www.qualitymk.n...
www.qualitymk.nhs.uk
5. Evidence into practice
Information specialists: skills
• Information retrieval:
sources, searching and
sourcing
• Information management
• Inform...
Making an IMPACTE
Improving Medical Practice
by Assessing CurrenT Evidence
6. Informing commissioning
What information do you need?
• Best practice
– guidelines, service specifications, case studies
• How to run a clinical s...
Helping you find the evidence
• NHS Evidence www.evidence.nhs.uk
Helping you find the evidence
• NHS Evidence www.evidence.nhs.uk
– “upgrade” due in April 2011
– Currently paid for though...
Commissioning resources
• Commissioning websites
• Expert Bodies eg RCGP, BMA, Pickering, CQC
• Other NHS trusts
• Social ...
Knowledge Officer
• Searching for information
– Retrieval, selection, appraisal, synopses
• Provide evidence to support pa...
www.qualitymk.nhs.uk
information and resources
brought together by NHS Milton
Keynes to support the
development of GP Cons...
GP Consortia
Knowledge Zone
Local and national statistics
7. Keeping up to date
How do you keep up to date?
• Question 1 - How do you keep up to date with
new evidence around clinical practice?
• Questi...
Keeping up to date
8. Your Invitation
Transferring knowledge to successor organisations
Workshop objectives
– Protecting knowledge assets
– M...
The future?
• How can we better support current
imperatives?
• Who will manage knowledge in the future?
Bringing knowledge to bear in a primary care organisaiton Feb 2011
Bringing knowledge to bear in a primary care organisaiton Feb 2011
Bringing knowledge to bear in a primary care organisaiton Feb 2011
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Bringing knowledge to bear in a primary care organisaiton Feb 2011

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A description of knowledge management in action in Milton Keynes PCT

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Bringing knowledge to bear in a primary care organisaiton Feb 2011

  1. 1. Bringing knowledge to bear on commissioning Sue Lacey Bryant, Chief Knowledge Officer 11th February 2011
  2. 2. “If Only we knew what we know” “Knowledge is the enemy of disease, the application of what we know will have a bigger impact than any drug or technology likely to be introduced in the next decade”
  3. 3. Who are we? Your virtual knowledge team: • Anne Gray – Knowledge Officer, NHS MK Public Health • Linda Potter – Primary Care Librarian Library services via a joint SLA • Sue Lacey Bryant, Chief Knowledge Officer plus Steve Hance, Project manager
  4. 4. The programme 1. What is Knowledge Management? Sue 2. KM - an ABC; starting at A Sue 3. KM in practice: informing referrals management Steve 4. KM from B-C Sue 5. Evidence into practice: Making an IMPACTE Linda 6. Informing commissioning decisions Anne 7. Keeping up to date Anne 8. Transferring knowledge Sue
  5. 5. 1. What is knowledge management?
  6. 6. • Using knowledge to improve business performance, reduce costs and improve quality • Consciously moving the right knowledge to the right people at the right time to be translated into action to improve organizational performance Knowledge management is about:
  7. 7. Practical and pragmatic • Applying knowledge • Building ‘know-how’ • Continuing to learn
  8. 8. As Chief Knowledge Officer ... • Ensure strategic and operational activity is informed by sound evidence • Ensure information requirements of projects, and of consortia, are defined • Ensure the business intelligence team is proactive, streamlined, focused on users • Stimulate approaches to capturing knowledge so that ‘know-how’ is made explicit and transferred • Manage the Library SLA to deliver proactive services • Spread and embed good practice • Support future configurations & current imperatives
  9. 9. Director of GP Commissioning Consortia Development
  10. 10. Business intelligence team Refining, analysing and combining, and interpreting D A T A I F O R M A T I O N Meaningful Timely Relevant Quality assured Information customersData providers Data Transformation Support and education for data suppliers/customers, to improve data quality and information requests Quality assessed
  11. 11. Implementing primary care systems
  12. 12. Knowledge is everyone's business Across the organisation including - Communications and Engagement Corporate Affairs Human relations & organisational development Information Technology Public Health Intelligence Quality and Standards System Reform
  13. 13. 2. Knowledge management – an ABC Starting at A
  14. 14. A = Applying knowledge • Data on activity, cost, outcomes • Research evidence on clinical outcomes and cost effectiveness • “Best practice” including models of service • Patient experience
  15. 15. KM in practice: opportunities for innovation
  16. 16. Adjusted Clinical Groups system: ACGs • 1 of several predictive models to target case management • Identifies patients with a high disease burden— who may benefit from review, improved coordination of care • Focuses on developing & commonly occurring patterns of morbidity - looking for convergence of risks defined by diagnoses, use of health services and prescribing eg. seeing multiple providers, taking multiple prescriptions • Supports quality improvement; helps control varying levels of co-morbidity amongst patients • From John Hopkins University
  17. 17. 3. KM in practice Informing referrals management Steve Hance Project manager, Referrals project
  18. 18. • The challenge: Reducing un-warranted variation in activity and outcomes of care to increase value and improve quality • The solution: “The application of best practice is massively beneficial to quality and productivity “ David Nicholson . HSJ 10/09/2009
  19. 19. Communication • So much data: how come I never see it? • Data : Referral Data, Referral data from Choose & book, Monthly data report, Practice data, Low priorities data, Audit data • Evidence • Kings Fund report, Understanding patients’ choices at the point of referral, setting out evidence base and options report • Communication • www.qualitymk.nhs.uk , Newsletter – GP Consortia weekly briefings, Consortia email bulletin, Ad hoc e-mails
  20. 20. Education: Learning opportunities • Referrals wheel • Top tips • GP Referral LES • Practice visits • Sharing best practice • Consortia meetings • CPD events
  21. 21. Commissioning: What next? How can we use these data? • Identify areas which are performing well/badly • Formulate action plan to identify why • Identify ‘spend to save’ opportunities eg Lesion clinic?
  22. 22. Referrals support service
  23. 23. What works best for you in consortia? • Reviewing the sample of documents on referrals – • How would you prefer to receive this data/information? – What format? Media? – Presentation? Level of detail? – From whom? Frequency? • How should it be delivered to give you maximum benefit? • What else do you want to see/have available?
  24. 24. 4. Knowledge management from B- C
  25. 25. B = Building Know-How to improve performance
  26. 26. Establish commissioning methodology Commissioning, Disinvestment and Contracting Manual, July 2010
  27. 27. NHS MK Model of improvement
  28. 28. C= Continuing to learn • Master-classes • 1:1 sessions • Group presentations • Shadowing • Learning sets • www.qualitymk.nhs.uk • After Action Reviews • Education steering group
  29. 29. www.qualitymk.nhs.uk
  30. 30. 5. Evidence into practice
  31. 31. Information specialists: skills • Information retrieval: sources, searching and sourcing • Information management • Information skills training • Research • Synthesis • Communications • Web-editing skills
  32. 32. Making an IMPACTE Improving Medical Practice by Assessing CurrenT Evidence
  33. 33. 6. Informing commissioning
  34. 34. What information do you need? • Best practice – guidelines, service specifications, case studies • How to run a clinical service – location, processes, workforce, competencies • Monitoring – performance, outcomes, audit • How much does it cost? – health economics, cost benefit, prioritisation • Tools – NICE, DoH, public health
  35. 35. Helping you find the evidence • NHS Evidence www.evidence.nhs.uk
  36. 36. Helping you find the evidence • NHS Evidence www.evidence.nhs.uk – “upgrade” due in April 2011 – Currently paid for though central agreements, SHA and local libraries • But there are lots of other resources too..
  37. 37. Commissioning resources • Commissioning websites • Expert Bodies eg RCGP, BMA, Pickering, CQC • Other NHS trusts • Social Care and Local Authority sites • Statistical websites eg PHOs, Information Centre Why not ask a librarian? Ask the librarian to find the information • searches based on individual requirements • for individuals or teams eg Programme Boards • appraise and summarise the results
  38. 38. Knowledge Officer • Searching for information – Retrieval, selection, appraisal, synopses • Provide evidence to support pathway review and service redesign • Information skills training • Links to MK Hospital and other NHS libraries • Knowledge Zone: www.qualitymk.nhs.uk • Keeping up to date
  39. 39. www.qualitymk.nhs.uk information and resources brought together by NHS Milton Keynes to support the development of GP Consortia
  40. 40. GP Consortia
  41. 41. Knowledge Zone
  42. 42. Local and national statistics
  43. 43. 7. Keeping up to date
  44. 44. How do you keep up to date? • Question 1 - How do you keep up to date with new evidence around clinical practice? • Question 2 -How will you keep up to date with new evidence/policies around commissioning? • Answer - Collection of alerting resources on Quality MK website
  45. 45. Keeping up to date
  46. 46. 8. Your Invitation Transferring knowledge to successor organisations Workshop objectives – Protecting knowledge assets – Mitigate the risk of knowledge drain 2010-13 – Support GP consortia development – Support system transition Workshop outputs – Identifying key assets – Prioritised list that informs our planning – Gap analysis of where we lack knowledge to meet our organisational priorities 2010-13
  47. 47. The future? • How can we better support current imperatives? • Who will manage knowledge in the future?

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