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Similar to Supporting clinicians and helping to feed the beast
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Supporting clinicians and helping to feed the beast
- 1. Prof. Fiona Macmillan,doctor Chris Thorley , HIS South Staffordshire MHF Trust Supporting clinicians and helping to feed the beast
- 2. Supporting clinicians and helping to feed the beast “ If the rule that you followed brought you to this, then what use was the rule?” Anton Chigurh to Carson Wells in No Country for Old Men
- 7. Supporting clinicians and helping to feed the beast Clinicians view of the beast Vague mythical creature that is some-one-else’s problem as we have enough problems of our own
- 8. Supporting clinicians and helping to feed the beast New Rules Useful stuff out , equals useful stuff in No need for personal data-bases Old Rules Garbage out, garbage in Inaccurate data Personal data bases
- 13. Supporting clinicians and helping to feed the beast The Hybrid Journey
- 14. Step 5 – Care Plan Referral Allocation to Clinician Pre-Clinic Summary Assessment and Diagnosis Care Plan Intelligent care planning is highlighted by the use of collapsible blue bars. A previous paper based form consisting of 12 sides is now available on one screen
- 15. Support Elements - Messaging Referral Allocation to Clinician Pre-Clinic Summary Assessment and Diagnosis Care Plan Support Elements Messages can be sent from one user to another but these messages stay in the patients menu tree so they can be seen by any user Each message remains “Not Actioned” until the recipient Actions the message in their own inbox
- 16. Performance management Clinicians Patients Medical Records Hybrid System Feeding the beast Governance
Editor's Notes
- Fiona , consultant psych , ie a doctor Chris , health and social care system implementation manager, a cipher between clinicians , and technical side to get a real system
- Chris have you seen the film For those who haven't Anton and Carson are highly skilled assassins chasing a prize, in this case loads of money They face each other , Anton has cornered Carson , who is hurling abuse at Anton , saying have you any idea how insane you are… Not unlike the average exchange between a clinician and a it professional about a system, , and then Anton says 2if the rule And shoots Carson So it seemed the existing rules for system design and development tend to to create interprofessional anger , frustration , and we want to avoid actual bloodletting So it was time to change the rules
- Change was a move from IT driven change To change driven it Read the slide
- Chris Read Different thing was…
- Fiona clinicians kept on meeting discussion and drawing accepting difficulties Between different groups Just as an example…
- Managers take feeding the beast quite seriously Eaten Rules on reporting keep changing too
- Clinicians , well doctors in particular have little interest in the beast And they all disagree anyway about what information is important
- Rule changed from here it is to lets talk it through Implications for a few other unwritten rules read
- Even the simplest clinician understood that if the informatuion is there .. So is food for the beast..
- Important that the sysate was piloted And not in somewhere east where its garanteed to work but something real… Testament to the syatem is double entery Clinical benefit
- Change of culture was difficult Managers quite liked the old sysytem Hard to persuade people who had not been involved that the new sytem nmight be useful, ecause the old sysytem was not clinically helpful Rules change
- Read Did all get married but it was quite painful and involved lots of negotiation…although I did not understand thetechnical stuff but I was clear that the sysytem should not be compromised… afterwards people might want ask about this… And this is what it loks like and does
- Logo on our shirts…
- The system has all the stuff you need clinically , care plan , treatment plans , relapse plans, … everyone can access it immediately…
- The best bit for lots of clinicians is the ability to send a message…which comes up on the screen so you can advise of violence absconding..
- Conclusion chris… Finish with our vision for other computers syytem You can see this as groups of colleagues ihn nice separate houses in a happy cul de sac Separate and happy A new Communal facility which is imposed….. Imposed Like putting a Haunted house in the cul de sac Annoys everydoby But If evryone gets involved and has a real sat.. A real vioce .. Then the new facility may be welcomed .. Maybe u8sefyul to all
- So try chaning the ules