BCS ASSIST Autumn Conference Clinical Informatics Leadership Workstream Dr Munish Jokhani @mjlondon

BCS ASSIST Autumn Conference
Clinical Informatics Leadership Workstream
Dr Munish Jokhani
@mjlondon
David Davis
National Clinical Lead for Allied Health Professionals
Department of Health Informatics Directorate
the vision: care records as a core source of data
Better
care
3
the information strategy: empowering people
The strategy’s aim is to transform the quality of information and the way
it moves freely and securely around the system to:
• improve health outcomes and safety
• empower service users and support shared decision-making
Information and IT will support people to take more control of their own health
and care and to work with professionals to ensure that there really is
‘no decision about me without me’ - eg. through:
• a culture of transparency
• more efficient and effective use of information to integrate services
• access and support to use information
• including access to people’s own health and care records
Implementing the strategy: AHP Guide
• NAHPIST Workshop
• Chairs, CEOs, CCIOs…..
• Facilitated sessions
• Reviewed key parts of the strategy
• Developed key actions for AHPs
AHP Guide : What are the key themes?
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Simplicity – agreed data standards
Back to basics – use the NHS Number
Develop SNOMED CT for AHPs
Engage with IG – Caldicott 2 Review
Professional behaviour & standards
Patient centred records – written for the patient
Engage with 3ML – innovate technology
Use Choose & Book
Share across pathways appropriately
IBIS
An AHP-led informatics case example……
Andy Collen – Paramedic Practitioner & Clinical Development Manager
South East Coast Ambulance Service NHS Foundation Trust
Great ideas
• IBIS – Intelligence Based Information System
• Uses NHS Number wherever possible
• Two functions:
– Case management: Community teams can register patients with long term
conditions and leave information for crews in the event of that patient calling
999
– Clinical coding and feedback: Coding all non-conveyed incidents. Captures
NHS number and surgery code. Electronic falls notifications and electronic GP
summaries from Senior Paramedics.
Dashboard
Matching process – postcode match alert –
designed for busy environments
Matching Address – comparing the live CAD with IBIS
within seconds of the 999 call being picked up
Patient level matching – comparing name, age and
gender with live CAD
Patient matched – release clinical data. SMS
notification to case manager.
Great ideas
• Information passed by senior clinician in EOC
to crew at patients side.
• Clinical coding and feedback:
Selling IT!
• This takes leadership…..
• But first……
– make sure the product is appropriate
– develop implementation in partnership with
clinicians and IT
– Don’t try and fix problems by being overly
prescriptive
Image courtesy of jscreationzs
http://www.freedigitalphotos.net/images/view_photog.php?photogid=1152
Clinical Leadership
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Fix a problem for patients
Passionate
Believable
Don’t sell IT as a panacea
Make sure there’s a quid pro quo
Don’t forget professional management goes
hand in hand with leadership!
– objectives
– contractual arrangements
Image courtesy of Master isolated images
http://www.freedigitalphotos.net/images/view_photog.php?photogid=1962
JOIN US!
http://www.networks.nhs.uk/nhs-networks/ahp-informatics-network
http://informationstrategy.dh.gov.uk