dr william lumb - 'ccio in clinical commissioning/clinical leadership in health ict
TRANSCRIPT
Dr William LumbGP & CCIO
Cumbria interim CCG
CCIO in Clinical Commissioning/Clinical leadership in health ICT
Some of my responsibilities
500,000 patients – “end of the line” Total NHS spend £860m Two acute trusts – 5 sites, 4 acute
Variable level of ePR Clinical & Financial Issues
One combined Community/Mental Health Trust 13 Cottage Hospitals- 220 beds No Mental Health ePR
80 GP practices 900-17,000 patients
The justification
Cumbria 65+ Population: selected health projections (numbers people)
0
5,000
10,000
15,000
20,000
25,000
2008 2010 2015 2020 2025
Year
Nu
mb
er
of
pe
op
le
Unable to manage at leastone mobility activity
75+ registerd blind or partiallysighted
Dementia
LTLI caused by heart attack
Falls (A&E attendance)
Severe depression (lowestestimate level)
LTLI caused by stroke
Falls (hospital admission)
DGH
999 Ambulance
Short Term Intervention Service
(nursing/therapy/SW)
GP/other clinicianreferral
Community IVantibiotic service
Community respiratory team
Short term urgentHome Care
CommunityUrgent Care
Hub
Step-up Step-down
beds
Single point of access
Care Homes
DGH
DGH
LiaisonNurse
LiaisonNurse
Primary Care Assessment Service
Impossible without ICT- the business case
Walk In
All Cat C, others diverted after discussion with PCAS
It’s all about health outcomes
Obama Care?
Modern Healthcare needs.. Connectivity
COIN (FTTC), Wireless for all, Flat Networks Virtualisation Hardware Software
Interoperable ePR Electronic postal service Air Traffic Control for patients/clients
Cumbria
Whole system approach (inc. Social Care) ”dynamic interoperability”
IM&T Commissioning Intentions
Providers must have interoperable ePR Use CCG interoperability standards Expect standards of data extraction and reporting
Focus on patient care Development of outcome based metrics Require common networks Require electronic messaging Meaningful patient access to ePR Engage in Cross Organisational Care Planning
