electronic patient records and the new national agenda: where do radiology management systems and...
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Electronic Patient Recordsand the new national
agenda:Where do Radiology
Management systems and PACS fi t in today?
Patients in your heartPatients in mind
Patientsand families
Dr Charles Gutteridge Clinical Informatics
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The scale of change
Dr Charles Gutteridge Clinical Informatics
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Have we reduced the mountain of suffering?
Dr Charles Gutteridge Clinical Informatics
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Do health costs matter?
Dr Charles Gutteridge Clinical Informatics
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It is global....
Dr Charles Gutteridge Clinical Informatics
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Productivity and growth
Dr Charles Gutteridge Clinical Informatics
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NPfIT - Spine Service Connections
Messaging (TMS & DTS)
DemographicsSCR Directories
Data transfer
Testenvts
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Data
Infrastructure
Messagessupported
Servicesprovided
Summary Care Record, Choose and Book, Electronic Prescription Service, Healthspace,GP2GP, NN4B, QMAS
SUS
Nationalapplicationssupported
Identity mgt
GP systems, Pharmacy systems,Hospital systems, Electronic Staff Record
Otherconnectedsystems
MoD, Home Countries,Other government systems
Reporting info
Prescriptions
Demographics
Care records
MessagingIdentity
management
Test &Training
environments
Reporting
Dr Charles Gutteridge Clinical Informatics
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Health IT use
Dr Charles Gutteridge Clinical Informatics
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Lesson 1 - Interoperability
It is possible to deliver systems nationally but:
Time frame is longLeadership challenge is greatInnovation gets left behind
Dr Charles Gutteridge Clinical Informatics
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Lesson 2 – Professional leadership
Professional engagement in solutions is critical:
Local works better than nationalNurse involvement is criticalUsability is a key factor
Dr Charles Gutteridge Clinical Informatics
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Lesson 3 - Innovation
IT and software innovation is a key to change but:
Innovation outstrips organisational capacity to introduce change
Innovation is costly for first in type usersInnovation disrupts established processes
Dr Charles Gutteridge Clinical Informatics
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Lesson 4 - Analytics
Analytics must be built in from the start:
Clinical data extraction is the key to use by doctors and academics
Performance management tools deliver engagement
Dr Charles Gutteridge Clinical Informatics
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Lesson 5 – User training
User training is key to good system performance and:
Is always underestimated and under delivered
System implementation has a stronger focus than sustainable use
Dr Charles Gutteridge Clinical Informatics
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Dr Charles Gutteridge Clinical InformaticsDr Charles Gutteridge Clinical Informatics
Are we clear about what we want to do?
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Focus on changing care delivery
Dr Charles Gutteridge Clinical Informatics
At present it is:
Centred on infrastructure
Led by professional groups
Digital solutions remain disconnected Clinical variation
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% of high risk TIAs treated within 24 hours
Dr Charles Gutteridge Clinical Informatics
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The changed paradigm – local delivery
Dr Charles Gutteridge Clinical Informatics
Wellness and self care
Defined by citizens
Innovative use of digital solutions
Information and knowledge
Comparison and choice
Apps and mobile devices
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Opp0rtunities for care
Dr Charles Gutteridge Clinical Informatics
• At the bedside
Care and treatment discussions
Safety
Quality
Productivity
Decision support
Video and application support
Training routines
Comparative information
Analytics
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Dr Charles Gutteridge Clinical Informatics
Digital care delivery
So how might we do that….?
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Dr Charles Gutteridge Clinical Informatics
5 challenges for a clinical leader
1.Knowledge and content management
2.Measurement and performance3.Patient experience at the frontline4.Innovation5.Education and training
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Connecting the data
Pharmaceutical data
Dr Charles Gutteridge Clinical Informatics
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Dr Charles Gutteridge Clinical Informatics
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Data quality
Dr Charles Gutteridge Clinical Informatics
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Dr Charles Gutteridge Clinical Informatics
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Comparative OECD 2010 data
Country Scanners/million CT scans/1000
Australia 42 94
Canada 14 125
Denmark 27 84
France 11 138
UK 8 73
US 34 228
Dr Charles Gutteridge Clinical Informatics
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Patient involvement
Dr Charles Gutteridge Clinical Informatics
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Dr Charles Gutteridge Clinical Informatics
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Dr Charles Gutteridge Clinical Informatics
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Teaching and education
Link the professions
Teach advanced informatics
Teach analytics
Teach performance management
Dr Charles Gutteridge Clinical Informatics