implementing the information strategy - faculty of · pdf filedr charles gutteridge clinical...

Dr Charles Gutteridge Clinical Informatics

Implementing the Information Strategy:

The must do’s

Patients in your heart

Patients in mind

Patients and families


Millennium

England


Information strategy - England


Summary must do’s

Patient control of their medical record

Scaled use of data

Interoperability and use of standards

Education and knowledge


Health information Exchange


Patient viewing


Scaling for population health

Innovation for data collection

Use of problems lists and terminology

Goal setting for patients

New forms of practice


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Population Health Framework…

Health Plan / TPA

Mu

ltip

le D

ata

So

urc

es

Health

Coach

Care

Manager

Case

Manager

Pe

rso

na

lize

d C

are

Pla

ns

Clinic

Hospital

Community

Health

Services

Home

Health

Other

Community

Resources

HIE

Care

Team

Op

era

tio

na

l &

Clin

ica

l

Pe

rfo

rma

nce

Me

asu

res

Improved

Outcomes

Lower Costs

Increased

Productivity

Health plan and payment system aligns incentives for beneficiaries and providers

2 3 4 5

1

England Commissioning Datasets


Getting to grips with data


Information, datasets and tools


Using the data


Citizen involvement

Open access to data

Public health observatories

Data.gov.uk

Patient facing websites

NHS Choices


Advice on-line


Feedback


Comparing cleanliness ratings with infection rates

Greaves et al, 2012 Arch Int Med

NHS Choices Measure Other variable Spearman

Rho p value

Patient perception of cleanliness

Rate of MRSA bacteraemia (per 1,000 bed days)

-0.30 <0.001

Patient perception of cleanliness

Rate of C. difficile infection (per 1,000 bed days)

-0.16 0.04


Enabling patient knowledge

Explicit strategies for empowerment

Digital data for patients

Clinical goal setting

Data exchange

Listening


Enabling professional knowledge

Explicit strategies for empowerment

Digital data for professionals

Clinical coaching

Innovation and research

Training and knowledge


Quality Improvement

Goal- Health through data synthesis


implementing the information strategy - faculty of · pdf filedr charles gutteridge clinical...

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