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Presenting the Challenge

Presenting the Challenge. Dr Peter Drury Head, Information Policy Unit 2nd National PRIMIS Conference 23 April 2002. Vision Integrated care Integrated systems Integrated information Data quality Outcomes Meeting our challenges. Challenge? What Challenge?.

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Presenting the Challenge

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  1. Presenting the Challenge Dr Peter Drury Head, Information Policy Unit 2nd National PRIMIS Conference 23 April 2002

  2. Vision Integrated care Integrated systems Integrated information Data quality Outcomes Meeting our challenges Challenge? What Challenge?

  3. Information and information systems will be person-based Systems will be integrated to achieve a whole systems approach Management information will be derived from systems used in direct patient care Information will be secure and confidential Information will be shared across the NHS and ultimately across health and social care Principles of Information for Health

  4. “Step by step over the next ten years the NHS must be redesigned to be patient centred – to offer a personalised service” (NHS Plan para. 1.3). July 2000 The NHS Plan

  5. “National, integrated ICT systems across the health service can lay the basis for the delivery of significant quality improvements and cost savings over the next 20 years. Without a major advance in the effective use of ICT the health service will find it increasingly difficult to deliver the efficient, high quality service which the public demand. This is a major priority which will have a crucial impact on the health service over future years” para 6.22 Wanless - Final Report April 2002

  6. Recommends a doubling of ICT spending, provided: the Government and the health service must ensure that they have clear and well developed views about the benefits which they want to achieve, with patients at the core of the system stringent standards budgets to be ring-fenced and achievements audited Wanless - the provisos

  7. “The most valuable repository about the current health of the population may well be GP records and it is ironic that these are virtually unused for local health surveillance and service audit” Information for Health, NHS Executive 1998 Why is PRIMIS needed?

  8. “Primary Care organisations need high quality data to support greater integration of care, National Service Frameworks and the process of clinical governance, evidence-based practice, and performance targets that focus on the quality and outcome of services…..The need to ensure accurate and complete recording of health events on computer systems, as well as the ability to extract relevant and useful information from them, forms the foundation of the services which PRIMIS offers” http://www.primis.nhs.uk/why_is_primis_needed.htm Why is PRIMIS Needed?

  9. Patient Personalised care (with convenience & choice) Whole system, not just the parts Healthcare professional multi-professional teams multi-site; 24/7 shared meanings Citizen Integrating care of our health with (and for) the rest of our life Integrated Care

  10. To support integrated care requires systems that integrate: Organisations - joint planning e.g. LISs, LIPs, FPs Service delivery - coordination e.g. referrals discharges Training, HR - developing skills, ESR, NHS U Standards of care - e.g. NSFs, clinical governance Resources - money, estate, PEOPLE Information - standards, services, systems Integrated systems

  11. Infrastructure - Confidentiality & security, channels Standards Electronic Records patients organisations & communities national Applications - e.g. Bookings, Prescribing Knowledge - e.g. NeLH, NHS DirectOnline, nhs.uk Quality Management processes and outcomes Integrated Information

  12. “Data quality is becoming increasingly important in a world of public scrutiny. I would encourage NHS Chief Executives to look again at data within their own organisation and consider whether you are happy with the quality and the range.” CE Bulletin April 2002 Data should be right first time, and captured once NHS organisations to nominate a senior manager responsible for data quality by 30th June 2002 -see http://www.pcimb.nhs/downloads/pcoguide.pdf Data Quality

  13. What have we delivered? What have we learnt? What can be contributed to a common/specific pool of knowledge? Was it appropriate in context? Outcomes

  14. IM&T Strategy Model • SERVICE USERS • Citizens/patients • Professionals • Business/Public Sector INFRASTRUCTURE • STANDARDS • Information • standards • Information • Governance • CHANNELS • Connectivity • Channels • strategies • Internet • NHSnet • Phone • Digital tv • etc

  15. IM&T Strategy Model • SERVICE USERS • Citizens/patients • Professionals • Business/Public Sector INFRASTRUCTURE E-SERVICES • STANDARDS • Information • standards • Information • Governance • CHANNELS • Connectivity • Channels • strategies • Internet • NHSnet • Phone • Digital tv • etc • KNOWLEDGE • RECORDS • APPLICATIONS

  16. IM&T Strategy Model • SERVICE USERS • Citizens/patients • Professionals • Business/Public Sector INFRASTRUCTURE E-SERVICES • STANDARDS • Information • standards • Information • Governance • CHANNELS • Connectivity • Channels • strategies • Internet • NHSnet • Phone • Digital tv • etc • KNOWLEDGE • RECORDS • APPLICATIONS RESOURCES, IMPLEMENTATION

  17. IM&T Strategy Model • SERVICE USERS • Citizens/patients • Professionals • Business/Public Sector INFRASTRUCTURE E-SERVICES QUALITY MANAGEMENT • PROCESSES e.g. • Performance • Data • OUTCOMES, e.g. • Lower morbidity • Patient satisfaction • STANDARDS • Information • standards • Information • Governance • CHANNELS • Connectivity • Channels • strategies • Internet • NHSnet • Phone • Digital tv • etc • KNOWLEDGE • RECORDS • APPLICATIONS RESOURCES, IMPLEMENTATION

  18. IM&T Strategy Model • SERVICE USERS • Citizens/patients • Professionals • Business/Public Sector KNOWLEDGE INFRASTRUCTURE E-SERVICES QUALITY MANAGEMENT • PROCESSES e.g. • Performance • Data • OUTCOMES, e.g. • Lower morbidity • Patient satisfaction • STANDARDS • Information • standards • Information • Governance • CHANNELS • Connectivity • Channels • strategies • Internet • NHSnet • Phone • Digital tv • etc • KNOWLEDGE • RECORDS • APPLICATIONS RESOURCES, IMPLEMENTATION

  19. All of us have many of them! How to align available resources to deliver data, information and systems that support improvements in the quality of integrated care in a decentralising NHS The challenges for PRIMIS? Meeting our challenges

  20. Continuing requirement to support culture change in the use of information in the consultation and to support the delivery of care Extending geographical coverage, and continued support Good quality data can now support comparative analyses, research etc Demonstrable experience and expertise Lessons learnt from PRIMIS

  21. Primary Care organisations need high quality data to support greater integration of care, National Service Frameworks and the process of clinical governance, evidence-based practice, and performance targets that focus on the quality and outcome of services http://www.primis.nhs.uk/why_is_primis_needed.htm Why is PRIMIS Needed? Is it...

  22. Greater integration of care needs greater integration of systems, information and data quality. This is needed to support National Service Frameworks and the process of clinical governance, evidence-based practice, and performance targets that focus on the quality and outcome of services provided, e.g. by Primary Care Organisations Or, to put PRIMIS into context, is it...

  23. How does PRIMIS help embed computers in clinical practice, improve clinical data in the process, and support clinical governance and the NSFs by providing comparative data so as to support the delivery of integrated care? In short..

  24. Find out by making the most of this Conference!

  25. PRIMIS 23rd April 2002 Metropole Birmingham

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