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www.theprsb.org.uk. The Professional Record Standards Body. HC 2013, Birmingham, UK. Presented by Dr Nick Booth Clinical Director Information Standards Delivery. Signed, Sealed, Delivered. Assured Approved Implemented. Outline.
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The Professional Record Standards Body HC 2013, Birmingham, UK Presented by Dr Nick Booth Clinical Director Information Standards Delivery
Signed, Sealed, Delivered • Assured • Approved • Implemented
Outline • Priorities for communication, data and information using EHRs • How PRSB happened • New “network collaboration” • Examples of professional collaborative work • Role of PRSB in the collaboration • What about the future? • Clinical review, feedback • Early priorities • Further work
New priorities • Patient focus • Clearly driven by good outcomes and choice • Near real time data and dashboards • Derived from routinely recorded data at the point of care Some similarities with previous information strategies
Organisational management Publish Organisational management dataflow Organisational management feedback feedback PROMS dataflow dataflow Clinical Data Infomediaries Infomediaries feedback Information intermediaries PHR PHR The patient or service user feedback feedback dataflow Point of care interaction feedback Health and Social Care professionals record data at the point of care (multi-organisational)
PRSB Beginnings - 2009-2010 Clinical and professional assurance in DH Informatics and Connecting for Health • National Clinical Content Repository • National Clinical Content Requirements Board Procurement and Assurance slow Integration with ISB and other processes New coalition government 2010
Joint Working Group for PRSB set up 2010 The Royal College Of OphtHalmologists AoMRC RCx Mental Health Informatics Network NNIST THE ROYAL COLLEGE OF OPHTHALMOLOGISTS Health Visitors Patient Groups Social Care Midwifery NAHPIST
Foundations for work • Improved coherence of records from EHRs • GP2GP • AoMRC 2008 • Clinical Documentation and Generic Record Standards work already commissioned (now ready) • Experience of the “Clinical Content” Problem • Increasing clinical/professional – technical discourse • Proof of concept work in Newcastle/Chelsea and Westminster (eDischarge Summary) • ITK Information Sharing Challenge Fund - implementation of MH Discharge summary in Northumberland Tyne and Wear Mental Health FoundationTrust
Future Issues for PRSB Key issues Work items Value set archetypes for GPSoC/GP2GP Nursing/care professions data standards and models Consistent coded medications/medical devices National Laboratory Medicines Catalogue Specialist Refsetse.g.Ophthalmology End of Life Care and social care integration Emergency Medicine and ambulance System wide core clinical model • Paperless referrals • System to system transfers • Coherent pathology data • Intuitive terminology use • Real Patient need • Outcome focused care • Information dividend eg care.data
New Structures Social Care Public Health England Informatics Services Commissioning Group Information Standards Partnership INFORMATION STANDARDS DELIVERY PRSB UKTC Classifi-cations Data Dictionary ISMS Case Mix
Collaborative design Info Standards Delivery ISP NHS CB PHE DH-SC others Monitor CQC Research NMC, GMC, Regulators Social carers NICE
Initial Priorities • Medication data standards / 4 countries All provider sector • Deployment of a full set of electronic referral, transfer and discharge documents incorporating the core model for clinical coded data • Fully assured technical standards with agreed professional data components
Examples • The following slides show examples of the kind of work which can be shared after PRSB assurance and subsequent universal collaborative implementation:
Example – patient care element for BP Patient care element for Temperature
Core Clinical Model *= also HES data type
Core model can facilitate? • Communication • Information reuse • Clinical Audit • Commissioning • Choice • Continuing Professional Development • Research Confidence and Quality
Core Information Admission Referrer The core information is enriched at each step By agreeing a ‘core’ information standard we can allow individual systems to share information This ‘core’ information can then be saved on each individual system Handover Discharge
Questions nb@hscic.gov.uk