How can Clinical Standards contribute towards improvements in Healthcare ?

1. How can Clinical Standards contribute towards improvements in Healthcare ? Manchester March 20th 2014 Presented by Tim Chearman Maureen Curran

2. HSCIC HSCIC Strategic Objective: Minimise any barriers to the flow of data and information between care settings • Supporting both the integration of services • Enabling individuals to manage their own care Professional and Clinical Information Standards team: Focused on enabling information sharing for patients and health and social care professionals using standards

3. What are Clinical Standards ? • the coding systems used for representing clinical concepts • coded vocabularies themselves are only the visible tip of the standards iceberg • standards are fundamental for progress in health care • essential resources for future clinical decision support, audit, governance, research, education, and training. • In a very real sense, these standards define what can be said about patient care. READ SNoMED

4. Standards • Inthewrittenlanguagethereisastandardthatwebeginasentencewithacapitalletterandendwithafullstop • In the written language there is a standard that we begin a sentence with a capital letter and end with a full stop. Simply put data standards are: An agreed upon set of rules that allow information to be shared and processed in uniform and consistent manner.

5. So what do we have • Clinical Documentation and Generic Record Standards • Endorsed as fit for purpose for the whole medical profession by the Academy of Medical Royal Colleges (AoMRC). • Standards for admission, handover, discharge, outpatient and referral records and communications • available for free • ready to use now to develop and implement electronic health and social care records.

6. Value of using CDGRS to exchange information Common clinical representation Quality of care Support professional best practice Reduce transcription and transformation errors Patient safety assist compliance with Information Governance and NHS Litigation Authority Clinical Negligence Scheme for Trusts risk management standards. Interoperability potential Enable commissioning across pathways and care providers Paper to electronic benefit

7. What have we done with them • Blue Button Concept • Use of the CDGRS headings to provide a standardised view of clinical information to be shared in a patient controlled app http://vimeo.com/88133688 • Newcastle University Hospitals Discharge Summary • Northumberland Tyne and Wear Mental Health Discharge Summary

8. Next Steps • Challenges • Implementation • Business Change • How to be involved cdgrs.implementation@hscic.gov.uk Professional and Clinical Data Standards NCCR Suppliers PRSB UKTC MESSAGING CDGRS