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The National Perspective

The National Perspective. ?. ICRS The Durham & Darlington Approach Where to Start? Ian Purves. “If history repeats itself, and the unexpected always happens, how incapable must Man be of learning from experience.” GB Shaw (1856 - 1950). Problem Owner. Natural language and “rich pictures”.

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The National Perspective

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  1. The National Perspective ? ICRS The Durham & Darlington Approach Where to Start? Ian Purves

  2. “If history repeats itself, and the unexpected always happens, how incapable must Man be of learning from experience.” GB Shaw (1856 - 1950)

  3. Problem Owner Natural language and “rich pictures” Rhetorics Implementer Problem Analyst Concepts Mappings Assignments of mappings and referents Conceptual models Formalisms Programmes Formal Representations Interpretations of calculi, transformations, or traces. Solution Designer Solution Specifier

  4. What are the issues? • Sectors and boundaries … • Understanding sectoral fragmentation • Provision of practical steerage and guidance • Duality of accountability •  No 10 •  Patients • No 10 • NHS IA • StHA • Acute Trust • Mental Health Trusts • Community and Social Service Trusts • PCTs • GP Practices • Patients

  5. Where to start? • … at home … • Developing real clinical benefit from Informatics

  6. You are here

  7. What are the issues? • Sectors and boundaries • … ‘Legacy’ • Incumbent systems • Available functionality • Available infrastructure • Natural clinical workgroups and governance arrangements • Understanding the role of national strategy • Utilising national technical standards

  8. Solution … Local Processes • Understanding the clinical needs • Understand and empower ‘legacy’ capacity • Developing the business plan • Programme & project management • Education and training • Feedback to the centre

  9. How to begin to start? • In our area building on DuDEHR • Utilising our methods • Utilising developed communities • New project to further refine … • Communities and their capacities • Federation between communities • Local supportive development centre (e.g. ethnography, project management …) • Evolution of different system architecture projections

  10. How to begin to start? • … in your area? … • … nationally? … “Introducing new material via a lecture may be avery effective teaching method, but it ismostly a very ineffective learning method.” Uri Leron and Ed Dubinsky “The future belongs to the unreasonable man who looks forward, not back, who thinks the unthinkable and who is certain only of uncertainty.” GB Shaw

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