ICT and Service Alignment To support Knowledge Driven Healthcare

1. ICT and Service Alignment To support Knowledge Driven Healthcare

2. Agenda for the day • Introduction • Challenges • Darzi • IT Strategy • Local initiatives to support Strategy

3. THE EVOLVING ROLE OF IT What is changing: • IT is a major business tool • not just a technical challenge • IT is now a service provided to customers • Customer/user focused • The IT department is a service provider. • Often not considered a core part – supplier • IT needs to be business aware. • meets business requirements IT is a fundamental requirement in today’s Healthcare environment

4. Challenges • Alignment to constantly changing service needs • Business continuity • Staffing –development recruitment & retention • Darzi review and changing service requirements • Operational Support • Innovation and embracing change

5. Darzi Review - Principles It takes a three-pronged approach to developing information systems: • delivering better, safer care through supplying information to support care processes and sharing information across organisational boundaries, including social, independent and voluntary sectors; • empowering staff by giving the means to assess of quality and effectiveness of care through better research planning and management; and • empowering patients, service users, carers and the public by providing better information on services, online access to records, and involvement in decision making.

6. IT Strategy - Principles • Appropriate and aligned to the business needs • Fit for purpose • Provide value to the organisation • Be energy efficient and cognisant of carbon foot print impact

7. IT alignment with Service Requirements • “Information technology and business are becoming inextricably interwoven. I don't think anybody can talk meaningfully about one without the talking about the other.” • “The first rule of any technology used in a business is that automation applied to an efficient operation will magnify the efficiency. The second is that automation applied to an inefficient operation will magnify the inefficiency.” Bill gates

8. IT alignment with Service Requirements • "We need to use the National Programme and the informatics profession as an opportunity to drive forward the use of information to save people's lives and improve the quality of care. Success will be about engaging with management, with our partners, transparency of information we make available to the public and commissioners to improve quality, fantastic data to transform processes, not just computerise care processes," Professor Swindells

9. Objectives of Strategy • Robustness • Managing Constantly-Changing Content • Global Knowledge Management • Responsiveness • Personalized Delivery • Instantaneous Response • 24x7 • “Worldwide” Availability • Single point of entry (password/Data) • Scalability Internet Scale • Fault Tolerant • Terabytes of Information • Trust • Current, Accurate Global Content • Secure Content

10. Strategy components Corporate Business Support Enabling Architecture/ Infrastructure ICT Strategy Quality And Management Information Empowering People Facilitating Improved Communications Enabling Processes

11. Enabling Architecture/Infrastructure • NIM – level 4 inventory/asset management – release Enterprise CALS • Wifi • Server & desktop virtualisation • SAN replication • Unified Communication • SCOM SCCM – integrated help desk • Vista - exchange 2007 etc • Single sign on • Systems interfacing • Mobile devices Enabling Architecture/ Infrastructure

12. Supporting Care Delivery • NCRS • Health record digitisation • Clinical information systems development • Electronic prescribing • Digital dictation • Enterprise scheduling • Order communication • Information hubs • Patient surveys • Coded electronic clinical correspondence Supporting Care Delivery

13. Facilitating Improved Communications • New internet site – more interactive • New intranet site easy to retrieve document, with alerts and subcription etc. • GP portal to tie in customers • Flexible working • OCS implementation Facilitating Improved Communications

14. Corporate Business Support • Video/web conferencing linked to UC • New telephony system • Corporate document management • Patient level costing • Staff rostering linked to ESR Corporate Business Support

15. Quality And Management Information • Business intelligence to support Service line management (not just acute) • Data quality improvement programme • Patient outcome measures • Geographic information Quality And Management Information

16. Enabling Processes • ETD IT strategy • Knowledge management strategy • Improved training delivery progress • Improved IG processes and policies Enabling Processes

17. Enabling Architecture Infrastructure Facilitating Improved Communications Corporate Business support Connect Inform Collaborate Quality and Management Information Enabling Processes Supporting Care Delivery Knowledge DrivenStrategy

18. WWW Health Professionals Business & ClinicalProcesses Patients Delivers Seamless integration

19. QUESTIONS?