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Knowledge Management Strategy at Monitor. Culture, benefits and implications for the new Sector Regulator. 3 May 2012. Knowledge Management Strategy Behaviours, culture, ROI. Monitor’s KM strategy and implications for its future role Neil Stutchbury Knowledge Management Director
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Knowledge Management Strategy at Monitor Culture, benefits and implications for the new Sector Regulator 3 May 2012
Knowledge Management StrategyBehaviours, culture, ROI Monitor’s KM strategy and implications for its future role Neil Stutchbury Knowledge Management Director Monitor, Independent Regulator of NHS Foundation Trusts
Introduction • Overview of Monitor’s role • Foundation Trust regulation • Sector regulation • How Monitor uses Knowledge Management for regulating Foundation Trusts • Behaviours, culture, ROI • Implications for new role as Sector regulator
FT regulator: Compliance More foundation trusts Governors are able to develop their skills
Monitor’s future role Continuing role as FT regulator • Assessing NHS trusts for FT status: Target of 2014 • Regulating FTs: Ongoing • Price regulation: joint responsibility of Monitor (price levels) and NHS CB (pricing structure) • Enabling integration: Monitor and commissioners both have responsibility to see that more efficient and coordinated care pathways are created • Preventing anti-competitive behaviour:Where against the interest of healthcare users, approach will be based on current rules, the PRCC • Licensing providers: Working with CQC, licence would ensure providers meet required standards • Continuity of service:New process to protect essential services Sector regulator role
As Is (Jan 2010)Information Management Issues • Ownership for shared information was unclear • Information was hard to find • Some information was inaccessible (due to access controls) • No version control: difficult to be sure which is the final version • Unable to perform historical trend analysis because the data was not in one place • Critical knowledge leaves the organisation when people leave • Information volumes are growing • As time passes, the situation will only get worse The number of in-year monitoring reports we produce per year is growing exponentially
Vision • A single repository of all Monitor’s information • We store information in one place, • We store information once and re-use it many times • “Single version of the truth” • A culture of sharing our knowledge and information • Our instinct is to share what we know with our colleagues • We all take responsibility for owning and managing the information we share with others • Benefits • We can find the information and expertise we need to do our jobs • We can trust the information when we’ve found it • Outcomes • Timely and informed decision making: reduced risk • Greater efficiency and productivity • Retention of corporate knowledge
Approach • Business transformation • Timely and appropriate intervention • Enhanced productivity • Retain corporate memory
To BeA Single Version of the Truth Assessment Monitoring Escalation/Intervention 3 1 2 Documents External Partners/Stakeholders External Data Correspondence Data Information Repository Internal functions: HR, Comms, Legal, Policy etc
connect2: Single Information Repository Browser interface Up/download templates FTs regulatory compliance returns Documents, links • Documents • Reports • Workflows • Collaboration... SharePoint Docs MS Office Reports Reports Contacts • Contacts • Trust status • Portfolio update • Correspondence CRM • Monitoring data • Trust data • Healthcare data... SQL Server Templates AD Contacts Tracked emails Portfolio updates Updates • Emails • Calendars Exchange Alerts Email, Calendar Outlook
Overall Timeline May 10 Nov 10 Jan 10 Oct 11 2010 2011 N D J F M A M J J A connect2:Intranet connect2:Assessment connect2:Compliance connect2:Monitor Impl in SP 2010 Develop Pilot Live Develop Test Live HR, Comms, Legal etc
Benefits Financial Non-Financial Measureable Non-Measureable
Benefits Reduced risk of making inappropriate or untimely regulatory decisions £370k saving from retiring legacy systems and services Financial Faster to respond to FOI requests and MP questions 10% productivity improvement in quarterly monitoring More timely, richer internal communications Faster to create Assessment board decision packs Non-Financial Capturing and sharing knowledge Time saved finding information Faster and richer induction for new starters Measureable Non-Measureable
KM Culture and Behaviours • KM culture must align to corporate values • Monitor: “professional”, “open”, “collaborative” • Our KM culture • Open information sharing • Valuing each other’s expertise and knowledge • Our instinct is to share what we know • Required behaviours • People save their work in connect2 for sharing with others • Take responsibility for own information • Annotate documents with metadata • Look up information in connect2 first; ask second • Organisation recognises and rewards collaborative behaviours
KM Examples connect2 champions Trust “e-diaries” Track meetings with stakeholders All FT information in one place Track all FOI data requests Knowledge sessions
Implications for Monitor’s new role • Changes to KM strategy • Shared systems and data with partners (NHS CB, CQC, IC, CCGs…) • More complex organisation (4-5 times larger) • New business systems required for new functions • Licencing providers (with CQC) • Pricing system (with PBR team, NHS CB) • Integrated services and competition analysis (with CCP, NHS CB, CCGs) • Continuity of service • New compliance process required for licencing regime • Timely access to quality information will be a critical success factor
Monitor relationships - today Responsibility for ensuring patients have access to quality services FT regulation Regulating FTs Providers
Monitor relationships - tomorrow Pricing, protecting against anti-competitive behaviour Data sharing Responsibility for ensuring patients have access to quality services LicencingFT regulation Protect and promote patients interests Regulating FTs Licensing, protecting against anti-competitive behaviour Integration & protecting against anti-competitive behaviour Clinical Commissioning Groups Patients Providers
Conclusions • Developed and delivered a KM strategy for Monitor which has centralised its information capture, improved productivity and reduced risk of poor decision making • Monitor is gearing up to meet its responsibilities in the Health and Social Care Act 2012: information and collaboration across the health service is going to be critical • Thank you for listening • Any questions?