Benchmarking and Accreditation in Health Informatics

1. Benchmarking and Accreditation in Health Informatics Mike Sinclair – National Project Manager John Rayner – Club Chairman

2. Agenda • Overview of Project • Deliverables • Consultation & Communication • The Benchmarking Information Pack • The Benchmarking Club • Accreditation • Professionalism

3. The story so far… • Work initiated by C&C programme • First pilot 14/12/07 • Benchmarking information pack (BIP) developed • National consultation, communication and collaboration • Benchmarking Club established • Developing OBS and OBC for Accreditation Scheme

4. The story so far… • First Pilot • Barts and The London • South East Coast • THIS • Second Pilot • North Mersey HIS • South Staffs and Shropshire NHS Trust • Oxford HIS • Moorfields Eye Hospital • Humber Mental Health NHS Trust

6. HISBA Project Deliverables • Develop Benchmarking for I.S. • Scheme; • Tools; • Support. • Develop Accreditation • Standards, Process, Support

8. Consultation and Communication • National Workshops & Meetings • July 07, Nov 07, April 08, May08 • HC2008 • Assist regional meetings • London IM Forum • HIS Benchmarking Club • Established June 08 • Workshop Sept 08 • Individual Organisational Follow-ups

9. Consultation and Communication • NHS/DH • Healthcare Commission (CQC and Monitor tba) • National Audit bodies • External • Tribal Group • PWC • Gartner • SOCITIM

10. CFH Connections • IM&T Planning Guidance (Operating Framework) • PCT Support & Development Tool (LISA) • Benefits management tool (ORAM) • National Infrastructure Maturity Model (NIMM) • Investment Survey

11. Starting to Align Initiatives • HiBC • Framework for health informatics benchmarking • Identifies areas for service improvement • Promotes understanding of benefits & risks of alternative models • Address issues of information governance & accreditation • Compares performance of informatics services • LISA • Local health community (LHC) focus • Prepares readiness for IM&T enabled change • PCT accountability for IM&T strategic planning • Alignment of IM&T strategy with LHC transformation goals CUI PSPG IG Tool kit CFH GPG NHS EWAs ITIL MSP Others.. • ORAM • Assists IM&T Programme Managers to assess organisational readiness to implement IM&T enabled change • Planning & delivery of programmes & projects • Programme & Project governance • Benefits realisation & lessons learned • NIMM • IT Infrastructure maturity model • Considers technology and IT management of IT infrastructure • Focus is on capabilities not specific products • Allows as is benchmarking and target planning in order to create a roadmap for coordinated infrastructure improvement

12. The Benchmarking Information Pack • 1. Introduction • 2. SD (Service Description) • 3. CSF (Critical Success Factors) Leadership Governance Development and Improvement Planning Long-term Resource Framework • 4. BSC (Balanced Score Card) Resources Customer focus Business Processes Workforce Development • 5. SC (Individual Service Categories) IM&T Planning Information Services ICT System Operation, Service Support and Delivery Information Governance • Standards and References • Summary of scores

13. BIP Development • Developing context and guidance • Look at ‘user perspectives’ • Weighting and aggregation / scoring • Constraints and dependencies • Increased availability and access • Analysis and Reporting • Alignment/integration with standards

14. Phased approach… • Benchmarking Club providing / hosting the National Benchmarking scheme • The national HIS accreditation scheme

15. HiBC (The Club)… • NHS HIS Benchmarking Club • 97 organisations registered • 58 registered on the website • BIP finalised, download & upload • Committee meetings • Number of in year projects • Club library • Legal input, Club status, FIO, SLA

16. In-year projects… • Service level costing • Infrastructure • Customer service / satisfaction • Equality and diversity

17. The National Scheme • Approx 600 providers • In-house • Managed • Shared • JV • Introduced 1st April 2009 • Mandatory? • Subscriptions? • BIP and annual projects

18. The National Accreditation Scheme • Potential model • Using the BIP and the Club • Local site visits • Survey team • Report and recommendation • Accrediting body • Independent from the process • Will recognise good practice • Award time limited accreditation

19. Accreditation • The license to operate • Renewable • What happens to unlicensed providers??

20. Accreditation Processes • UKCHIP • British Computer Society • National Computer Centre • SOCITM • UKAS • Pathology Accreditation Service • HAQU / CHKS • Royal College(s) / RSM • DH Information Accreditation Scheme

21. How an accreditation scheme might work The Process of testing the standards, and validating organisational status/position. Certification Organisation(s) The United Kingdom Accreditation Service (UKAS) is the sole national accreditation body recognised by government to assess, against internationally agreed standards, organisations that provide certification, testing, inspection and calibration services. Certification Independent Scheme Owner Standards used to define the scheme – Subject to ongoing refinement and national agreement Getting people up to standard, and supporting movement from one level to another Standards Support Visit www.dh.gov.uk/accreditation for more information. [Based on DH Information Accreditation Scheme]

22. The Benefits of Accreditation

23. Benefit to the Provider.. • Increase in professional reputation • More competitive and attractive to Commissioners • Increase market share • High staff morale and lower staff turnover • Viewed as an attractive employer • Better protection against legal action • Greater freedom to operate and increased opportunity • Authorised to use the brand (wear the badge) • Marketing tool • Attract high calibre staff

24. Benefit to the Commissioner • Assurance through third party attestation • Increase public and patient confidence levels • More likely to be compliant with legislation and Health & Safety conscious • Receive high quality services at low cost • Knowing that provider works to approved standards • Greater opportunity to provide assurance to NEDs • Implications for CNST liabilities • Less reliance on local processes to assess HIS providers

25. Benefits to the service user.. • High level of confidence of service delivery • Appropriate systems and processes in place for escalation, customer enquiries and assistance • Compliance with good up to date practices • Customer oriented • Know what to expect

26. Accreditation and the road to professionalism….

27. Professionalism..... The process by which a profession arises from a trade or occupation.

28. Professionalism • Supported by the HIR • A Maturity Model ? ORGANISED - QUALIFIED – GOVERNED – PUBLIC – STATUTORY

29. Professionalism • Levers & Drivers:- • The public perception & expectation; • Public Safety; • Public good; • Ethics & Behaviour; • Recognised Body of Knowledge,

30. How is professionalism achieved? Prolonged academic training Formal qualifications Membership of a professional or regulatory body Licensing authorities Professional codes of Practice

31. Regulation Regulation enforced by statute distinguishes a profession from other occupations represented by trade groups who aspire to professional status for their members. In all countries, professions have their regulatory or professional bodies, whose function is to define, promote, oversee, support and regulate the affairs of its members. For some professions there may be several such bodies.

32. Contact details • Mike.sinclair@nhs.net • John.Rayner@this.nhs.uk • Tracy.mundell@this.nhs.uk

33. The Health Informatics Service is hosted by Calderdale & Huddersfield NHS Foundation Trust and supports healthcare organisations across Yorkshire and The Humber