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Towards a New Era for Healthcare & Informatics

Towards a New Era for Healthcare & Informatics. Ewan Davis – Director Woodcote Consulting www.woodcote-consulting.com. Overview. About me A Little History New Challanges. About Me. Independent Consultant 1999 - Present. Not a clinician

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Towards a New Era for Healthcare & Informatics

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  1. Towards a New Era for Healthcare & Informatics Ewan Davis – Director Woodcote Consulting www.woodcote-consulting.com

  2. Overview About me A Little History New Challanges

  3. About Me Independent Consultant 1999 - Present Not a clinician Worked in Primary Care since 1981 with associations back to 1961 Founder and CEO of AAH Meditel. 1986 – 99 Mercenary/Prostitute 1999 - Present Past Chair of Intellect Healthcare Group and BCS Primary Care Specialist Group Treasurer BCS Health Founding Director of HANDI CIC

  4. A Little History • GP computing is around 30 years old – Roots go back to the 1960’s but no serious penetration until early 80’s • The first and still the most significant use of clinical systems at the point of care anywhere in the world • 99%+ coverage achieved in late 90’s • Few mid career GPs have ever worked in an uncomputerised practice • The only real major success story in NHS IT

  5. Why? Written by Doctors for Doctors Peter Sowerby Alan Dean David Stables Glyn Hayes James Read David Markwell Mike Robinson Mike Bainbridge

  6. Why? Only half the story

  7. Why? Partnership

  8. So a success, but where next

  9. The Challenge How do we deliver an acceptable standard of healthcare against a background of rapidly rising demand and no prospect of significantly increased resources? Doing what we do now but more efficiently will not be enough. We have to achieve transformational change Innovative use of IT and information will be central to achieving the required transformation

  10. The Response • Encouraging innovation • Patient control • More effectively engaging patients and their informal care networks. Self-care, self-service • Clinical commissioning • Using information, analytics, CDS, to target and deliver efficient effective care • Integrated care • Centred on the patient across the care pathway • Open data, open systems • To mobilise information and facilitate integration and innovation

  11. The Information Landscape Informal Care Network Formal Care Network Information about patients and carers Information about service availability and quality Knowledge about treatments and interventions Care Plan Care Pathways

  12. A New Era • We need to enable • Interoperability • Orchestration • Collaboration and cooperation • We need meaningful engagement between patients and carers, healthcare professionals and technologists • We need to develop business models that can deliver the systems and services we need

  13. HANDI Health CIC • A new not-for-profit Community Enterprise Company • There to support: • Developers • Health and care professionals • Patients, service users and carers

  14. The HANDI Vision Giving everyone the tools they need to manage heath, care and well-being Creating and IT ecosystem to support care

  15. The HANDI Vision Apps EPR EMR EHR PHR PHR Meds Repository CDS Service Terminology Server Drug KB Service Directory Pathways KB Services/Repositories PDS/Record Discovery EWS ESB/Spine Security Broker Infrastructural Services

  16. What’s an App? Not just about mobile A “connected thing” Makes heavy use of pre-existing components and services Built using a well defined development and deployment framework Order of magnitude(s) faster and cheaper to develop and deploy

  17. How do we get there?

  18. Green Shoots • NHS Hack Day, HANDI, Digihealth, Intellect • Portals • Health Community • Patient Platform • Reprocurement approach • C&B, Spine, GPSoC • Patient record access • Interop • ITK, Health Gateway, MIG, OpenEHR, OpenClinical, Smart Platform, GP2GP • IC Open Data Platform • RCP Standards for core clinical information • Open Source • eHealthOpenSource • OpenEyes • Leeds portal • NHS Vista • Wardware • Information Governance • Caldicott 2 • Mi Consent • OpenPseudonymiser

  19. More Info • My Blog www.woodcote-consulting.com • HANDI www.handihealth.org • Free Leeds workshop Monday 10 Sept • PHCSG www.phcsg.org • Conference and AGM 27, 28 Sept • NHS Hack Day http://nhshackday.com/ • Next event Liverpool 22- 23 Sept • Email me ewan@woodcote-consulting.com • Follow me @WoodcoteEwan

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