GIM Training Day - Health Informatics (Wythenshawe, 19 Jan 2009)Outcomes Recertification and Clinical Quality- Ben Bridgewater, Director National Institute for Clinical Outcomes Research
- appraisal / recertification {formative | summative}
- Sir Liam Donaldson, DoH (2006): "Good doctors, safer patients" (in response to Shipman report): summary report | www | a response
- Darzy: "High quality care for all": www; define and measure
- GMC: Good medical practice [www]
- Recertification: GMC, Academy of Royal Colleges, Pan speciality revalidation working groups
- Outcomes / peer review {routine | triggered} if difficult to measure
- HES=hospital episode statistics
- Departmental info. strategy: what and how to collect, how to validate and analyze, what to use for, who has ownership
- Appraisal
- Portfolio: electronic; web-based appraisal toolkit (<<GMC)
- GMC: "Trust, Assurance & Safety ..."
- most trusted organisations: 1 NHS, 2 Tesco, 3 Virgin
- SESATS learning tool
Health 2.0- Decision Support Systems (DSS)
- E-prescribing
- wikispaces, ganfyd.org, NHS behind the headlines blog
HES- HES=hospital episode statistics
- HRG(=healthcare resource group) coding
- FCE=finished consultant episode [vs Spells]
- PbR=payment by results
- www.hesonline.org.uk [vs. Dr.Foster]
- mortality alerts
- "chest pain ? cause": £600; vs. "MI": £4000
- 15% hard diagnoses only
IT into everyday work- Map of Medicine -> online referral forms
- Bluespier (MS-SQL) [trust consent required?]
- Lorenzo
NHS - CfH- NHS CfH(=Connecting for Health)
- Dr Amir Hannan, GP Tameside (among 5 other people): NHS NW clinical IT team
- www.connectingforhealth.nhs.uk
- Summary care record: 5 pilot sites in country (consent to view, smartcard, 200,000 records)
- HealthSpace NHS for pts+public; {basic | advanced} account
- Lorenzo Regional Care: iSOFT
- e.g. ISIS integrating PACS and Pathology
- Electronic prescription service: trials in 3-4mths
- NHSmail - GMC agreed pt-identifiable information can be send (preferred)
- "Clinicians to do IT projects"
- 18 weeks
- PbR
- Communicator: pts to email clinicians (NHS HealthSpace clinician view)
- "What does it all mean?" video Karl Fish (Sony) www.comserve.com ?
- CAT=clinical assessment [and Tx?] centres [?]
- www.htmc.co.uk
- emis access, PAERS Ltd
- HealthVault (MS), GoogleHealth (US)
Public e-Health- "world class" commissioning
- health informatics
- 'data tombs' - undiscovered data signals all there [cf TSHI] "making use of the data you've got"
- e-Lab at Mcr Uni
- Anaemia in DM: at <=eGFR 80 [audit -> research]
- service development -> commissioning: will be judged by model predictions of impact
- info. personalization + frequent reinforcement: e.g. for obesity
Electronic Records- www.TheBigOptOut.com
- antiretroviral medication (last 6mths)
- Population Demographics Service (PDS)
- Secondary User Services (SUS): e.g. Dr Foster
E-learing- Dr Saleem Farook (Associate Dean, NWPGMD, A&E Cons. Pennine Acute)
- www.commoncraft.com/wiki
- podcast of Mcr Uni re successful appraisal
- blogs/wiki: cutting out need for IT person
- e-learning for healthcare
- quality assurance
- VLE(=virtual learning environment): moodle (open-source), Blackboard,
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