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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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