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Delivering Knowledge for Health Knowledge Management: Supporting eHealth Strategy and Practice SCIMP Conference 6-7 November 2007 Dr Ann Wales Programme Director for Knowledge Management [email protected]

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Delivering Knowledge for Health

Knowledge Management: Supporting eHealth Strategy and Practice

SCIMP Conference 6-7 November 2007Dr Ann Wales Programme Director for Knowledge Management

[email protected]

Delivering Knowledge for Health

Overview

1. What is Knowledge Management?

2. Why does it matter to eHealth?

3. How is it supported?

Practical resources and tools:• E-Library• Shared Space• Information Literacy Skills

Strategic planning

Delivering Knowledge for Health

What is knowledge management?

Delivering Knowledge for Health

Winston Churchill

‘If you have knowledge, let others light their candles with it’

Delivering Knowledge for Health

Knowledge….

“The facts, feelings or experiences known by a person or a group of people”.  - Collins English Dictionary

Delivering Knowledge for Health

Knowledge and Information

“Knowledge has a different quality to information. Knowledge includes human experience and the ability to make complex judgments based on past experience. Information is more about mere data whereas knowledge is 'potential for action'."- Government of Australia, Information Management Office, Administrative Review Council

Delivering Knowledge for Health

Knowledge, Information and Technology

Information and data are embedded in computers

Knowledge is embedded in people.

"Information generated by a computer is not a very rich carrier of human interpretation for potential action……Computers are merely tools, however great their information-processing capabilities may be.“

- Yogesh Malhotra, quoted by Institute of Internal Auditors

Delivering Knowledge for Health

Knowledge management

The way an organisation can leverage the knowledge of its employees, partners and outside experts to support the business objectives of the organisation.

Ackerman et al, 2003

The cultivation of an environment within which people are willing to share, learn and collaborate together leading to improvement. Care Services Improvement Programme, 2006

Delivering Knowledge for Health

Keynotes of knowledge management

• People ~ Sharing ~Action ~ Technology as tool

• An organisation’s most valuable resource is the knowledge of its people.

Delivering Knowledge for Health

Knowledge Management and eHealth

“eHealth is about managing knowledge for the health service in order to deliver benefits to patient care.”

“eHealth depends upon knowledge management:• Communication of information – between

professionals and between professionals and patients.

• Managing information to track the patient journey.• Decision-making based on knowledge and evidence,

involving professionals and patients in the decision-making process.”

- Extracts from interviews to support development of National Strategy for Knowledge Management.

Delivering Knowledge for Health

Supporting Knowledge Management

Practical systems, tools and skills

Delivering Knowledge for Health

Supporting Knowledge Management

1. Human networks (Managed Knowledge Networks and

Communities):

Human relations, conversation and eliciting tacit knowledge.

2. Technology networks

Using technology tools to organise and share knowledge.

Delivering Knowledge for Health

Managed Knowledge Networks (MKN’s)

• Networks of people• Networks of practice• Comprise multiple communities• Access, share, evaluate, apply knowledge in common

area of endeavour.• Bring together explicit (published) and tacit (personal)

knowledge.• Transform knowledge into practice• Drive innovation and culture change

Delivering Knowledge for Health

Examples

MKN’s Cancer Coronary Heart Disease Mental Health Stroke Diabetes Healthcare Associated Infections Equality in Care Information Governance Remote and Rural Care NMAHP eHealth

Communities(c150) Care Pathway and Guideline Groups Oncology Pharmacists Heart Failure Nurses Community Mental Health Teams Stroke Nurses Forum Infection Control Managers Community Health Partnership Managers Community Hospitals and Intermediate Care Group Patient / Public Involvement Groups NMAHP eHealth Leads

Delivering Knowledge for Health

Practical Support for MKN’s

Resources and Tools:

• NHS Scotland e-Library

• Specialist e-Libraries

• Shared Space

• Social networking technologies

Delivering Knowledge for Health

www.elib.scot.nhs.uk

Delivering Knowledge for Health

E-Library as Technology Network

Access across boundaries

•Disciplines•Sectors•Organisations•Clinical / Non-clinical•Professional/ Patient

Published knowledge base •5000 journals•5000 eBooks•Over 70 bibliographic databases•Tens of thousands of evaluated guidelines, patient information, websites, etc.

•Keeping up to Date•Training and Development•Personalisation

Delivering Knowledge for Health

Special e-Librarieswww.elib.scot.nhs.uk

Delivering Knowledge for Health

Delivering Knowledge for Health

Shared Space

• Collaborative workspace• Virtual Learning Environment• Community website

• Supports Knowledge Networks • Facilitates sharing of resources and experience.• Supports health and social care staff, patients and

public, in working and learning together.

Delivering Knowledge for Health

Menu of options always

available – display depends on your

role

Resources – new

-full list

-search

Discussions

Contacts

-browse

-search

Events and courses

News

NavigationGo back to e-Library

Delivering Knowledge for Health

New Social Networking Technologies

•Implemented in NMAHP eHealth Portal

•“Tagging” people and resources•My e-Library

Delivering Knowledge for Health

New Features

Delivering Knowledge for Health

Delivering Knowledge for Health

Delivering Knowledge for Health

Delivering Knowledge for Health

Delivering Knowledge for Health

Delivering Knowledge for Health

Find People

Delivering Knowledge for Health

Enabling knowledge management

Information Literacy Skills

Delivering Knowledge for Health

Information Literacy

“Information Literacy lies at the core of lifelong learning.

It empowers people in all walks of life to seek, evaluate, use and create information effectively to achieve their personal, social, occupational and educational goals.

It is a basic human right in a digital world and promotes social inclusion of all nations.”

Alexandria Proclamation 2005

Delivering Knowledge for Health

Information Literacy Cycle

Delivering Knowledge for Health

Information Literacy

Cycle

Scottish Continence Nurses’ Specialist Advisory Group: Development of electronic templates for continence assessment

Delivering Knowledge for Health

How can I build upon these skills?

NHS Education for

Scotland Knowledge

Services offers a suite of

online information literacy

tutorials

www.infoskills.scot.nhs.uk

Delivering Knowledge for Health

Looking to the Future:

Strategic Planning for

Knowledge Management in NHSScotland

Delivering Knowledge for Health

Terms of Reference

Scottish Executive Commissioning Brief

Coordinated National Strategy for Knowledge Services• Integral part of eHealth Strategy

Vision:“Knowledge support articulating with all stages of the patient

journey.”

Delivery:“Manage knowledge in a coherent, integrated way across

boundaries of organisation and sector, in order to support integrated and continuous delivery of care.”

Delivering Knowledge for Health

National Health Knowledge Network (NHKN)

Networked• Cross-boundary• Technology• Knowledge culture - skills and values

Empowering• Common vision and guiding principles• Resources, systems and tools

– to support self-directed action plans at local level.

Delivering Knowledge for Health

Vision

Patients, carers and professionals using knowledge to work and learn together.

• All partners connected by equal access to knowledge tailored to their needs.

• Support to develop skills and shared understanding.• Knowledge management as an integral part of

practice

Bring together people, technology and knowledge services to work and learn together in a coordinated way across providers and healthcare settings.

Delivering Knowledge for Health

Delivery vehicles

• Health Information Online

– Clinical Decision Support

• National Helpline Network

• Network of Health Information Outreach and Support Services

Delivering Knowledge for Health

Enabling infrastructure

• Culture – information literacy skills and values

• Governance and leadership

• Partnership

• Technology

Delivering Knowledge for Health

Next steps

November 2007- January 2008

• Hope to consult on draft strategy / discussion framework

Delivering Knowledge for Health

Summing up

Knowledge management enables people to deliver eHealth

Putting it into practice today: • NHS Scotland e-Library• Collaborative tools – Shared Space, Tagging, My e-Library• Information literacy

Evolving strategy for knowledge management• Technology ~ People ~ Skills

Delivering Knowledge for Health

The final word on knowledge management….

“A way of working …… a way of being”

- Interviewee for NHSScotland Knowledge Services Strategy

Delivering Knowledge for Health

Knowledge Management: Supporting eHealth Strategy and Practice

SCIMP Conference 6-7 November 2007Dr Ann Wales Programme Director for Knowledge Management

[email protected]