delivering paper-free at the point of care · 2018-06-07 · transformation plans setting out how...
TRANSCRIPT
Delivering Paper-free at the Point of Care Neil Calland Senior Programme Lead, Digital Technology NHS England
“I want to use the IDCR to access real-time patient
information at the scene. Amongst other information,
I need to be aware of a patient’s allergies and
adverse reactions, particularly when handing over to
hospital care.” Paramedic
“I want to look up a child’s living conditions before
making a home visit. I want to be able to identify any
health or care related indicators that include siblings
in care, drug or alcohol misuse, domestic abuse
that might signal a need for social care support or
interventions.” Children’s Social Worker
“I need to receive referrals quickly, in a consistent
manner and be able to access all other relevant
information.” Social Worker
“I want to know how much social care support a
patient has received or is due to receive and ensure
this complies with their care plan.” GP
“Working in a busy hospital I want to quickly access
a patient care record that is complete and up to
date.” Nurse
“Having the ability to quickly access an individual’s
medical history will enable me as a paramedic
attending a call to make informed decisions when
responding to an emergency.” Paramedic
“Awareness of any known allergies or reactions will
ensure patients in my care are not administered
medication that may endanger their health.”
Hospital Nurse
As a health and care professional, paper-free
will mean I can…
Guidance issued to date
Local National
• Aligning levers and incentives • Securing sustained investment in
digital technology • Interoperability programme
How it all fits together
Have key providers baseline and benchmark progress towards being paper-free at the point of care using a new Digital Maturity Self-assessment Tool
Create a Local Digital Roadmap outlining the steps to be taken towards being paper-free at the point of care
Confirm a Footprint detailing the partners and the governance arrangements to drive the local health and care system to become paper-free at the point of care
Every local health economy is invited to…
Footprints being endorsed by DCOs at present - numbers will change slightly…
89 footprints to date (projected 90 – 91) 48 single CGG footprints Multiple CCG footprints range from 2 to 12 CCGs
Footprints – national picture (as at 11/11)
Footprints – NW picture
• Cumbria
• Lancashire (North East Lancs, Blackburn with Darwen, Blackpool, Chorley & South Ribble, Fylde & Wyre, North Lancs, Greater Preston, West Lancs)
• Greater Manchester (all 12 GM CCGs)
• Merseyside (Liverpool, South Sefton, Southport and Formby, Knowsley, Halton, St Helens)
• Warrington
• Wirral
• Cheshire (Eastern Cheshire, South Cheshire, Vale Royal, West Cheshire)
Providers baseline and benchmark progress towards being paper-free at the point of care using a new Digital Maturity Self-Assessment Tool
Letters being sent to NHS Providers. Logon details being provided for the assessment tool.
Digital Maturity Self-assessment
Identify key
strengths
and gaps
Support
planning and
investment for
providers
Support
planning and
investment for
commissioners
Provide a
national
benchmark of
maturity
Identify
capacity and
capability gaps
Digital Maturity Programme – initial objectives
READINESS Are providers set up effectively to deliver paper-free at the
point of care?
CAPABILITIES Do providers have the digital capabilities they need to
deliver paper-free at the point of care?
INFRASTRUCTURE Are the underpinning technical enablers in place to deliver
paper-free at the point of care?
Digital maturity dimensions
Example questions • There is a clearly defined digital strategy that supports clinical and corporate objectives
(Strategic Alignment)
• There is strong clinical leadership through a nominated CCIO/CIO or equivalent and
clinical teams engaged in delivering your digital strategy (Leadership)
• Sufficient resources are available for technology implementation, service
transformation, user training and ongoing support (Resourcing)
• There is a consistent and effective approach to benefits management and realisation
(Governance)
• All IG requirements are articulated in third party contracts and monitored on an ongoing
basis (Information Governance)
Digital maturity - readiness
Records,
Assessments &
Plans
Is patient information available digitally to all
health & care professionals who need it?
Medication
Management
Is prescribing, dispensing and administration
managed digitally?
Orders Are orders captured, transmitted and fulfilled
digitally?
Transfers &
Communications
Does digital information follow the patient across
care setting
and is relevant information shared involved in
providing care?
Decision Support Do health & care professionals receive active
support from
digital systems to improve service delivery?
Remote &
Assistive Care
Are health & care professionals able to digitally
monitor and
care for patients remotely?
Assets & Resource
Optimisation
Are digital systems in place to ensure vital assets
and resources
are used as efficiently and effectively as
possible?
Digital maturity - capabilities
Example questions
• Care records are available digitally to all health
& care professionals who need them
• Digital records are held in a structured format
• Professionals have access to the records they
need from other health & care providers
• Professionals can access and update records
from wherever they need
• Professionals can find the information they
need quickly and easily
WiFi Available to health & care professionals at all sites and buildings
Business Continuity Business continuity/disaster recovery processes and procedures
have been documented with clear roles and responsibilities agreed
Mobile Professionals are equipped with the mobile device they need to
complete key clinical processes at the point of care
System Resilience Business critical systems are supported by robust IT infrastructure
with appropriate Disaster Recovery
Virtual Desktop Clinical applications are accessed through a VDE
Single Sign On Healthcare professionals have single sign on and authentication to
the clinical applications and information they need
Digital maturity – enabling infrastructure
0%
20%
40%
60%
80%
100%
RecordsAssessments &
Plans
Tansitions ofcare
Orders
MedicinesManagement
Decision Support
Remote andAssistive Care
Asset&ResourceOptimisation
Standards
0%
20%
40%
60%
80%
100%
RecordsAssessments &
Plans
Tansitions of care
Orders
MedicinesManagement
Decision Support
Remote andAssistive Care
Asset&ResourceOptimisation
Standards
Conclusion: • The provider lags behind the average for other
providers in the sample across all but one of capabilities
• It is likely to require significant internal investment in most areas to bring them up to the same level as the others
Conclusion: • This provider outperforms the average in all
areas
• Additional investment in their internal capabilities may not be as high a priority as other members of the footprint
• However, there are still gaps to address and they are likely to require support for capabilities focused on information sharing amongst the footprint
Provider 1 –Scores for the Capability section
Provider 2 –Scores for the Capability section
Provider 1 Average
Provider 2 Average
Digital maturity – potential outputs (I)
18
Conclusion: • Most of the providers in this footprint do not have access to the
information they need from social care providers in the area
• Improving access to records across the health and social care community should be a priority for the LDR
Conclusion: • Approximately half of the referrals providers in the footprint
receive are managed digitally
• Steps to improve the ratio of digital referral should be included in the LDR
Statement: Healthcare professionals have access to the information they need from local social care providers
Question: What proportion of referrals for inpatient care or urgent assessment are automatically integrated into digital clinical workflows?
43%
29%
14%
14% Somewhat Disagree
Disagree Completely
Mostly Agree
Agree Completely
14%
14%
14%
29% of respondents
29%
51-75%
25-50%
N/A
0%
76-99%
Digital maturity – potential outputs (II)
Local digital roadmaps – some key questions
How to align with the mainstream
planning process?
How to find the balance of
national v local?
What to ask for in the first edition?
How to structure the roadmap?
• Selected content embedded within operational delivery plans Setting out what needs to be done in 16/17 to enable the delivery of your roadmap
commitments to be paper-free at the point of care
• Selected content embedded within sustainability and
transformation plans Setting out how delivering paper-free at the point of care will contribute to the
delivery of key medium term strategic priorities
• As a standalone comprehensive document
To be published online and publicly available
As an annex within sustainability and transformation plans
The content of a local digital roadmap will be
published in different contexts
Interoperability – the offers
ROADMAPS
Generic Email: [email protected]
Website: www.england.nhs.uk/digitaltechnology/info-revolution/digital-roadmaps
DIGITAL MATURITY
Generic Email: [email protected]
Website: https://www.england.nhs.uk/digitaltechnology/info-revolution/maturity-index/
INTEROPERABILITY
Generic Email: [email protected]
Website: https://www.england.nhs.uk/digitaltechnology/info-revolution/interoperability/
Contact details