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