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Dr Charles Gutteridge Clinical Informatics
Implementing the Information Strategy:
The must do’s
Patients in your heart
Patients in mind
Patients and families
Dr Charles Gutteridge Clinical Informatics
Summary must do’s
Patient control of their medical record
Scaled use of data
Interoperability and use of standards
Education and knowledge
Dr Charles Gutteridge Clinical Informatics
Scaling for population health
Innovation for data collection
Use of problems lists and terminology
Goal setting for patients
New forms of practice
Dr Charles Gutteridge Clinical Informatics
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Population Health Framework…
Health Plan / TPA
Mu
ltip
le D
ata
So
urc
es
Health
Coach
Care
Manager
Case
Manager
Pe
rso
na
lize
d C
are
Pla
ns
Clinic
Hospital
Community
Health
Services
Home
Health
Other
Community
Resources
HIE
Care
Team
Op
era
tio
na
l &
Clin
ica
l
Pe
rfo
rma
nce
Me
asu
res
Improved
Outcomes
Lower Costs
Increased
Productivity
Health plan and payment system aligns incentives for beneficiaries and providers
2 3 4 5
1
Citizen involvement
Open access to data
Public health observatories
Data.gov.uk
Patient facing websites
NHS Choices
Dr Charles Gutteridge Clinical Informatics
Comparing cleanliness ratings with infection rates
Greaves et al, 2012 Arch Int Med
NHS Choices Measure Other variable Spearman
Rho p value
Patient perception of cleanliness
Rate of MRSA bacteraemia (per 1,000 bed days)
-0.30 <0.001
Patient perception of cleanliness
Rate of C. difficile infection (per 1,000 bed days)
-0.16 0.04
Dr Charles Gutteridge Clinical Informatics
Enabling patient knowledge
Explicit strategies for empowerment
Digital data for patients
Clinical goal setting
Data exchange
Listening
Dr Charles Gutteridge Clinical Informatics
Enabling professional knowledge
Explicit strategies for empowerment
Digital data for professionals
Clinical coaching
Innovation and research
Training and knowledge
Dr Charles Gutteridge Clinical Informatics