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Interoperability and Information Sharing Keith Naylor (DHID Tech Office)
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Transcript of Interoperability and Information Sharing Keith Naylor (DHID Tech Office)
Interoperabilityand
Information Sharing
Keith Naylor (DHID Tech Office)
Ambitions and Quotes
• Interoperability and the need for information sharing was one of the main ambitions of the Information Strategy, published in May 2012:
“Information recorded once, at our first contact with professional staff, and shared securely between those providing our care – supported by consistent use of information standards that enable data to flow (interoperability) between systems whilst keeping our confidential information safe and secure”
Ambitions and Quotes
• The NHS Future Forum Report published in January 2012 has highlighted the importance of collaboration and integration between different care sectors and care settings :
“In particular, we received a strong and consistent message about the issue of ‘interoperability’ – the capacity for different computer systems to ‘talk to each other’.
Lack of interoperability is an impediment to patient safety, high quality and integrated care and the continuity of care that patients deserve”
Ambitions and Quotes
• Mandate from the Government to the NHS Commissioning Board (November 2012):
“The Board should promote the implementation of electronic records in all health and care settings and should work with relevant organisations to set national standards to support integration”
Ambitions and Quotes
• Secretary of State for Health Jeremy Hunt Statement in House of Commons 13th November 2012 – (Source – Hansard):
“Guidelines will be laid down to make sure that all the systems developed in different parts of the country are inter-operable.”
Recurring Themes
Standards
Realisation through Standards
time
penetration
Proof of Concept
Tipping point
Realisation
DevelopmentNHS D
eplo
ymen
t
Market stimulation
Full deployment
So What’s Different?
The Commissioning Board now have powers to stipulate the use of information standards within the NHS
Revisit the ‘S-Curve’
time
penetration
Proof of Concept
Incentivisation
Mandation
Tipping point
Realisation
H&SC Act powers
DevelopmentNHS D
eplo
ymen
t
Market stimulation
Full deployment
One Approach to Incentivisation
• On 31st August 2012, we launched a new £2.2m fund for local NHS organisations to deliver digital services that improve patient care
Who?
• The Fund was open to NHS organisations in England• The fund was not directly open to suppliers and system
developers.• The intent was to stimulate the NHS to purchase, develop and
deploy standards based products.
ISCF Awards – Raw Numbers
ISCF Awards – Geographical Distribution
UK Population Density
ITK Adoption• For 2 years ITK specification adoption has at best been slow• ISCF demonstrated a step change in take up• Provide NHS organisations with funds to clear the adoption
development cost hurdle
Summary
• A clear direction of travel –– Political ambition to increase the effectiveness of patient care by
sharing information– Clinical leadership to enhance professional record keeping– The drive to make systems share/expose the data they already have– The use of information standards