The National Perspective
description
Transcript of The National Perspective
©2002 Sowerby Centre for Health Informatics at Newcastle
The National Perspective
ICRSThe Durham & Darlington
ApproachWhere to Start?
Ian Purves
?
©2002 Sowerby Centre for Health Informatics at Newcastle
©2002 Sowerby Centre for Health Informatics at Newcastle
“If history repeats itself, and the unexpected always happens, how incapable must Man be of learning from experience.”GB Shaw (1856 - 1950)
©2002 Sowerby Centre for Health Informatics at Newcastle
Problem Analyst
Solution Specifier
Solution Designer
Problem Owner
Concepts
Formalisms Programmes
Mappings
Rhetorics Natural language and “rich pictures”
Conceptual models
Formal Representations
Interpretations of calculi,
transformations, or traces.
Assignments of mappings and
referents
Implementer
©2002 Sowerby Centre for Health Informatics at Newcastle
What are the issues?
• Sectors and boundaries …• No 10• NHS IA• StHA• Acute Trust• Mental Health
Trusts• Community and
Social Service Trusts
• PCTs• GP Practices• Patients
• Understanding sectoral fragmentation
• Provision of practical steerage and guidance
• Duality of accountability No 10 Patients
©2002 Sowerby Centre for Health Informatics at Newcastle
Where to start?
• … at home …• Developing real clinical benefit
from Informatics
©2002 Sowerby Centre for Health Informatics at Newcastle
You are here
©2002 Sowerby Centre for Health Informatics at Newcastle
What are the issues?• Sectors and boundaries• … ‘Legacy’
Incumbent systems Available functionality Available infrastructure Natural clinical workgroups and governance
arrangements• Understanding the role of national strategy• Utilising national technical standards
©2002 Sowerby Centre for Health Informatics at Newcastle
Solution … Local Processes
• Understanding the clinical needs• Understand and empower ‘legacy’
capacity• Developing the business plan• Programme & project management• Education and training• Feedback to the centre
©2002 Sowerby Centre for Health Informatics at Newcastle
How to begin to start?• In our area building on DuDEHR
Utilising our methods Utilising developed communities
• New project to further refine … Communities and their capacities Federation between communities Local supportive development centre
(e.g. ethnography, project management …) Evolution of different system architecture
projections
©2002 Sowerby Centre for Health Informatics at Newcastle
How to begin to start?
• … in your area? … • … nationally? …
“The future belongs to the unreasonable man who looks forward, not back, who thinks the unthinkable and who is certain only of uncertainty.”
GB Shaw
“Introducing new material via a lecture may be avery effective teaching method, but it ismostly a very ineffective learning method.”
Uri Leron and Ed Dubinsky