Data Sharing Technologies Board (DSTB)
Inter-agency information sharing
and collaboration
Murdoch Carberry
Head of Reform and Change Management
Renfrewshire Council
DSTB background
•
Formed November 2011, drawn from local data sharing partnerships
•
Representatives from Councils, Health Boards, Scottish Govt.
Intention to extend to include other public bodies and third sector
•
Transition from one standard technology approach to a series of
benefits/outcomes led partnership initiatives
•
Four strands of business:
–
Management of legacy national technical, other assets and contracts (eCare)
–
Support the policy objectives of Health and Social Care integration (Adult Health
and Social Care Integration Bill) and GIRFEC (Children and Young Persons Bill CHECK)
–
Development of ICT enablement of information sharing and collaborative working
to support improved outcomes for clients
–
Development of a Health and Social Care ICT Strategy to enable inter-agency
information sharing and collaboration
Lessons from past projects
From discussion at Health and Social Care in the Digital Age, 25/2/13
• Do
– Engage and communicate with practitioners ... continuously
– Build strong buy-in with senior stakeholders in all partner agencies
– Accept need for flexibility and adaptability in solution design
– Be prepared for not getting it right first time, pragmatic and incremental is good
– Provide right level of guidance and support to staff
–Celebrate local successes and share / invest in where there’s consensus on value
• Don’t
– ‘drive from the centre’, locally or nationally, with an ‘I want this done’ approach
– be product led / industrialise solutions too soon
– make weakly based assumptions about future financial support
– ignore or seek to isolate local achievements
– create a plethora of ‘data standards’ for which there’s no demand
DSTB – Direction in brief
• Shared information is vital to improving outcomes
• Information should be available electronically
• Presumption in favour of information sharing
• Engage service users and staff in use of information
• Personal information only shared under formalised IG
• Management information available to decision makers
• Optimise use of existing assets (Re-use, buy, build)
• Standards based approach to support convergence
Key activities and achievements of DSTB
• Reviewed and given clear leadership on legacy assets
• Supported new initiatives and promoted success stories
by Greater Glasgow, Lothian, Highland, Ayrshire,
Lanarkshire and West Lothian partnerships
• Initiated the Information Architecture Study – snapshot
• Established an Interoperability Working Group
• Initiated work on a strategy for inter-agency information
sharing and collaboration
• Created initial roadmap for 2013-14
• Created new capacity to support and coordinate work
across all partnerships
Developing a strategy:
challenges ahead
•
Multiple and complex drivers
o
o
o
o
o
o
Demographic and social change
Adult Health and Social Care Integration Bill
Children and Young People Bill
Service redesign priorities
eHealth Strategy
National public sector and individual sector strategies
•
Local partnership level engagement, within and between agencies
•
Resources: developing opportunities to make best use of all
resources at national and local level
•
Technology: connect to ICT and change agenda; also to SWAN
•
Information Governance: national / local; proportionality
•
Governance & organisation: led by purpose and outcomes focus
Developing the ICT strategy:
approach
•
Set direction, but not prescriptive
•
Anticipate a variety of organisational models for integration
•
Person centered and outcomes focused in alignment with business
strategies
•
Designed to meet needs of frontline service and ‘the centre’
•
Enabling – facilitate adoption of information and collaboration at
faster pace
•
Coherent links to other ICT enabled change – e.g. Mobile and
flexible working
Roadmap - extract
•
Key actions and priorities for 2013-14 period; to be developed
further following the engagement conference. See also, Strategy
Development Sheet in conference material
Action / output
ICT enablement – Review of SWAN impact
Information Governance best practice – delivery plan
Key legislation – Impact assessment and agree business outcomes
Cross border sharing – feasibility study
eCare Decommissioning – end of project reports
Development of data sharing maturity model
Health and Social Care ICT Strategy – publish consultation draft
Maturity model concept
Level 2 Level 1 – Initial Established
Level 3 Business
Enabling
Level 4 Managed
Processes are
not documented,
though possibly
a general
commitment to
process
development.
Level 5 –
Optimised
Organisation
focused on
optimisation of
processes and
will anticipate
future capacity
and capability
requirements.
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Information
Governance
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Professional
Details
Matching and
Indexing
Messages and
Alerts
Assessments and
Plans
Secure Access
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For further development, and possibly creating other ‘dimensions’ relating to
e.g. specific client groups; tiers – national / local
Concept architecture for data sharing – to be developed
Police
Fire
Police
Fire
Local Government
Integration
Health Board
Health Board
Integration
Scanned
Scanned
capture
caputure
Electronic
Electronic
capture
Matching and
Indexing
ELECTRONIC
Viewer
WINDOW
TO
NFORMATION
(PORTAL)
Store
Secure
Messaging
I
N
T
E
G
R
A
T
I
O
N
Integration
CHI
CHI
I
N
T
E
G
R
A
T
I
O
N
Integration
PMS
PMS
Council A
Council B
Education
Council C
Integration
Integration
Third sector
Third sector
NB. Single shared system also a valid, if limited applicability, solution
Spectrum of solutions: Information Architecture study
•
Development of solution from scratch
•
Extending an existing health portal to integrate with non-health systems
•
Copying all or some of an existing regional solution to other regions and
evolving separately
•
Sharing discrete technical elements, for example interfaces to agency
systems, or transformation technology
•
Sharing of standardised information services at local, regional and
national levels as appropriate
•
Extending an existing regional portal or central stores to neighbouring
regions and evolving as a single solution. For example the CareFx
regional portal includes Lothian, Borders, Fife and Dumfries and Galloway,
MIDIS consortium partners are Lanarkshire, Tayside NHS Fife, Forth
Valley, D&G and Highland.
•
Only sharing lessons learned, best practice, standards etc.
Interoperability Working Group
• Ensure that the design of information sharing solutions will be
itself collaborative
• Propose/support development of assets to enable
collaborative working
• Oversee process for agreeing what technical assets could be
implemented nationally/regionally
• Recommend to DSTB the development of integration
artefacts as required
• Recommend to the Ensemble Integration Governance Group
National Data Services that relate to Health and Social Care
Integration
• Govern the hosting, availability and coordination of a shared
library of artefacts
Changing ICT
Traditional IT
Cloud/SaaS
• Physical
• Virtual
• System installations
• As a service
• Resource constrained
• Scalable resources
• Complex migrations
• Automatic updates
• Fixed costs
• Variable costs
• Custom integration
• Mash-ups, web services
• Proprietary
• Open standards
• One-to-one
• One-to-many
• Professional services
• Self-service
Acknowledgement: Leading Edge Forum
Governance
Other
National
ICT
Board
eHealth
Strategy
Board
LA
Strategy
Board
Health and Social Care ICT Strategy
CHI Short Life
Working
Group
Data Sharing
Technologies
Board
But, background work has identified 30+
formal boards/working groups with
directly related interests to DSTB agenda
Health and Social Care
Interoperability
Working Group
Policy
GiRFEC
Adult Health &
Social Care
Integration