Patientsand families
Patients in mind
Patients in your heart
Electronic Patient Records
and the new national agenda:
Where do Radiology
Management systems and
PACS fit in today?
Dr Charles Gutteridge Clinical Informatics
The scale of change
Dr Charles Gutteridge Clinical Informatics
Have we reduced the mountain of suffering?
Dr Charles Gutteridge Clinical Informatics
Do health costs matter?
Dr Charles Gutteridge Clinical Informatics
It is global....
Dr Charles Gutteridge Clinical Informatics
Productivity and growth
Dr Charles Gutteridge Clinical Informatics
NPfIT - Spine Service Connections
Other
connected
systems
Test &
Training
environments
Identity
management
Messages
supported
Infrastructure
Data
Messaging
Test
envts
Identity
mgt
SCR
Dr Charles Gutteridge Clinical Informatics
Care records
Demographics
Prescriptions
Reporting
•Choose & Book
•GP 2 GP
•Infrastructure
•LRS
•ETP
•PDS
•GP Summary
•PSISQ
•Discharge
•Emergency Dept
•Healthspace
•Outpatients
•Sealed Envelopes
•Alerts
•Health / Social Care
Integration
•Pathology
•Common P2P
•Admissions
•Out of Hours
•Ambulance
•Mental Health
•NHS Direct
•Diagnostic Imaging
•NMS National
Monitoring Service
Services
provided
MoD, Home Countries,
Other government systems
Summary Care Record, Choose and Book, Electronic Prescription Service, Healthspace,GP2GP, NN4B, QMAS
•Unstructured data
National
applications
supported
GP systems, Pharmacy systems,
Hospital systems, Electronic Staff Record
Data
transfer
Demographics
Messaging (TMS & DTS)
Directories
SUS
Reporting info
Health IT use
Dr Charles Gutteridge Clinical Informatics
Lesson 1 - Interoperability
It is possible to deliver systems nationally but:
 Time frame is long
 Leadership challenge is great
 Innovation gets left behind
Dr Charles Gutteridge Clinical Informatics
Lesson 2 – Professional leadership
Professional engagement in solutions is critical:
 Local works better than national
 Nurse involvement is critical
 Usability is a key factor
Dr Charles Gutteridge Clinical Informatics
Lesson 3 - Innovation
IT and software innovation is a key to change but:
 Innovation outstrips organisational capacity to
introduce change
 Innovation is costly for first in type users
 Innovation disrupts established processes
Dr Charles Gutteridge Clinical Informatics
Lesson 4 - Analytics
Analytics must be built in from the start:
 Clinical data extraction is the key to use by doctors
and academics
 Performance management tools deliver engagement
Dr Charles Gutteridge Clinical Informatics
Lesson 5 – User training
User training is key to good system performance and:
 Is always underestimated and under delivered
 System implementation has a stronger focus than
sustainable use
Dr Charles Gutteridge Clinical Informatics
Are we clear about what we want to do?
Dr Charles Gutteridge Clinical Informatics
Focus on changing care delivery
At present it is:
 Centred on infrastructure
 Led by professional
groups
 Digital solutions remain
disconnected
Dr Charles Gutteridge Clinical Informatics
Clinical variation
% of high risk TIAs treated within 24 hours
Dr Charles Gutteridge Clinical Informatics
The changed paradigm – local delivery
 Wellness and self care
 Information and
knowledge
 Defined by citizens
 Comparison and choice
 Innovative use of digital
 Apps and mobile devices
solutions
Dr Charles Gutteridge Clinical Informatics
Opp0rtunities for care
• At the bedside
 Decision support
 Care and treatment
 Video and application
discussions
support
 Safety
 Training routines
 Quality
 Comparative information
 Productivity
 Analytics
Dr Charles Gutteridge Clinical Informatics
Digital care delivery
So how might we do that….?
Dr Charles Gutteridge Clinical Informatics
5 challenges for a clinical leader
1.Knowledge and content management
2.Measurement and performance
3.Patient experience at the frontline
4.Innovation
5.Education and training
Dr Charles Gutteridge Clinical Informatics
Connecting the data
Imaging
data
Clinical data
Pharmaceutical
data
Dr Charles Gutteridge Clinical Informatics
Activity data
Dr Charles Gutteridge Clinical Informatics
Data quality
Dr Charles Gutteridge Clinical Informatics
Dr Charles Gutteridge Clinical Informatics
Comparative OECD 2010 data
Country
Scanners/million
CT scans/1000
Australia
42
94
Canada
14
125
Denmark
27
84
France
11
138
UK
8
73
US
34
228
Dr Charles Gutteridge Clinical Informatics
Patient involvement
Dr Charles Gutteridge Clinical Informatics
Dr Charles Gutteridge Clinical Informatics
Dr Charles Gutteridge Clinical Informatics
Teaching and education
 Link the professions
 Teach advanced informatics
 Teach analytics
 Teach performance management
Dr Charles Gutteridge Clinical Informatics