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A practical approach to Knowledge Management for the NHS by Sue Lacey Bryant
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Bringing knowledge to bear on commissioning
Sue Lacey BryantChief Knowledge Officer, NHS Milton Keynes
2nd February 2010
A practical approach
• Background
• Applying knowledge
• Building know-how
• Continuing to learn
Quality: MK
5 main areas of responsibility
1. Fit-for-purpose knowledge management strategy2. Mainstream Quality:MK - a self-improving system3. Enable commissioning staff to define information
needs & make best use of information & data4. Develop a whole system approach to service
review, care pathway development5. Lead organisation to achieve WCC 5 & 8
Key stakeholders
1. Senior management: prioritise knowledge management initiatives, and assess them, on business outcomes
2. Staff: promote and measure ‘KM’ programmes on “What's in it for me?”
A = Applying knowledge
Evidence from:• clinical & cost effectiveness • data (activity, cost, outcomes)• “best” practice – models of service• patient experience
A: Aligning services with prioritiesReduce
geographic health inequalities
Reduce mortality from
major killers
Keep vulnerable people well
Improve the local urgent care system
Maintain patient safety and national
standards
• Focus on strategic goals• Profile and define knowledge needs
• Review systems and support for monitoring, analysing, interpreting data *activity, outcomes, cost)
• What is working well? What could work better?• Improve access & increase use of data, skills & resources
Delivering capability
Streamline data reporting
• Move from reactive reporting from information services to pro-active, planned, streamlined reporting in line with organisational needs
• To align the workload of the information team with the work of commissioners (via new Strategic Development Boards), contracting and performance
• Review the current information services structure to ensure it fits with business requirements
Commissioning Librarian
• Supporting pathway review and service redesign
• Searching for information
• Keeping up to date• Information skills
training• www.qualitymk.nhs.uk
IMPACTEImproving Medical Practice by Assessing CurrenT Evidence
B = Building Know-How to improve performance
Mainstreaming systematic approach to clinical pathways
NHS MK Model of improvement
Tools, and yet more tools...
• Simul8 / Scenario generator
• StratComm • National Benchmarker• NHS SEEIT • Opportunity Locator• SHAPE: Strategic Health
Asset Planning and Evaluation application
C= Continuing to learn • Evidence-based practice skills• Effective meetings practice
• Learning sets to support model of improvement
• Metrics; outcome measures• Mosaic
• Lessons learned events
www.qualitymk.nhs.uk
Benefits of KM
• INFORMATION SERVICES aligned to priorities– Streamlined reporting; more efficient
management of workload; more proactive analytical service (more strategic use of data); more intelligent users and uses of information
• EVIDENCE: – Access to specialist information skills– Growing clinical involvement & support for
innovation at practice level; & share & spread
Benefits of KM• EXPLICIT BUSINESS PROCESSES for commissioning & contracting
• BUILDING CAPABILITYWell understood model of quality improvement: confidence & capability; Personal & corporate effectiveness. Learning & networking
• BETTER METRICS• PPE: Strengthened involvement of patients & public
• A “SELF IMPROVING SYSTEM”
$64,000 Questions
• What does “a fit for purpose knowledge strategy look like”?
• How will we demonstrate the value of KM in our Trusts?