www.england.nhs.uk
Michael A. Bewell
Interoperability Engagement Lead
Engaging on interoperability
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Critical Success Factors
1. Leadership, control and governance
2. Implementation management
3. Staff engagement and involvement
4. Citizen engagement and activation
5. IG solutions
6. Priority care use case
7. Dataset described
8. Capabilities
9. Map of current Systems and interoperable assets
10. Interoperable architecture model
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A tool to support
• Engagement of care professionals in leading and deciding
• Description of requirements• Directing implementation activity• Representing complex elements simply
Lets start….
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I am born
My development is tracked
I am living well
I am living with a condition
I need and want specialist input
I am at the end of my life
Citizen journey; life’s stages
Who are we looking to prioritise within integration and
interoperability projects?
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Citizen Health journeys; life happens
My
situ
atio
n ha
s ch
ange
d
Ord
ers
I ne
ed t
o di
rect
/ in
form
my
care
My
care
is t
rans
ferr
ed
My
wis
hes
I am
in c
risis
I ne
ed e
mer
genc
y /
trau
ma
care
I am
ale
rted
or
feel
wor
ried
What is happening to that person that impacts on the care they need?
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First, use Pareto (80/20) to establish the area to
focus on prioritise. “what is the problem we
want to solve?”
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Then identify the key steps and actors across the system that
supporting the person
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Establish the mechanisms for communication (verbal, phone,
system) and any protocols (form, checklist, SBAR)
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Detail the information that is required to flow across the
boundaries
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Digital capabilities
A common language to describe for systems features / requirements
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Key to RAG colours
• Red; not digitised• Amber; digitised, not connected beyond
systems• Green; digitised and available beyond
system, team and organisation• Grey; not currently relevant
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Review system capabilities
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Add a narrativeWhat works well
What are blockersAre all steps necesary
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Use cases raisedUse Case Provider Detail
gathered?Ambulatory care Leeds Care Record Yes
Decision support (including out of hours)
LPRES, Leeds care record and Bristol Connecting care
Yes
Medication review by Pharmacist (following fall by an older person)
Bristol Connecting care Yes
Accelerating discharge using cross system MDT
Bristol Connecting care and Leeds care Record
Yes
Post discharge continuity of care supported by community care team
Bristol Connecting care No
Compulsory hospitalisation discharge for people with Mental Health disorders
LPRES No
Electronic prescribing for hospices LPRES No
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Wordle of datasets described by IDCR projects
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Want to know more
• Knowledge being gathered is being processed and will published through the support offers imminently
• Want to use the tool, need support?• Contact [email protected]