Transcript Health Informatics in 2018 - a Re

Health Informatics in 2018
- a Re-energised Profession?
• Predictions
• Leadership
• Aspirations
Gwyn Thomas
"Prediction is very difficult,
especially if it's about the
future.”
Nils Bohr
IBM’s 5 in 5 Predictions for
Healthcare
2006 Remote healthcare access
Implanted or attached wireless sensors
Global on line consultations
Exchange of medical records,
Accessible to patients
2007 Doctors will get enhanced “super-senses”
to better diagnose and treat you
An avatar – a 3D representation of your body
Visualisation of medical records
Automatic comparison with thousands or hundreds of thousands of other patient records,
More precise in diagnosing and also treating you, based on people with similar issues and makeup.
2008 You will have a crystal ball for your health
A personal genetic map that tells you what health risks you are likely to face in your lifetime and
the specific things you can do to prevent them,
Pharmaceutical companies engineering new, more effective medications that are targeted for
each of us as individual patients.
IBM’s 5 in 5 Predictions for
Healthcare
Cities
will
have
healthier
immune
systems
2009 Public health officials will know precisely when, where and how diseases are spreading
– even which neighbourhoods will be affected next.
We will see a "health Internet" emerge, where anonymous medical information, contained in
electronic health records, will be securely shared to curtail the spread of disease and keep
people healthier.
2011
Mind reading is no longer science fiction
Headsets with advanced sensors to read electrical brain activity that can recognize facial expressions,
excitement and concentration levels, and thoughts of a person without them physically taking any actions
Doctors could use the technology to test brain patterns, possibly even assist in
rehabilitation from strokes and to help in understanding brain disorders, such as autism. .
taste buds will help you eat smarter
2012 Digital
Help us eat healthier, creating novel flavor combinations that will make us crave a vegetable casserole
instead of potato chips.
Not only will it make healthy foods more palatable -- it will also surprise us with unusual pairings of
foods actually designed to maximize our experience of taste and flavor.
In the case of people with special dietary needs such as individuals with diabetes, it would develop
flavors and recipes to keep their blood sugar regulated, but satisfy their sweet tooth.
IBM’s 5 in 5 Predictions for Healthcare
2013
Doctors will routinely use your DNA to keep you well
Today, full DNA testing to help make treatment decisions is still rare.
But cognitive systems and cloud computing may make this form of treatment mainstream.
It could be done faster, more affordably and much more frequently.
In addition to DNA testing for cancers, we may even see DNA-specific personalized treatment options
for conditions such as stroke and heart disease.
A Backwards Glance at NHS IT Programmes.......
Meanwhile ...
back on Planet Earth
NHS IT STRATEGY 2018
Paperless NHS
NATIONAL
NATIONAL
NATIONAL
NATIONAL
1990
2000
LOCAL
2010
2018
LOCAL
Information Governance Review - A Changing World??
Caldicott 2 Review
However, the review panel concluded that although
services based on these new and emerging
technologies may create some operational challenges,
they do not
require any additional information governance
principles. The personal confidential data gathered
through these new processes and technologies must be
treated in the exactly the same way as any other
personal confidential data, and providers of these
services must adhere to the existing legislation and
best practice on protecting and appropriate sharing of
personal confidential data
New and Emerging Technologies - “Virtual Consultations with a cl
using the telephone, emails or video”
First email1971
First Phone Call 1879
First Video Recorder1950s
• “Diverse Solutions & Local Leadership”
• “Support a Modern Workforce”
- Nurses, porters, consultants, receptionists, scientists, therapists
and many others
• Exploit the Information Revolution
• National Systems will be the electronic glue
• Local systems, locally chosen but compliant with interoperability
and data standrads
• Comprehensive transparency of performance data
• NHS accredited health apps
• Fully interoperable electronic health records
• NHS number for safety and efficiency will be used in all settings
• On Line GP appointments and repeat prescriptions
• Data Analytics for Research & Population Health
• Avoid accidental ageism and Close the Digital Divide
So, what can we conclude??
• Introducing Healthcare IT is complex and difficult. We’ve tried ….
• big bang,
• incremental,
• national,
• local,
• heavy central investment and delivery
• small scale distributed local expenditure,
• ruthless standardisation,
• market driven free for all.
• Absence of policy and strategy has never been the problem
• Technology changes faster than the NHS can cope with
• Almost everything that has been promised works somewhere - but none
of it works everywhere
• Every failure has damaged the reputation of Informatics Professionals
• When things ‘go wrong’ the solution is to tighten controls and
‘Governance’
• The NHS finds it very difficult to embrace standardisation
• The NHS finds it very difficult to exploit innovation
.
NHS IT STRATEGY 2018
Informatics
Professionals
NATIONAL
NATIONAL
NATIONAL
NATIONAL
1990
2000
LOCAL
2010
2018
LOCAL
“Informatics Professionals
are fundamentally incapable of
becoming Leaders”
The Federation for Informatics Professionals Fed- IP
Federation for Informatics Professionals
Nature
Nuture
? ?
Experience
?
Nature
?
A Recent Exercise in Transactional Leadership
YES
NO
BUT THEN, NO BECAME….
• We need you!
• Tragedy to break up the UK Family.
• The Scots are brilliant, no really they
are,
they’ve changed the world
• It’s our country too!
LEADERSHIP IS ‘RIGHT BRAIN
INFORMATICS IS ‘LEFT BRAIN’
THE
st
1
LAW OF INFORMATIC
“Action must be preceded by Order and
Organisation”
It’s not just that everything has to HAVE a place,
- everything has to be IN its place
- before anything can be done.
Nature
What if Informaticians worked in the Motor Industry?
What would the 1st Law of Informatics Predict?
Who would be qualified to use it?
Which roads would it go on?
How would it be licensed?
Would people have to pass a test?
What happens if it crashes?
Who’s liable on the insurance?
Above all
Where on earth would they put their
hands?
Nuture
?
The Informatics Environment
Professional and Organisational Leadership
Entry into the Profession?
Professional Bodies?
Professional Registration?
Professional Membership
-
“Accidental”
Fragmented
Indifference
Passive
Report to the CEO?
Seat on the Board?
Leadership Role?
Strategic Role?
Supporting Role?
Operational Role?
-
Very Rare
Very Rare
Very Rare
Sometimes
Always
Always
The Informatics Environment
The Perception of Others?
The Dolphin Effect
•
•
•
•
Very Intelligent
Masters in their own environment
Struggle to succeed outside it
Find it difficult to communicate with Humans
The Language of Leadership
or more Dolphin-speak?
“Combinatorial Innovation”
The Informatics Environment
What’s most important to Health Informatics Staff
…..?
VOICE
RECOGNITION
The 1st Law of Informatics!
“What do we want?”
“Recognition!”
When do we want it?
“Too soon to say!”
Nuture
Experience
?
6 NHS
National IT Strategies
Since 1992
“In the mean time, if you have to go to
hospital and if your name is Smith, Jones,
Patel or Mohammed, be afraid, be very
afraid”.
Joe McDonald CCIO
EHI Posts from Informatics Professionals ……
•It’s essential
•The Suppliers just won’t do it
•The Scots have done it
•No they haven’t, it’s SCI
•It should be mandated
•It has been – twice!
•It’s easy, just get on with it
•It’s difficult, don’t be too hasty
•The number is too long for my PAS so we use our own
•14 digits is too long – invent a shorter, intelligent number
The 1st Law of Informatics !
“What do we want?”
“The NHS Number!”
When do we want it?
“Not yet!”
Experience
In 22 years the Informatics Profession has failed
providethe collective leadership to do what
clinicians see as absolutely necessary and patients
see as ‘the bleedin’ obvious’.
Nature
Nuture
Experience
The only logical conclusion that can be
drawn is that Informatics is
“The Lost Tribe” because it’s …..
Fed- IP
Federation for Informatics Professionals
“2018 – A RE-ENERGISED PROFESSION”
FEDERATION FOR INFORMATICS PROFESSIONALS (FED-IP)
Our Aspirations
Fed- IP
Federation for Informatics Professionals
Informatics Professionalism - More Important than ever.
Federation for Informatics Professionals
UKCHIP, BCS, IHRIM, SOCITM
Maintaining
Public Trust
in the
Duty of Care
to Share
Personal
Information
Leadership
Knowledge
Standards
Code of Ethics
Registration
Regulation
Representation
Reputation
Fed- IP
What is Professionalism?
Federation for Informatics Professionals
Registration
• Practice
Validation &
Regulation
“Doing the Right
Thing…
When No-one is
Looking”
Developing
Skills
• Standards
• Behaviours
• Ethics
• Development
Proving Skills
Recording
Skills
“You are personally accountable for your professional
practice and must always be prepared to justify your
decisions and actions.”
Where are we now? - HI Professional Reputation
Fed- IP
Where are we now? – Professional Leadership
Federation for Informatics Professionals
• The existing landscape of national organisations representing Informatics
Professionals is characterised by
– duplication of functions,
– overlapping roles and responsibilities
– organisational rivalries
– fragmented leadership
• Approx 20,000 – 60,000 HI Professionals
– but only 4,000 actively registered
• Professional Membership - Unclear purpose and benefits
• Professional Registration – Lack of clear Policy position
• There are gaps - the most important being the absence of a voluntary
regulatory framework that will ensure not only that the highest
professional standards and codes exist but that they are also adhered to
in practice
Fed- IP
What is proposed? – Federation for Informatics Professionals
Federation for Informatics Professionals
National Health & Social Care Informatics Professional Organisations
working together to ensure consistency in professionalism across all
health informatics areas of the NHS
•Clear Value Propositions for all
•A ‘front door’ that supports the individual to join and participate
•Simplified membership & fee structure
•National Public Register to provide assurance for Employers and
Patients
•Professional Development linked to
• Personal Career Plans
• Organisational Objectives
•Growing the Membership
•Increasing Influence
•Building Reputation
Fed- IP
Federation for Informatics Professionals
Consultation - What you told us (1)?
Wide Representation
You would like as wide as possible within the Federation to
ensure it is not dominated by one group within the health
informatics domain.
You believe that the best value and biggest impact will come
from a range of different people working in different aspects
of health IT and informatics and not just from one
dominant perspective
Fed- IP
Federation for Informatics Professionals
Consultation - What you told us (2)?
What’s important to you?
•Independent Voice for Policy & Professionalism
•Skills Framework and CPD
•Professional Recognition
•Recognition that health informatics is integral to the delivery
of better, safer care
Fed- IP
Federation for Informatics Professionals
What are our aspirations?
2018?
Independence
•Free to set standards that best serve patients and the public
in collaboration with interested parties
•Able to provide the single coherent platform and voice to
represent the collective views of all lnformatics Professionals
to the public, government, and employers
•Provide objective assurance that contributes to maintaining
public trust in the delivery of public services
Fed- IP
Federation for Informatics Professionals
What are our aspirations?
2018?
Inclusivity
• Recognising the variety of specialties within health and
informatics, which is a broad discipline covering the NHS,
Social Care, Academia and the private sector
• Each professional member accepting that collaboration is
the only credible approach to further the professional
standing and reputation of individual of health and care
informatics professionals
Fed- IP
Federation for Informatics Professionals
What are our aspirations?
2018?
Sustainability
• Building an active and involved membership committed
to developing, sharing and exploiting the informatics
knowledge base for the common good
• Serving and supporting individual members with
services and professional education and development to
gain and maintain professional registration
• Working with other professional bodies to explain and
promote the value of informatics in the delivery of safe
care
Re-discovering Professionalism
- Where’s the Leadership Going to Come From?
“Your professional reputation is determined
by the lowest standards that you tolerate
not the highest you have achieved”
Next Steps
• Federation “Shadow” Board is already up and running
- now need to increase NHS representation
• Consultation ended in Oct.
• FED-IP Prospectus available in October.
• Launch FED-IP Web site with new (simplified)
Registration & Membership process in Nov.
• Publish Common Professional Code of
Ethics & Standards in Dec.
• Licensing Agreements with Professional Bodies by Dec.
• Launch FED-IP Mar 2015 with a Membership Campaign
throughout 2015