#UKHIF Title
HEALTH & SOCIAL CARE INTEGRATION FORUM
T R O P E R Y R A M M SU M A H G N I M BIR MBER 2015 CE E D TH
4
TIVE C E DIR D R LER A B A W FOR S AN EN R A A A D C ARE E YE T V I A F HE D D ALISE T N G A GY SON LYIN R O P L E P P A HNO ERING C E T IV DEL
INDUSTRY PARTNERS
We’d like to thank all our industry partners who have supported the #UKHIF Series over the course of 2015, your input is vital to support the goals of health and social care providers across the country...
PANEL SPEAKERS Panel 1 - Integration of Health & Social Care, using data and technology as an enabler to provide better frontline services to the public. Chair: David E. Alexander - Co-Founder and Chief Executive - Mydex CIC Panel Speakers: Wayne Parslow - General Manager, EMEA - Mede/Analytics Dr Saif F Abed - Founding Partner - AbedGraham UK John Spencer - Director, Systems Engineering - Citrix Tom Ward - Head of Information and Systems - Care Quality Commission Mark Summerson - Regional Vice President UK, Ireland & South Africa - Vidyo Dr Andrew Jones - Clinical Director - Hearst Health International John Godwin - Director of IA & Compliance - Skyscape Cloud Dr. Mike Lane - Board Member - Wandsworth CCG
Panel 2 - Collection and sharing of patient data, agreeing a framework and strategic approach that can be replicated across the country. Chair: David E. Alexander - Co-Founder and Chief Executive - Mydex CIC Panel Speakers: Wayne Parslow - General Manager, EMEA - Mede/Analytics Neil Thacker - Information Security and Strategy Officer, EMEA - Raytheon|Websense Joel Ratnasophy - Medical Director, EMEA - Caradigm Dr Damian Williams - Digital Clinical Champion - NHS England Dr. Nicholas Robinson - Vice President - Royal Society of Medicine, Telemedicine & eHealth Council John Heritage - Director of Operations - Community Integrated Care Ainsley Brooks - Sales Director - IGEL Technology Teresa Robbins - Health & Care Consultant - MDS Technologies
PANEL 1 SUMMARY 9:30 / 10:30 - Integration of Health & Social Care, using data and technology as an enabler to provide better frontline services to the public. Identifying opportunities for stakeholders to work together to overcome challenges that often prevent public / private / 3rd sector collaboration - Panel Session Trust between stakeholders and participants is fundamental to the future and requires a shared language and agenda - Between patients and their care providers in both directions - Commissioners and providers - Between providers Communications and education programme for citizens is needed to engage them in participation - The potential, easier access, reduce risk, faster turn around, seamless services - The value - accuracy, timely intervention, protection, prevention - The why of data sharing and the different types and reasons - primary purpose - secondary uses - classifications of data - classifications of who can see or update what Consent needs a rethink - Define a core set of broad categories for consent and data sharing - set a broad policy - Bring the consent process up a level and to the front of engagements and processes, not buried in transactions - Support broad policy and drive exceptions to explicitly consent - Context is critical to data sharing e.g. end of life care, post mortem access for family members Active participation and engagement is essential - Involving of the patients in their data records / consent / quality - Involving the stakeholders who use it, care providers, care commissioners, informal carers and family members Benefits Realisation is fundamental to future - Mapping out the benefits and critically the realisation programme - Business case needs to be made at a higher level as there is a shared cost to enable and equip local care economies and clusters - Transition relief and support is essential to get to the prize
PANEL 1 SUMMARY We need to save time and improve interactions - Improve processing of data so we can lift it upto actionable insights and alerts to improve the engagement Clarity of responsibility and accountability Focus on outcomes and lead with experience - Standards should follow practice and experience otherwise it is a blocker and potential for corporate induced delays - Interoperability is fundamental requirement - Supporting multi-protocols and exchange between them delivers scalability and faster roll out Reducing Individual effort is a critical to active and successful participation, engagement, outcomes and efficiency - Reduce cognitive effort - Reduce physical effort - Time effort - Emotional effort - Common causes of high effort - Illogical processes - Lack of common sense being applied - Repetition and duplication - Complex language - Thoughtlessness Session summarised by: David E. Alexander - Co-Founder and Chief Executive - Mydex CIC
PANEL 2 SUMMARY 14:00 / 15:00 - Collection and sharing of patient data, agreeing a framework and strategic approach that can be replicated across the country - Panel Session Data collection, management and distribution needs to be correctly defined and scoped - Use cases need to be made clear - Relevance / Proportional - Longevity of retention needs reviewing as it may need to be federated to prevent risk and unintended consequence - perhaps the archive record is kept away from current GP record and only released with consent - Cumulative records are potentially a risk of misuse e.g. errant test result 25 years ago causes refusal of cover or increased premiums - Data types need explaining simply to all stakeholders - Meta Data - about a thing or person - State Data - about the current status or value - Transactional Data - time series records of transactions and state data values One size does not fit all - simply getting as much data as you can is not the answer, there needs to be a reason and perhaps we need to think of cataloging what data is available where and dynamically building datasets on demand - Data minimisation will remain at core of thinking Data quality is fundamental challenge - Much data unencoded, free text verbatims which can hold sensitive information - Coding schemes need to interoperable and easy to implement - Must avoid being averaged out by coding - Individual participation in data quality is common sense Anonymisation can be used for planning but for genuine operational application in primary use it needs to de-anonymised, how to prevent this happening unintentionally Data from individual and outside of the tethered personal health records needs to be looked at carefully - If sent to GP they become liable for it and do not know how to trust it as valid - Should this data site outside and be presented upon request under a data sharing agreement - Does this information provide texture and context for care provision and diagnosis and planning - Does it offer a narrative of someones life - Need to be able to capture the profiles and preferences and desires of individuals so that those providing care know
PANEL 2 SUMMARY Consent needs to be put up front and made proactive - Individuals must be involved actively and be able to think through in broad terms what they want to share with whom for what purpose proactively as well as explicitly in context of transactions and events. - Help is needed to educate about the consequences of choices and impact it may have to share and not share and why sharing may be important - Training and education for staff involved in communicating and explaining to individuals about value and benefits, plus risks - Balancing the duty of care to the individual and wider society needs constant review and testing to avoid unintended consequences - Sharing data across care settings both formal and informal requires careful thought about best interests of the individual and the outcomes desired. common sense must prevail Risk stratification role needs to be defined better there are different use cases to consider and explore - Planning for budgets - Personal awareness a change to plan ahead or change behaviour - Proactive planning for prevention - Potential is infinite - custom mathematics, predicting events that are preventable Identity assurance remains a challenge to be addressed - Many people known to the NHS and social care, vouching is a solution - Prevention of fraud and misuse of access rights and services a consideration. Session summarised by: David E. Alexander - Co-Founder and Chief Executive - Mydex CIC
KEY NOTE Q&A / N IO T A T N PRESE
Dr Paul Rice Head of Technology Strategy Paul Rice is the Head of Technology Strategy in the Digital Health team in NHS England. Paul leads the team that is instrumental in delivering a digitally enabled and “paperless” NHS. For the past two years he has overseen delivery of four major capital funds worth in excess of £300m that help the NHS build the capability to introduce integrated digital care records and enable nurses to transform practice, enabled by technology, to “release time to care”. He was a major contributor to the National Information Board’s roadmap document – Personalised Health and Care 2020 – published last November – the first articulation by the health and care system of its commitment to release the benefits of digital technology, data and intelligence. He is currently leading one of the key delivery workstreams. Paul was formerly the Director of the Long Term Conditions programme in Yorkshire and Humber with a particular focus on Telehealth. He has been a Primary Care Trust Director, a transformation director in the NHS Modernisation Agency and a policy lead in the Department of Health. He has published and spoken widely on the challenges and opportunities to deliver high quality, efficient and effective service models utilising assistive technology/telehealth/information technology. Paul holds a first degree in Law and Accounting and a Doctorate in Medical Law and Bioethics.
C ASE STUDY NS PRESENTATIO Neil Thacker Information Security and Strategy Officer, EMEA The PPTM (People, Process, Technology & Metrics) of Data Protection in Healthcare This session will cover the critical link between People, Process, Technology & Metrics today in organisations. It will introduce the PPTM loop and how good metrics can also be used to train healthcare employees on good data handling. It will focus on new technologies that can also be applied to identify anomalies from approved process through simple Machine Learning techniques. Real world examples of good data protection hygiene from protection to detection and response will also be shared. The session will focus on: - Identifying the coalition needed for data protection - Identifying technology that will aid the model and measurement of data protection controls - Review of the Threat, Asset, Loss and Controls landscape and why healthcare data protection is hot in 2015
Mark Summerson Regional Vice President UK, Ireland & South Africa In this session, we will share our vision of the future of Telehealth and will explore best practices to be successful in this area. Online doctor consultation, telemedicine kiosks, collaboration between practicioners, remote patient monitoring. New telehealth projects are launching every day and Vidyo is at the forefront of this fundamental change in the way healthcare services are delivered. The VidyoWorks visual communication platform has already been selected by 39 of the top 100 Healthcare Networks in the US and is the technology behind a number of UK based telehealth solutions such as EMIS’s upcoming Teleconsult offering, Philips Healthcare eICU & many other doctor:patient consultation, triage & mental health services.
Eddie Olla - Director of Health Informatics - NHIS The session will detail real-life benefits and security considerations in the adoption of cloud and virtualisation within the Nottinghamshire local health economy. Underpinned by the Nottinghamshire Health Informatics Service ‘Desktop On Demand’ solution, the session will provide a unique customer perspective on the risks and benefits in delivering a true mobile working solution to improve clinical workflow.
SUPPLIER DIRECTORY
Focus on patients, not technology
Vidyo makes the “tele” in telehealth transparent to clinicians and patients by delivering secure and reliable real-time video communication inside the workflow tools of healthcare. Improve patient outcomes and lower the cost of care. Call today and join the world’s leading healthcare organizations that rely on Vidyo to make telehealth a standard of care. Vidyo UK Limited Warnford Court, 29 Throgmorton Street, London EC2N 2AT United Kingdom Tel: +44 203 657 7395 Email: uk@vidyo.com
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DEFENSE-GRADE CYBERSECURITY A NEW ERA IS ABOUT TO BEGIN
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Ricoh works with hospitals to improve efficiency, providing more time to spend on patient care.
Ricoh helps the healthcare sector to streamline processes, empowering employees to work more efficiently from any location, share information securely and provide more cost-effective levels of patient care.
Managed document services Ricoh transformed the way NHS Fife shares data between hospitals and community healthcare providers. Rather than post discharge notes to GPs, they are now available instantly in electronic format. As well as improving access to information, Ricoh’s solution delivered substantial cost savings.
Automated patient registration Ommelander Ziekenhuis Groep (OZG) is a successful hospital group based in the Netherlands. Automating patient registration and implementing a digital workflow helped to streamline the healthcare provider’s administrative processes. Process optimisation has cut the time employees spend on administrative processes by 25,000 hours a year.
Contact: Mede/Analytics to arrange a Population Health workshop Call: +44 (0) 20 3040 2090 or email info@medeanalytics.co.uk For more information visit medeanalytics.co.uk
SUPPORTING DELIVERY OF DIGITAL HEALTH SERVICES
How can you embrace new technologies like cloud whilst keeping patient data secure? What should healthcare organisations expect of their technology providers to ensure data security? These and other questions answered in the Panel Session at 9.30am Whether it’s bioinformatics analytical services, secure email collaboration or digital services for patients, cloud services can help to deliver secure, agile and cost-effective solutions. FIND OUT MORE:
www.skyscapecloud.com/health
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Data Control Make information accessible where and when it is needed.
Healthcare Analytics Generate insights and drive better decisions.
Care Coordination and Management Drive improved outcomes for patient populations.
Wellness and Patient Engagement Promote healthier lifestyles for patients.
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We make making the rounds easier. Citrix helps IT deliver patient information anywhere clinicians need it. Clinicians need patient information, and they need it fast. Now IT can provide them with secure, instant access to electronic health records on any device, anywhere. That’s better care when seconds count — at a patient’s bedside, on the move, or while on call. See why more than 3 million caregivers rely on Citrix every day.
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#UKHIF HEALTH & SOCIAL CARE INTEGRATION FORUM
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