Out of Adversity Comes Strength and Wisdom June 2012

Recommendations

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Recommendations; An Eight Point Plan 9.1 This approach is signed up to by both the Chief Information Officer and the Chief Clinical Officer (NW) as a transitional plan to take forward as a shared leadership model - as the SHAs prepares for handover it is essential for this model to be considered by the NHS CB, DHID and the CCG's. 9.4 A serious effort to involve patients through service user groups and the Patient Experience Leads needs to be made. Representatives should attend the Informatics network described above and in time become involved in the governance process and not just be “attendees”. 9.2 Each organisation should be encouraged to appoint a CCIO and an informal network of these individuals should be set up (equivalent to the Clinical Health Informatics Leads or CHIL that the HICAT helped establish) to share best practice and ideas- this network should comprise of a manager and a CCIO from each organisation in a cluster or indeed across the North West. The network should be a Health Informatics group to facilitate decision making regarding QIPP and IT. The network will promote the New Relationship/New Offer to the patients and public and endeavour to help deliver the aspirations of “The Power of Information” & promote the QIPP ethos in doing so. This network should be guided by the HICAT. This structure must not work independently but rather be supportive to, and engage with, other current networks that exist including the Clinical Leaders Network (CLN), CCG Chairs & Operational Leads, Directors of Nursing, Medical Directors group, Cancer Network groups, Stroke & Cardiac Network etc. 9.5 The Informatics Team and the HICAT will undertake quarterly meetings to evaluate progress and consider future requirements for the North, if acting in a function as system clinicians facilitating informatics assurance/governance roles. 9.6 The HICAT could produce quarterly light touch reports for the CCG and PCT Clusters regarding KPI's to do with clinical engagement from the system. 9.7 The HICAT and the CCIO network will engage with organisations such as AQUA, The Centre for Health and Wellbeing and the Leadership Academy to help embed clinical leadership and engagement. 9.8 As this strategy becomes successful, NHS North could recommend the model to the DH Informatics Directorate and National Leadership Council for reflection in other health communities and sectors, particularly in light of the new strategy. 9.3 The HICAT should be facilitated by the CCG's, the Department of Health and the NHS CB so that it can influence important decisions to enable the “The Power of Information” strategy to be realised. 17 NHS North West & The Health Informatics Clinical Advisory Team (HICAT)
Out of adversity comes strength and wisdom: Health Informatics - a critical enabler References i Department of Health- Information for Health 1998 ii iii iv v vi vii Department of Health- The NHS Plan: A Plan for Investment, a Plan for Reform. London: The Stationary Office, 2000 “Building the Information Core” “Implementing the NHS Plan” “Delivering 21st Century IT Support for the NHS” Department of Health- Delivering benefit from the National Programme for Information Technology (NPfIT): A strategy for engaging front line staff and patients Rose J S, “IT: Transition Fundamentals in Care Transformation” in Ball MJ, Weaver CA, Kiel J K (Eds) Healthcare Information Management Systems (3rd Edition), Springer Verlag: New York, 2004 : 145-159 viii Rogers EM- Diffusion of innovations. 4th ed. New York: Free Press; 1995. ix x xi xii xiii xiv xv xvi xvii xviii Plsek P. Spreading good ideas for better health care: a practical toolkit tools, perspectives, and information for health care providers [monograph on the Internet]. Irving (TX): VHA; 2000 [cited 2005 Oct 17]. Available from: www.tachc.org/HDC/Too ls/Organization/Docs/Spreading_Good_Ideas_for_ Better_Health_Care.pdf NHS Modernisation Agency- Engaging individual staff in service improvement: How does it happen Who should be engaged Gollop et al 2004. Research into Practice http://www.wise.nhs.uk/sites/serviceimprovementcollab/iph/Document% 20Library4/1/Engaging%20Clinicians/Research%20into%20Practice% 20Report%20-%20engaging%20individual%20staff%20in%20service% 20improvement.pdf Gruber D, Cummings GG, LeBlanc L, Smith DL. Factors influencing outcomes of clinical information systems implementation: a systematic review. Comput Inform Nurs 2009; 27(3):151-63; quiz 64-5 Caballero Munoz E, Hullin Lucay Cossio CM. Engaging clinicians in health informatics projects. Stud Health Technol Inform 2010;151:195-206 Smith JA, Jr.- Role of computerized physician order entry systems in facilitating medication errors. J Urol 2005;174 (4 Pt 1):1400-1 Delivering Improvement Through Clinical Engagement and the work of the NW Clinical Engagement Team 2009 “Medical Leadership Competency Framework” “IT: Transition Fundamentals in Care Transformation” “Spreading good ideas for better health care: a practical toolkit tools, perspective, and information for health care providers” “Engaging individual staff in service improvement: How Does It Happen Who Should Be Engaged” xix Deployment Guide for Clinicians: Connecting for Health 2010-11-08 xx “The Principles of delivering Large Scale Change” 18
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Out of Adversity Comes Strength and Wisdom June 2012

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