Welcome to SIHI Revolution. Innovation. Dr Philip Scott Chair, SIHI 2011 Programme Committee

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2 Welcome to SIHI 2011 Revolution Evolution & Innovation Dr Philip Scott Chair, SIHI 2011 Programme Committee

3 Overview o Welcome o Introduction to conference programme o What has health informatics achieved? o What are its grand challenges? Slide 3 of 20

4 Welcome to SIHI 2011 o Enjoy the day: thinking space o Learn and apply: Knowledge grows by consumption (Jaglund, 1997) o Network, talk to our InfoMart presenters o Contribute o Challenge o Please complete evaluation form Slide 4 of 20

5 Welcome to SIHI 2011 o Housekeeping o Timings o Toilets o Mobile phones o Fire alarms/exits o Breaks and lunch o Chatham House rules o Questions and comments Slide 5 of 20

6 Welcome to SIHI 2011 o Sponsorship & Infomart: Dell o Accreditation: UKCHIP o Infomarts: o AES Medical o CSAM (UK) o IBM o InterSystems o Lane Telecommunications o PCTI Solutions o Routine Health Outcomes o Wessex HIEC Slide 6 of 20

7 Welcome to SIHI 2011 o Conference programme o Information sharing o Simulation training o Telehealth services o Patient outcome measures o Personal health records o Professional development o NHS transformation and revolution Slide 7 of 20

8 Revolution, evolution and innovation? o Three distinct kinds of change (with overlap!) o Revolution is: radical, punctiliar, shifts macro paradigm/worldview o Copernican, Industrial, Russian, Digital... o Evolution is: incremental, gradual, imperceptible o English language, child development, some ecology o Innovation is usually: transformative, initially idiosyncratic (invention or usage) and micro or meso scale o Debit cards, TripAdvisor, creative financial instruments Slide 8 of 20

9 Revolution, evolution and innovation? o Health informatics has had all three kinds of change o... And needs more of all three! o But first... o What is the problem we are trying to solve? o What is the point of health informatics? Slide 9 of 20

10 What is information? o Information is negative entropy (increased order) or a decrease in uncertainty o The needs and the complexity of modern life make greater demands on this process of information than ever before... To live effectively is to live with adequate information (Wiener, 1954) o Clinical information: Organized patient data or medical knowledge used to make clinical decisions (Wyatt & Liu, 2002) Slide 10 of 20

11 What is health informatics? o... the knowledge, skills and tools which enable [health] information to be collected, managed, used and shared (NHS Connecting for Health, 2004) o Knowledge and skill domains (UKCHIP): o Technical services o Information analysis o Knowledge management o Programme & project management o Health records management o Academic (research and education) o Clinical informatics o Service management Slide 11 of 20

12 What is health informatics? o Methods and tools? o Information standards o Analysis tools and techniques o Hardware o Software o Process and quality improvement methods o Design methods o Programme and project methods Slide 12 of 20

13 What is health informatics? o Stakeholders...? o Citizen o Patient/consumer o Carer o Clinician o Provider service o Funder/commissioner o Government/society o Entire population? Slide 13 of 20

14 What has health informatics achieved? o Revolutionary? o Diagnostic imaging, lab processes, e-prescribing o Evolutionary? o Interoperability: GP2GP, lab2lab (NPEX), HL7/IHE o User group-led enhancements (GP systems, dept apps) o Innovative? o Medical education (VR etc) o Patient experience sharing o Personal health records Slide 14 of 20

15 What are the grand challenges? o Revolutionary? o Policy: sustainability, evaluation, certification, ATEs o Evolutionary? o Utility: process improvement, quality and safety o Reliability and usability: design, infrastructure o Innovative? o Practice: procurement, OSS, citizen-centric apps Slide 15 of 20

16 What are the grand challenges? Sustainability Ecosystem ( ) Affordability Achievability Utility Usability Process improvement Quality and safety Application design Cognitive ergonomics Evaluation Reliability Infrastructure + contingency Standards Slide 16 of 20

17 What are the grand challenges? o Also constraints: financial, political, cultural so: o How can the challenges be met? o Leadership: executive, clinical, informatics o Leadership is management done well (Mintzberg) o Changing role of CIO (Earl) o Coordination: multiple disparate initiatives o Make and use opportunities (eg MDD) o Education: ETD, evidence-based thinking and practice o Evaluation: give the NHS a memory! Slide 17 of 20

18 Welcome to SIHI 2011 o Enjoy the day: Knowledge grows by consumption o Network o Contribute o Challenge o Evaluate Slide 18 of 20

19 Welcome to SIHI 2011 o Knowledge is the enemy of disease (Muir Gray) odisease will have more and stronger enemies by the end of today! Slide 19 of 20

20 Welcome to SIHI 2011 o Thank you for your attention o Any questions or comments? Slide 20 of 20

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