Healthcare Change in the NHS

fallsnowpeasInternet and Web Development

Nov 12, 2013 (3 years and 10 months ago)

117 views



Healthcare Change in the NHS


Practical considerations of VistA


Dr.

Tony Shannon



Tony Shannon


M.B. B.Ch. B.A.O.







Ireland

Fellow of College of Emergency Medicine


England

Fellowship in Informatics






USA

MSc in IT Management






England


Consultant in Emergency Medicine, Leeds Teaching Hospitals

Chief Clinical Information Officer, Leeds Teaching Hospitals


(Clinical Lead, NHS Connecting for Health


National Programme for IT)

(Chair, Clinical Review Board, openEHR Foundation)


Honorary Research Fellow, University College London



Key points



Healthcare Change


People, Process & Technology


VA & Vista International Leaders


Challenges in the NHS


Integration


Code & Community


UI & Usability


Next Steps


Towards Gold Standard














NHS Model Communities: People
+ Process +
Technology

Thinking in silos


Clash
between process and IT











Archetypes










Templates


Standards & Interoperability

Generic

Specific

Test








Requirement































Build








Design

AoMRC Generic Medical
Documentation

eHealth
Ecosystem

International

Standards





Local







Innovators






eHealth Bodies





& Vendors

International Leaders

NHS Innovation
-

from Bottom Up


Leeds, England


4
Hospital Site


14
,
000
employees


£
800
m annual budget


£
7
m annual IT spend









Clinically Led


Process Improvement


Agile OS development


200+

CUI Clinical Portal

TIE

A

B

C

1

2

3

4

5


PAS

Scheduling

Orders Results

ePrescribing

Clinical Docs

Primary Care









Informatics Strategy

Clinical Portal: Patient Oriented & User Centred


Leeds TH
200+

VA Vista
Enterprise
Wide

Common Web UI

Integration Engine

ESB

A

B

C

1

2

3

4

5


Core Process

Core Process

Core Process

Core Process

Core Process

Modular

SOA

Enterprise
wide

System X

Cache
Gt.M

PPM

SQL

Challenge # 1: Integration

Challenge 2: Code & Community

Challenge 3: UI & Usability

LeedsTH NHS: Steps towards VistA


User Centred Design


Clinically Led


Agile Development


10 Days


Technology


ExtJS4


EWD


Mumps


Gt.M/Cache

NoSQL





North
-

User Context

West


Navigation

(Via

Accordion

+/
-

Tree)


Inc external
sources


Eg

Meds

Allergies

Diagnosis

Clinical Docs

Centre

Data Group in focus

Via Chart/Grid/Table

+/
-

data source to
explain data context

(eg Leeds/

Washington)





East

Data in Detail

C
reate Data

U
pdate/
D
elete
Data

Create/Update/Delete
Data

Data Entry done
in popup

NB may be
external
component

Save

Clinical UI Patterns

High level
-

Aggregate Patient Data

C
linUiP.wordpress.com

Mid level
-

Patient Group Data

Low level
-

Patient Detail Data

Patient Detail Data
-

Data Entry

ClinUiP on Vista

ClinUiP Benefits



Intro to OS EHR development



Intro to ExtJS/EWD/GtM


Introduction to Mumps & Vista



Align towards Vista/Vista Integration

Next Steps


Knowledge Transfer in the NHS


Gold Standard for NHS


Standards
-

CUI & AoMRC


Admission, Handover & Discharge


Integration with a.n.other


Explore Integration with Vista & Others


EWD & NodeJS
-

XML, Mumps/Javascript


NoSQL & SQL























...towards
evolving ecosystem….

International

Standards








Local







Frontline Innovators

National




eHealth Bodies





& Vendors

Regional










Key points



Healthcare Change


People, Process & Technology


VA & Vista International Leaders


Challenges in the NHS


Integration


Code & Community


UI & Usability


Next Steps


Towards Gold Standard

Thank you








tony.shannon@frectal.com

www.frectal.com