Healthcare: Leadership, Integration, Platforms; CCIO experiences in the NHS

Healthcare: Leadership, Integration, Platforms...CCIO experiences in the NHS

Dr. Tony Shannon,Director, Frectal Ltd

21st Century Healthcare

• Healthcare:

• Leadership: • Integration: • Platforms:

• Change:

Dr. Tony ShannonM.B. B.Ch. B.A.O. UCD, IrelandFellow of College of Emergency Medicine England

Fellowship in Informatics USAMSc in IT Management England

Clinical Lead, NHS Connecting for Health – National Programme for IT

Chair, Clinical Review Board, openEHR Foundation

Consultant in Emergency Medicine, Leeds Teaching HospitalsChief Clinical Information Officer, Leeds TH/Leeds NHS & Social Care

Director, Frectal Ltd

NHS EDs – after 4 hour std

NHS: Connecting for Health

• Biggest civil IT programme in world• 10 year; £12 billion; based in Leeds• Began in 2003

• Primary, Community, Acute, Mental Health

• Aimed at a single strategic solution

NHS National Programme for IT: 2004

NHS National Programme for IT

Thinking in silos Process versus IT Closed solutions

International Standards

Local Innovators

eHealth Bodies

& Vendors

NHS National Programme for IT

NHS National Programme for IT: 2011

Complex Systems

Change: People: Leadership & Culture

Referral in

Assessment

Plan CareDeliver Care

Referral Out

Operational (1 patient)

Strategic (++ patients)

Tactical ( > 1 patient) Resource management

Performance management

Change: People + Process + Info + Tech

Leeds TH 200+

Enterprise Wide

System x

Common Web UI

Integration EngineESB

A B C

1

2

3

4

5

Core Process

Core Process

Core Process

Core Process

Core Process

Modular

SOA

Enterprise wide

System Y

Access/SQL

Current State of the HIT Market

Single patient

Multi-patient

Intelligence

Market Forces

• Usability

• Integration

• Clinical Kernel

#Usability

Leeds TH 200+

Enterprise Wide

System x

Common Web UI

Integration EngineESB

A B C

1

2

3

4

5

Core Process

Core Process

Core Process

Core Process

Core Process

Modular

SOA

Enterprise wide

System Y

Access/SQL

CDR

#Integration

# Clinical Kernel- Archetype

• Clinically oriented

• Maximal dataset– Can be coded with

terminologies

e.g. Pulse, BPKey contactsetc

• Computable

• Reusable

DevelopmentClinically LedUser CentredAgile Development

Single Patient Multiple PatientsClinical Intelligence View

www.RippleOSI.org

Collaborate : Innovate : OpenTowards an open health & care platform

@RippleOSI

www.RippleOSI.org

Open Platform - in action

Open RequirementsOpen GovernanceOpen Citizen

Open ViewerOpen IntegrationOpen Architecture

Offers x 6

Story of Self

Story of Us

Story of Now

21st Century Healthcare

• Healthcare:

• Leadership: • Integration: • Platforms:

• Change:

Thank you

tony.shannon@frectal.com

tony.shannon@frectal.comwww.frectal.com

@frectally