www.england.nhs.uk Integrated Digital Care Records and Interoperability Inderjit Singh Head of Enterprise Architecture 12 November 2014 Health Insights Manchester
Dec 17, 2015
www.england.nhs.uk
Integrated Digital Care Records and Interoperability
Inderjit SinghHead of Enterprise Architecture
12 November 2014
Health Insights Manchester
www.england.nhs.uk
Integrated Digital Care Record
IDCR Toolkit
Tech Fund
Benefits Toolkit
Open Source
Foundation
Commercial Toolkit
Digital Maturity
Measures
Community of Practice
Commissioning
Toolkit
InteroperabilityGuidance
www.england.nhs.uk
IDCR Applications
• Strong focus on integration projects, with a high proportion proposing a portal approach. Many of these had aspirations to open the portal to patients as well as fellow professionals.
• Approximately a third of the applications included integration between health and social care organisations. Around 15% had health-social care integration as their primary focus.
• The most frequently planned integrations are between primary and acute care settings, followed by social care and community health organisations. A number were also beginning to consider the possibilities of integrating with emergency services and independent sector providers.
www.england.nhs.uk
Interoperability
Interoperability
Maturity index
IDCRsIDCRs
IDCRs IDCRs
Underpinning IDCRs, is the need for information to be shared – interoperability.
Interoperability programme established across DH, HSCIC, NHS England- co-ordinate national activity on interoperability and away from siloes- provide “handbook” on key policies, standards and guidance e.g. to commissioners- be clear on priorities and strategic direction
www.england.nhs.uk
Interoperability programme
Interoperability Programme
e.g. Open API policy
e.g. Citizen Identity
Policies
Standards e.g. NHS Number
Guidance
Interoperability Programme
NHS Number
Clinical Headings
End of Life
Provide the “handbook” for commissioners, providers
What is the strategic direction?
What are the key priorities? Crisis
www.england.nhs.uk
Interoperability Timeline
July-14 Sept-14 Nov-14 Jan-15 Mar-15
Interoperability Policies (Open APIs) published
Integrated Care Pioneer Sites programme
Key priority policies, standards and guidance identified
Technical Capability Demonstrator Sites engaged
NHS Number survey report published
Guidebook to Interoperability
available
NHS Number survey launched
Integrated Digital Care Fund launched
Aug-14 Oct-14 Dec-14 Feb-15
Integrated Digital Care Fund awarded*
Apr-15
Social care standards engagement
Pioneers Engagement on Interoperability needs
NHS Standard Contract/
CCG Planning Guidance
www.england.nhs.uk
Commissioners Toolkit
• IDCR needs to be a core component of every health economy’s plans
• CCGs are key to ensuring this, however, they may not always have the expertise or bandwidth to do so.
• The toolkit will help commissioners ensure that they have a digital strategy in support of the integrated services they commission.
• e.g. “What does interoperability mean for you as commissioners, why is it important, what do I need to consider?”
www.england.nhs.uk
• Development of market model nurturing and incentivising innovation within the health sector.
• Facilitate Trusts access to this engaged vibrant marketplace to enable procurement.
• Broker relationships between buyers and suppliers and improve understanding on both sides.
Commercial Toolkit
www.england.nhs.uk
• A set of indicators to evidence achievement of DCRs and IDCRs.
• First indicator (CDMI) launched in November 2013.
• Roadmap to deepen (effective use, penetration and interoperability) and extend scope including Community, Mental, Social and Primary care settings.
• Ambition to demonstrate/evidence how technology maturity enables benefits and improved outcomes.
Digital Maturity Programme
www.england.nhs.uk
www.technologystrategy.england.nhs.uk
[email protected] @NHSEnglandCOP
A growing Community of Practice to support collaboration:
• Learning
• Knowledge
• Ideas
• Best practice
• Problems and solutions
• Research Findings
The aim is that patients will receive good quality care that is timely and provides a positive patient experience
Call to Action
www.england.nhs.uk
For discussion today
Theme for Question 1: Testing Market CapabilityOnce you identify a need for a solution, how do you research what the market has to offer? • Discuss if there anything that could be done or tools that could
improve this process?
Theme for Question 2: Interoperability supporting IDCRsWhat are the key policies, standards and guidance you need to help you? Building on existing – open API policy, ITK standards, identity management guidance.
• What do you see as the priority next wave of interoperability standards? end of life, crisis management, pharmacy to GP….
• What are the key policies, standards and guidance that you would like to see to help you?
www.england.nhs.uk
Thank you
Please engage with us at:
www.technologystrategy.england.nhs.uk
@NHSEnglandCOP