Digital strategy for the NENE ICS Enabling the transformation of care through the use of digital technology

Transcription

1 Digital strategy for the NENE ICS Enabling the transformation of care through the use of digital technology Dr Mark Dornan Digital Care Programme SRO

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3 North East and North Cumbria STP/ICS Programmes Optimising Acute Services (inc. Pathology, Radiology, Paediatrics etc) Delivery Programmes Care Closer to Home (inc. Frail Elderly Framework) Urgent & Emergency Care Cancer Mental Health Prevention Learning Disabilities Continuing Health Care Enabling Programmes/Strategies Workforce Digital Care System Development Demand Management Estates Communications & Engagement Transport

4 North East and North Cumbria Digital Governance Structure NENC Health Strategy Group NENC ICS Management Group Great North Care Record (GNCR) Oversight Group NENC Digital Strategy Group Technical Design Authority North Cumbria ICP North Cumbria Informatics Workstream North ICP Newcastle & Gateshead Information Network Central ICP Sunderland & South Tyneside Informatics Board South ICP DDTHRW Digital Transformation Workstream Other groups feeding into the above include CIO Network (TDA), CCIO Network, SIGN IG Group, Primary Care Governance Groups. CIO Network providing expert technical advice to the ICS programmes as required Attendees of Digital Strategy Group: SRO Digital Care Programme GNCR lead CCIO CCIO network representative (FT) CCIO network representative (CCG) CIO Network chair CIO Primary Care (on behalf of) Digital Care Finance lead Cumbria ICP Durham and Tees Valley ICP Northern ICP Central ICP AHSN/Academic link Local Authority senior rep SIGN group rep NHS England/Improvement NHS Digital Patients and Public rep Regional Health watch rep Director of Clinical Networks Programme Manager Others invited as per agenda

5 North East and North Cumbria Digital Care - Strategic alignment Current Projects HSCN Implementation - health and local government collaboration Cyber Security (prevention) Wi-Fi - a) Trusts b) Primary care EPR Scan for Safety (S4S) Digitising Community Pharmacy and Medicines Transfers of Care Themes/ workstreams Robust, secure and appropriateinfrastructure Mature Digital Providers and associated services Vision Pathology: integrated LIMS system/common IT platform and implementation of a new digital imaging solution (PACS) Great North Care Record (GNCR) GP Connect (National solution for limited record sharing) Transforming Radiology using appropriate technology Development of maternity digital personal health records (ephrs) Opportunities for collaboration ie. back office functions E-consultation and video conferencing (tele medicine) Technology Enabled Care Services (TECS/ telecare; HealthCall) Primary Care Online Patient Access: Increased Utilisation (GPIT/national programme) Primary Care Maturity: Mobile Working in Primary care Current Analytics - Build further on the intelligence available via RAIDR, expanding from current access by all CCGs and GP practices, to include other organisation e.g. Foundation Trusts GNCR - Analytics - Improve future analytics capability across the region to support research and evaluation e.g. Adopt the NHS Digital - Data Landing Portal for all flows of secondary use data between providers and commissioner NE&C Optimising the systems supporting Clinical Pathways Interoperable and Collaborative systems and resources Digital innovations to deliver self-sufficient care delivered closer to home in neighbourhoods and communities Enabling Care closer to home Dynamic System Planning & Delivery underpinned through evidence, driven through data and analytical services To enable the delivery of high quality, efficient health and care services, to the Patientsof the North East and North Cumbria through digital solutions Regional priority Share for learning and potential efficiencies National programmes - delivered locally

6 I- CARE: Involve Patients Patient online portal E-consultation Staff Record access- MIG Communication

7 I- CARE: Consider Frailty screening tools SystmOne & EMIS integration - SLIP programme RAIDR Population Health Management: Using data from our existing systems & data flows Risk stratification

8 Polypharmacy Review STOPP as an example Patient flag Patient details including what was decided last time reviewed

9 Or reporting at a practice level for systematic GP or pharmacist review STOPP

10 Or reporting at CCG/federation level STOPP

11 Other Polypharmacy Tools MHRA alerts available E.g. statin/calcium channel blocker interaction Citalopram and the elderly Anticholinergic burden score beta version being tested Anticoagulation prescribing safety system beta version being tested

12 Frailty Flags to identify patients who might be frail. Can be set to different thresholds. More sensitive and specific than efi alone Or reports to use at whole practice level

13 Support for diagnosing and categorising frailty Frailty

14 Frailty Dashboard/overview for complex patients: Integration of similar pathways e.g. dementia, frailty, palliative care, housebound, care homes.

15 Key frailty assessments Frailty

16 Frailty IT support for practices who have batch added frailty diagnoses based on efi (leads to significant over-diagnosis and overclassification of frailty. E.g. how to batch-undo

17 RAIDR Risk Stratification

18 Population Segmentation

19 I- CARE: Assess I-CARE toolkit NEWS monitoring in Care Homes

20 I- CARE: Respond Timely access to services/care: Fight deck The RAIDR-UEC App Health Call Great North Care Record Clinical Digital Resource Collaborative EoL portal: Black pear,?expand MIG to include access to Special Patient Notes (End of Life, Advanced Care Planning, DNACPR, PPC, PPD, ADRT)

21 Monitoring of NEWS via Care Homes Digital NEWS tablet is at the heart of Better Health and Care for care home residents in Sunderland Why are we introducing technology into care homes? Complex healthcare needs, multiple long term conditions Skills within residential care homes not necessarily sufficient Communication challenges between providers Residents currently do not have equitable access to healthcare which can lead to hospital admissions The need to improve early detection of acute illness in residents Provides care closer to home to improve patient experience Outcomes Who has been involved?

22 Flightdeck Web based NEAS Hosted North East hospital focussed Mix of submissions Automated / Manual

23 App pressure map

24 HealthCall Health Call is the largest deployment of digital care technologies in England

25 MIG deployment. Collaboratively delivered across 12 Trusts 352 General Practices (100%) 3.2 million citizens

26 Clinical Digital Resource Collaborative Standardising GP practice resources Creates regional EMIS & TPP resources Delivered regionally to Standardise: Coded information Ways of working - Quality - Reducing variation

27 Evaluate RAIDR Population Health Management Dashboard: Capture baselines and monitor impact Present and monitor frailty outcome metrics

28 Making it happen SharePoint: Enabling collaborative working Many Communities of Practice

29 NENC RDU SharePoint site sharing documentation, collaborating, enabling Community of Practice

30 Your help! Transforming care through technology not doing the same thing better, but doing better things

31 Information, sharing, empowering enabling Transformation requires; People Process Technology not doing the same thing better, but doing better things. But we need to start somewhere!

32 and therefore From To With

33 SystmOne & EMIS integration- Implementing the SLIP programme Full GP records viewable from either system Bidirectional e.g. Community Primary care Potential to implement from July ISG between Primary care and partners

34 Our vision: Create a consent-rich research environment

35 MIG Sharing patient records 100% MIG participation - signed data sharing agreements Actual MIG activation level is currently 93% and technical work will be done with the now participating practices in South Tees and Newcastle Gateshead to increase this. MIG Utilisation by Receiving Orgs - July: Successful Access 39,702 (92%) Errors 3,515 (8%)