Google, Uber, AirBnB
There are 10 kinds of people in the world
Which one are you?
Life is all about information
The Big Bang
DNA code
Data is the new crude (oil)
Unrefined it cannot be used. It has to be changed into petrol,
plastic, chemicals etc to create a valuable entity.
So to must data be broken down & analyzed for it to have
value
Michael Palmer
Google, Uber, AirBnB
So how do we use data most effectively to improve patient
outcomes across the NHS?
The Digital Health AgendaprinciplesSimplicityAlignment
The Digital Health Agenda- the simple versionCollect data at
source
Aggregate all that data
Analyse it
Use the knowledge gained to improve patient outcomes and system
sustainability
The Digital Health Agenda- what, why & how
The WhatEvery 36 hours c1 million patient interactions across
the NHS
Capture the information from each & every one of those
interactionsconvert that information into 1s & 0s(thats why we
go paperless!)
The What
Convert all those 1s & 0s (data) into knowledge
Endow that data with relevance and purposePeter Drucker
The What
Create learning/knowledge based organizations
Individuals discipline their own performance through organized
feedback from this dataPeter Drucker
Why are we doing it?
The Why
Improve patient outcomes
Fundamental reason clinicians record patient information is to
enable them and their colleagues to deliver better care
The Why - Safety
~1m admissions / year with label of drug allergyPREVENTABLE
DEATHS
The Why - Sustainability
The biggest threat to the American economy over the next 20
years is not the global economic crisis, it is the cost of
healthcare reform
Barack Obama
The WhyClose the GapAddress the challenges in the 5 year forward
view
Enhance/induce system sustainabilityunderpins delivery of high
quality healthcareuse of data to improve productivity and
effectiveness
We simply have to do better-we have to change the way we provide
healthcare
The WhyTo deal with complexity
To bring order to chaoschaos is not randomIt is unpredictable
because we arent sophisticated enough to measure & interpret
all the variables and variation in the data
Turn data into information information into knowledge
The Why
By collecting, aggregating and analyzing data, everyone gets
better at articulating their demand and reciprocally, providing a
service in response
Google, Uber, AirBnB etc
The WhyEfficiencyIntrinsically dependent on flow of information,
which allows:alignment of systems & processesavoidance of
duplication & unintended variation
Saves time!!!one of our most precious resources
How are we going about it?
The How
Ensure that information is captured as part of the care giving
process
Each & every one of those one million interactions
The HowRecord said information in a standard format(s) so that
it can be: extracted automaticallyinterrogated intelligentlyapplied
effectively
Data is encoded intelligenceWe need to decode it
The How
How do we deal with complexity?
The keys to dealing with complex system dynamics are simplicity
& alignmentnot over complication and silos!
Leadership in the Digital AgeCritical to dealing with
complexity
Allow ecosystems to become self-governing/self-organizing
Traditional infrastructure will shrink as platform models become
more prominent
Less reliance on contracts and central enforcement
Leadership in the Digital Age
Not about cost per seAbout finding the best way of creating
value and improving patient (customer) experienceDefine who does
what bestWho can contribute the mostAnd where they sit
Cost improvement flows from value creation
The Strategythere is a better way!
The Strategy
Digital Maturity Program (Paperless 2020)Based around NIB
domains & programs
Vision without action is a daydreamaction without vision is a
nightmare
The StrategyNIB programs Enable data collection from across the
systemEnable that data to be shared (appropriately) across the
systemEncourage innovative ways of capturing datawearables, apps
etcCreate capacity & platforms to analyze data at multiple
levelslocal, population, cohort, metadata sets, big datasetsAllow
access to the knowledge that is created
Clinician-PatientINFORMATIONAGGREAGTED
DATAANALYSISCorporate/HQbusiness intelligencedata
basesgenomicsphenomicsmetabolomicsdiagnosticstherapeuticspopulation
healthpreventioninformation/knowledgeinformation/knowledgeclinical
auditquality progsappswearablesEHRstandards - data sharing security
- patient ID analytics - interoperabilityPRECISION
MEDICINEPRECISION MEDICINE
The Strategy - principles
Simple/understandable
a child of 5 could understand this; so will someone please go
fetch a child of 5Grouch Marx
Aligned
Alignment of the Stakeholders
Corporate HQRegionsX4STPsx43Provider organisationsClinical
UnitsIndividuals
Alignment of the Digital Maturity Program
Digital Maturity programDomains
x10Programsx33IndividualprojectsBusiness intelligenceSMEs
Where are we now?
Sitting on a cusp .. of uncertainty
When we fish for absolutes in the seas of uncertainty, all we
catch are doubts
Embrace the 80:20 rule!
Where are we now?
IT in the NHS today
When the tough gets goingThe tough go shopping!
we have to have the courage to fail
Take a risk the rewards just might be worth it!
Any man who can drive safely while kissing a pretty girl is
simply not giving the kiss the attention it deserves.
Albert Einstein
Where we want to be
GoodBetterBest
Where we want to be
ExemplarsLearning & knowledge based organizations at the
cutting edge of digital medicine, whereindividuals use data to
drive their own Q thus improving patient and organizational
outcomeslearning and benefits are shared across the system
resulting insystem sustainability and enhanced effectiveness
leading toenhanced quality of care & improved patient
outcomes
We choose to go to the moon not because it is easy, but because
it is hard, because that goal will serve to organize and measure
the best of our energies and skills, because that challenge is one
that we are willing to accept, one we are unwilling to postpone,
and one which we intend to win.
JFK
Our futureand the future of our patients
Depends on many things
but mostly it depends on us!
42
So
There are 10 kinds of people in the world
Those that understand binary and those that dont
and so we come full circle, to the place from which we set out,
and see it for the first time
T.S. Elliot
