11.15am. Dr Mike Bainbridge, clinical architect at NHS Connecting for Health (and winner of the Healthcare ICT Champion of the Year) kicks off his very entertaining presentation with this Health 2.0 video:
Mike is talking about the demographic time-bomb:
- Over 60s > than under 18s
- 2050 – 4 times as many needing care
- Need to move from paternalistic care to individuals providing self-care
What the UK is doing:
- 4% of health budget on IT and Infrastructure
- QOF
- Tele-Care
- 1,000,000 citizen demonstration
- Assistive Technology programme
- IT gateway for policy
Link: www.cfh.nhs.uk
“Paper is no longer fit for purpose”:
Muir Gray: “it is unethical to carry on doing what we are currently doing”
From 1965 document: “Standardisation of Medical Records” – various recommendations still not standardised in paper records. Some are only being implemented now.
Dichotomy between what paper does and what IT doesn’t do.
Link: http://www.rcplondon.ac.uk/clinical-standards/hiu/Pages/Medical-records.aspx
Common User Interface Programme:
- Partnership with NHS and Microsoft
- IP is shared
- www.mscui.org
- www.openhealthtools.org
- UI programme: safety, usability and clinical effectiveness
- Lots of different ways people encode recrods
- Styles of interface (e.g. single concept mactching/text parsing)
‘The witchcraft bit’: Mike then showed us a demo of text-parsing where he can type free text notes and suggested SNOMED terms appear on the left, which can then be selected by the doctor.
Map of medicine now available on www.nhs.uk. Will include summary care record.
Mike then demonstrated the Mobile Clinical Assistant:
- Full PC, wireless, bar-code, camera, rugged, 8 hour battery life
- Messages to ‘Clean Me’ and is locked until it is cleaned.
Mike also showed a keyboard with flashing light that only goes out when it has been cleaned. Backlit for night-time use. People who use it also clean their hands 60% more frequently.
Questions:
Q. Privacy of sharing the EMR
A. Showed NHS smartcard (also proximity cards, magnetic stripe for doors opening, also have dinner money on!). Need passport and work credential to get the smartcard. Login needs to be quick enough. Allows single sign on for PC, EMR and academic systems.
Q. Migration from variety of user interface to common user interface
A. Increasingly easy – as outputs become accepted
Q. Privacy and Security
A. Wide set of projects currently being carefully evaluated at the moment. We have to find what is comfortable for you and me, the citizen. Hopefully consent-to-view will achieve this.
Q. Fragmented healtcare system in NZ – challenges with authentication and other shared services. How does NZ achieve some of the things achieved in the UK.
A. ‘Benign Stalinism’ with vendors. As a country specified what was required.
Q. What is the role of the NHS, putting together clinical people with IT people – status of IP.
A. All outputs are freely available at no-cost. IP owned jointly by NHS and Microsoft. Open Health Tools & Eclipse foundation.
[...] Dr Mike Bainbridge from the NHS Connecting for Health [...]
By: Live Blogging from HINZ SNOMED CT Workshop « Health Informatics Blog on October 15, 2008
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