Data Sharing Technologies Board (DSTB)

Inter-agency information sharing and collaboration

Murdoch CarberryHead of Reform and Change Management

Renfrewshire Council

DSTB background• Formed November 2011, drawn from local data sharing partnerships

• Representatives from Councils, Health Boards, Scottish Govt. Intention to extend to include other public bodies and third sector

• Transition from one standard technology approach to a series of benefits/outcomes led partnership initiatives

• Four strands of business:– Management of legacy national technical, other assets and contracts (eCare)

– Support the policy objectives of Health and Social Care integration (Adult Health and Social Care Integration Bill) and GIRFEC (Children and Young Persons Bill - CHECK)

– Development of ICT enablement of information sharing and collaborative working to support improved outcomes for clients

– Development of a Health and Social Care ICT Strategy to enable inter-agency information sharing and collaboration

From discussion at Health and Social Care in the Digital Age, 25/2/13

• Do– Engage and communicate with practitioners ... continuously

– Build strong buy-in with senior stakeholders in all partner agencies

– Accept need for flexibility and adaptability in solution design

– Be prepared for not getting it right first time, pragmatic and incremental is good

– Provide right level of guidance and support to staff

–Celebrate local successes and share / invest in where there’s consensus on value

• Don’t– ‘drive from the centre’, locally or nationally, with an ‘I want this done’ approach

– be product led / industrialise solutions too soon

– make weakly based assumptions about future financial support

– ignore or seek to isolate local achievements

– create a plethora of ‘data standards’ for which there’s no demand

Lessons from past projects

• Shared information is vital to improving outcomes

• Information should be available electronically

• Presumption in favour of information sharing

• Engage service users and staff in use of information

• Personal information only shared under formalised IG

• Management information available to decision makers

• Optimise use of existing assets (Re-use, buy, build)

• Standards based approach to support convergence

DSTB – Direction in brief

Key activities and achievements of DSTB

• Reviewed and given clear leadership on legacy assets

• Supported new initiatives and promoted success stories by Greater Glasgow, Lothian, Highland, Ayrshire, Lanarkshire and West Lothian partnerships

• Initiated the Information Architecture Study – snapshot

• Established an Interoperability Working Group

• Initiated work on a strategy for inter-agency information sharing and collaboration

• Created initial roadmap for 2013-14

• Created new capacity to support and coordinate work across all partnerships

Developing a strategy: challenges ahead

• Multiple and complex driverso Demographic and social changeo Adult Health and Social Care Integration Billo Children and Young People Billo Service redesign prioritieso eHealth Strategyo National public sector and individual sector strategies

• Local partnership level engagement, within and between agencies

• Resources: developing opportunities to make best use of all resources at national and local level

• Technology: connect to ICT and change agenda; also to SWAN

• Information Governance: national / local; proportionality

• Governance & organisation: led by purpose and outcomes focus

Developing the ICT strategy: approach

• Set direction, but not prescriptive

• Anticipate a variety of organisational models for integration

• Person centered and outcomes focused in alignment with business strategies

• Designed to meet needs of frontline service and ‘the centre’

• Enabling – facilitate adoption of information and collaboration at faster pace

• Coherent links to other ICT enabled change – e.g. Mobile and flexible working

Roadmap - extract• Key actions and priorities for 2013-14 period; to be developed

further following the engagement conference. See also, Strategy Development Sheet in conference material

Action / output

ICT enablement – Review of SWAN impact

Information Governance best practice – delivery plan

Key legislation – Impact assessment and agree business outcomes

Cross border sharing – feasibility study

eCare Decommissioning – end of project reports

Development of data sharing maturity model

Health and Social Care ICT Strategy – publish consultation draft

Maturity model concept

Level 1 – InitialLevel 2 - Established

Level 3 - Business Enabling

Level 4 - Managed

Level 5 – Optimised

Processes are not documented, though possibly a general commitment to process development.

Organisation focused on optimisation of processes and will anticipate future capacity and capability requirements.

Information Governance

Xxxx Xxxxx Xxxxx Xxxxx Xxxxx

Professional Details

Xxxxx Xxxxx Xxxxx Xxxxx Xxxxx

Matching and Indexing

Xxxxx Xxxxx Xxxxx Xxxxx Xxxxx

Messages and Alerts

Xxxxx Xxxxx Xxxxx Xxxxx Xxxxx

Assessments and Plans

Xxxxx Xxxxx Xxxxx Xxxxx Xxxxx

Secure Access Xxxxx Xxxxx Xxxxx Xxxxx Xxxxx

• For further development, and possibly creating other ‘dimensions’ relating to e.g. specific client groups; tiers – national / local

ELECTRONIC WINDOW

TO NFORMATION

(PORTAL)

INTEGRATION

INTEGRATION

PMS

CHI

Scannedcaputure

Electronic capture

Health Board

Police Fire

Integration

Third sector

Integration

PMS

CHI

Scannedcapture

Electronic capture

Council B

Council C

Council A

Health Board

Police Fire

Integration

Third sector

Integration

Inte

grat

ion

Local Government

Matching and Indexing

Viewer

Store

Secure Messaging

Inte

grat

ion

Education

Concept architecture for data sharing – to be developed

NB. Single shared system also a valid, if limited applicability, solution

• Development of solution from scratch

• Extending an existing health portal to integrate with non-health systems

• Copying all or some of an existing regional solution to other regions and evolving separately

• Sharing discrete technical elements, for example interfaces to agency systems, or transformation technology

• Sharing of standardised information services at local, regional and national levels as appropriate

• Extending an existing regional portal or central stores to neighbouring regions and evolving as a single solution. For example the CareFx regional portal includes Lothian, Borders, Fife and Dumfries and Galloway, MIDIS consortium partners are Lanarkshire, Tayside NHS Fife, Forth Valley, D&G and Highland.

• Only sharing lessons learned, best practice, standards etc.

Spectrum of solutions: Information Architecture study

Interoperability Working Group

• Ensure that the design of information sharing solutions will be itself collaborative

• Propose/support development of assets to enable collaborative working

• Oversee process for agreeing what technical assets could be implemented nationally/regionally

• Recommend to DSTB the development of integration artefacts as required

• Recommend to the Ensemble Integration Governance Group National Data Services that relate to Health and Social Care Integration

• Govern the hosting, availability and coordination of a shared library of artefacts

• Physical

• System installations

• Resource constrained

• Complex migrations

• Fixed costs

• Custom integration

• Proprietary

• One-to-one

• Professional services

Traditional IT Cloud/SaaS

• Virtual

• As a service

• Scalable resources

• Automatic updates

• Variable costs

• Mash-ups, web services

• Open standards

• One-to-many

• Self-service

Changing ICT

Acknowledgement: Leading Edge Forum

National

ICT

Board

PolicyLA

Strategy

Board

Other

eHealth

Strategy

Board

Health and Social Care ICT Strategy

Data Sharing

Technologies

Board

CHI Short Life Working Group

Health and Social Care Interoperability Working Group

Adult Health & Social Care Integration

GiRFEC

But, background work has identified 30+ formal boards/working groups with directly related interests to DSTB agenda

Governance