Julian Bates – CIO, THIS 18 th June 2014 – Health Insights, Birmingham

“Organisation wide self sufficient Information Provision

for an Acute Trust – Mission (Im)possible ! ? ”

Julian Bates – CIO, THIS 18th June 2014 – Health Insights, Birmingham

The Health Informatics Service is hosted by Calderdale and Huddersfield NHS Foundation Trust

The Health Informatics ServiceInforming Healthcare

Overview• THIS - Information department• Recent times and a Plan• Progress made• What for the future ?• Lessons learnt


The Health Informatics ServiceInforming HealthcareTHIS – Information history &

reality• THIS hosted by C&H NHS FT - 10 years of age• 30 information staff - Trust and CSUs• Data warehouse • Regular reports - demands • More narrative, Information / data• Change required



REALITY an exampleHi Please could you help me this morning by providing me with the

following:-

Details 1Details 2Details …..

I realise this is quite a lot but if I can get this morning as I need to work on this this afternoon?Many thanksBob



SELF SUFFICIENCY – in the past

• Common tools • Qlikview BI platform• Big items – eg. Mortality, contract – “piecemeal”• Benchmarking



RECENT TIMES – IM&T MODERNISATION

• Large Investment• Information / Business Intelligence• Ideas – in heads only• Research – Best Practice• Taking action



BI - what we wanted (RESULT) – IM&T Strategy Paper

all in one place via one route

Available to all who need Intuitive to Use

Easily Accessible

Real Time

Organisation wide

Tailored for Customer Groups

Benchmarking

Forecasting

Technical Resilience

Modelling / Alerts

Integration



BI and Self Sufficiency - Plan to get there – 500 users Dec 2014

2013 2014STAGE Description 30/9 07/10 04/11 02/12 30/12 06/1 03/2 03/3 31/3 05/5 02/6 07/7 04/8 01/9 06/10 03/11 01/12

1 Vn 11 QV & server upgrade

2 Who to "go see"?, script, user guide

3THIS current model review, including draft model directory

4 Branding & consistent models

5 PMU model

6 IP wait models

7 Community daily

8 Servers, back up & dev bus case

9 CHFT perf model - dataset prep

10 Analyst awareness

11 Analyst Training

12 Tablet demo

13 OP wait model

14 Live models - A&E, bed occupancy

15 CHFT review engagement

16 Servers, back up & dev impn

17 Existing reports

18 Skill analysis

19 Requirement specification build

20 Evaluate licence requirement

21 CHFT perf model - BHJ impn

22 Impn of requirements (small models)


The Health Informatics ServiceInforming HealthcareWhat we’ve delivered against

plan

Including “Live”

Upgraded to Version 11 Qlikview

Launched new models

Reviewed Current Models

Branding & Consistency

1st Model on tablet device

STAGE Description

1 Vn 11 QV & server upgrade2 Who to "go see"?, script, user guide

3THIS current model review, including draft model directory

4 Branding & consistent models5 PMU model6 IP wait models7 Community daily8 Servers, back up & dev bus case9 CHFT perf model - dataset prep

10 Analyst awareness11 Analyst Training12 Tablet demo13 OP wait model14 Live models - A&E, bed occupancy15 CHFT review engagement16 Servers, back up & dev impn17 Existing reports18 Skill analysis19 Requirement specification build20 Evaluate licence requirement21 CHFT perf model - BHJ impn22 Impn of requirements (small models)



Prong of Attack 1 – Live Model

• 10 min updates• 5 options


The Health Informatics ServiceInforming HealthcareProng of Attack 2 – Trust HQ

Screen

• daily updates• trending &

seasonality graphs• 7 options• ytd comparison• multiple data sets


The Health Informatics ServiceInforming HealthcareProng of Attack 3 – working

together

• daily updates• joint working• Integration• replaced report



Impact (1)

all users 1500+ sessions

(95 users)



Impact (2)

non info and finance users

400 sessions

(59 users)



Knowledge Portal – the offering now (RESULT)



Knowledge Portal – models available now• Inpatient • Outpatient • A & E • Referrals • Mortality • Waiting lists • Theatre Utilisation • Incident Reporting

• Bed Occupancy• Clinical Coding• Pathology • Radiology • Community• Therapies• Pharmaceuticals• Contract Monitoring



THE FUTURE?

Refining

Tackle the hard areas – org wide

- triangulate

Trust Performance and Patients Safety report

Big Launch Certain reports delivery mode

to stop

More for the clinicians

Engagement and support

Analysts roles to changeBenchmarking



Lessons Learnt – THE GOOD• Plan gives focus• Simple and get on • > 1 “prong” – “Sexy stories”• All informed – all helping engage• Manage the expectation



Lessons Learnt – THE BAD• Definitions • Expect knock backs• Big steps not easy• Data feeds get harder !• Complete buy in



Self Service….feel familiar• On the increase• Spreading to many different service industries• The technology is getting better• Generic, intuitive, easy to use• Customer satisfaction / confidence is increasing• Still the need for face to face interaction



Key Points • Get on and put the information out there• Have clear plan• Resilience – system and you• Many pronged – plenty to show• Not for all yet – but it can / will be• New generation – the mission will be possible



Thank you Any questions?

Documents

Julian Bates – CIO, THIS 18 th June 2014 – Health Insights, Birmingham