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Presentation to the North
Yorkshire and Humber CIOs
November 2017
Adrian Byrne
CIOChair of the national health CIO network
@adebyrne
A GDE, you were lucky, we would dream of having a GDE
Our network was a piece of string linked by tin cans
• Around 16 high scoring digital maturity trusts
(acute)
• Aim to be at HIMSS L6/7 in four years
• Highly integrated health systems
• Showcase for the NHS
• Up to £10m for each
• Fast followers (£5m ea)
The NHS GDE Programme
Bob Wachter – The Digital Doctor
Presentation
• UHS as a Digital Exemplar (GDE)
• Success stories/Innovation
GDEWhy UHS?
• National programme
• Integrator
• Pioneer
Leading technology analysis firm Gartner has said the
NHS IT market is too reliant on closed proprietary
systems, and must follow other industries and drive to
open platforms and surrounding eco-systems
Viable
future
Fit for
purpose
Cost of
replacement
<£1m
<£2m
>£2m
CaMIS
PASPathology
Prescribing
HICSS clinicals
Aria chemo
Somerset cancer
Sectra PACS/HSS radiology
Casemix warehouse
Reporting solutions (Qlikview)
Critical care
Patient portal
Systems
Support (24Hr)ApEx DTOC system
Cost of
replacement
<£1m
<£2m
>£2m
Core network
eMail archive
Desktop hardware
Desktop software (MS)
Storage platforms
Core MS database (SQL)
Oracle
Datacentre
Switchboard
Bleeps/messaging
Technology/Platforms
Support (24Hr)
Wireless network
Firewall/security
Viable
future
Fit for
purpose
Who we work with
• EMIS
• JAC
• Hyland
• IMDSoft
• Sectra
• Intersystems
• Get Real Health
• SystemC/Graphnet
The UHS GDE Programme
A. Beyond Records
B. Medication
Optimisation
C. Decision Support
D. Device Integration
and Tracking
E. PHR
F. Digital Diagnostics
G. Enabled workforce
H. Infrastructure
• Integrated Medical Chatbot
• HL7 FHIR Compatible
• Connect to your EPR
• Capture and store data to the EPR
• Build your own Medxbot
• Secure and GDPR / HIPAA Compliant
Medxbot
Technology
transforming
lives
Time to Think Differently
By 2019 an
extra 2.9m
with long term
conditions
Everyone has
web
access
The Kings Fund
Expectations
increasing
Transparency
of Information
Treatment at
convenient
location
UHS Vision
“By using modern technology we will remove blocks
between our expertise and the patient”
Personalized care, anywhere
SENSORS CARE PLANSENGAGEMENTAI INSIGHTS
My Medical Record1. Co-production leading to efficiency
� Pre assessment for surgery
2. Demand management� Prostate cancer saving outpatient appointments
3. Self care with no business case� Quality and reputation bonus
Do you check the My Medical Record site
for your results?
My medical
record
The transactional record
Appointment cancellations, updated demographics, allergies, medications etc.
Journals and surveys, secure messaging
Appointments, documents, Lab results & Radiology result messages, secure messaging
PatientUHSFT
Cloud based PHR
Patient Portal
Lifestyle App
Long term
condition App
Web Services
Provider PortalProvider EMR
UHS is standing up a FHIR compliant PHR in Azure, in live and test. Apps can
connect, developers can build and test apps
Open Platform PHR
• If every app has it’s own data platform you will
have chaos
• If every app has its own user account process
you will have chaos
• NEED:
– PHR platform like a vendor neutral archive
– A federated identity scheme
So, lots of small projects
• Whiteboards replacing the physical whiteboard
• Paperless order comms with Sample 360
• Tracking projects for equipment etc
• Connected devices reducing transcription error
• Wearable technology
• Even looking at the Amazon Echo as a tool
“I was invited to use My medical record and asked to weigh
myself using the digital scales once a week. As I was going
through a rough patch it was good to know that there were
people keeping an eye on how I was doing. If my weight went
down too low then I would automatically get contacted by a
member of the clinical team.
I also used the messaging function in the system. It is
comforting to have a simple way of telling people you are not
feeling well” – IBD patient
“I hate this issue of being in the dark all the time, as I
said, we live from result to result, and that period in
between, we are left in the dark. I’m not any longer,
I’m there, I’m with them, I’m up there with them. Any
query, any issue, it’s like going to the board meeting
isn’t it where decisions are being made and I can be
part of those decisions being made. I really feel I am
now part of the team, if you like, and not waiting for
the answers, I’m up there with them now, and that’s
what team work is all about, isn’t it” – Prostate patient