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Professionalism in a changing Health environment. Jean Roberts BCS Health Informatics Forum Policy lead [email protected]. Challenging factors. Technology Organisation Professional Patient and client Public Funding. DEFINITIONS. - PowerPoint PPT Presentation
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Professionalism in a changing Health
environmentJean Roberts
BCS Health Informatics Forum Policy lead
Challenging factors
• Technology• Organisation• Professional• Patient and client• Public• Funding
DEFINITIONSHI is the knowledge, skills and tools which enable information to be collected, managed, used and shared to support the delivery of healthcare and to promote health.
Health informatics is concerned with the systematic processing of data, information and knowledge in medicine and healthcare. The domain covers computational and informational aspects of processes and structures, applicableto any clinical or managerial discipline within the health sector whether on a tele (remote) basis or not. Health informatics is delivered by operational health practitioners, academic researchers and educators, scientists and technologistsin operational, commercial and academic domains
HI is study of the nature and principles of information and its applications
within all aspects of healthcare delivery and promotion
To represent all this activity is a challenge
The PatientThe Patient133 People to take care133 People to take careof the patientof the patient
“If I wanted to go there I would not have started from here”
Audiogram
Analysis of the voice EEG, MEG., RMN.
Breath: volume, pressure, VO2, VCO2…...
Vascular blood flowDoppler Ultra Sound
ECG, EMG, BSM
Breath: Frequency, Amplitude, Flow,...
Skin: Temperature, Resistance,Impedance, Blood FlowHydratation, color,…Thermic & tactile sensitivity
Cardiac frequency & foetal movement
Forms of the body & dimensions(Optic, laser, Ultra sound, X-Ray)
Pulmonary sound Cardiac sound
Muscular sound
Arterial pressure
Emotional responseVigilance, Mental charge
EMG signal processingActivity of muscles:movement, speed, power
Urinal flow
Not so much ‘In the future’ now!
1998 Information for Health
2002 Delivering 21st Century IT
2002 Wanless (funding)
2003 Wanless II (Public Health)
2000 NHS Plan : a plan for investment and plan for Reform
1997 The New NHS : Modern, Dependable
Protti evaluations
Readiness Reviews
NPfIT communications
Patient data may come from anywhere
• Visits the dentist / therapist ...
• Has home visit from GP, nurse, care worker, midwife …
• Visits a Walk-in Centre
• Calls OOH service
• Uses a Home Healthcare Guide
• Calls NHS Direct or NHS Direct Online
• Visits OP
• Attends A&E
• Visits GP / Practice nurse
• Goes to pharmacy / self-medicates
• Attends as IP and has interventions ….
Fudge or fiddle?
Ethics of a professionalcheck out www.ukchip.org.uk
• development of a strong Code (of Ethics / Conduct)
• establishment of standards of professionalism that will set you ‘apart from the crowd’
• provision of information for organisations and employers by ethics experts in HI
• circulation of case studies and other information to keep the importance of ethical conduct highly visible to all members of the profession and the public
WATCH OUT for HI Week in May
Informatics in the Health domain
• FOCUS : Diagnosis, care and treatment• HISTORY : Computing since early 60s• LOCATION : Disparate and isolated• POSITION : Non-mainstream service• IDENTITY : Caricature only• INTEGRATION : minimal
Definition of a Professional Body
• Controlled by governing body which directs behaviour
• Sets entry standards and professional competence• Sets ethical rules and professional standards• Body is designed for benefit of public & not
members• Work often reserved by statute• Ensures fair and open competition• Members must be independent in thought and
outlook• Gives leadership in a field of learning
ref : Lord Benson 1992
UKCHIP launch - 10.03.2004
Synergy & subsidiarity
• The health informatics professional community is currently fragmented and covers a wide range of competencies
• Collaboration must, however, also allow for individual professional bodies and groups to retain their identity and activity
Challenges• Include ALL clinical and ‘informatics’
professions• Engage managers to encourage membership,
stimulate professional development …• Strike the essential correct balance between
inclusive entry and rigorous accreditation • Cope with existing critical mass by a
grandparent entry scheme• Establish processes complementary to other
organisations• Look forward and outward consistently
Progress so far• Corporate establishment as Charitable
company limited by guarantee• 1100 Registrations in or through
pipeline• Standards, Code of Conduct, website,
on-line Registration scheme, Continuing Professional Development examples accruing
• Formal launch (March 04)• Recognition from many quarters
UKCHIP Registration : COMPONENTS
• Academic
• Job Role
• Years in Health
• Years in Informatics
UKCHIP LEVEL
ACADEMIC• Level 1 - N(V)Q 2 …… 5+ GCSEs• Level 2 - N(V)Q 3 …… 2+ A levels• Level 3 - N(V)Q 4 …… HNC, first
Degree, or higher
• but that only takes you so far, how do you prove you can operate safely in the real world?
JOB ROLE• BCS Industry Structure Model ( and Skills
for the Information Age specification)– autonomy, responsibility and authority– influence– job complexity– personal skills
• mapping to DH Job Evaluation Handbook, Knowledge & Skills Framework and National Occupational Standards
VOCATIONAL COMPONENT -
– 1.5 (Level1)– 3 (Level 2)– 6 (Level 3)– concurrent or sequential
In health In informatics
Stages to go• Count down the Health Professions
Council membership• Recruit and retain registrants• Formalise Council elections and
business practices• Transition entry and re-registration
processes to long term versions• Map synergistic qualifications, CPD,
roles ..
Why bother?
• Profession is maturing
• Standards will be set and the barre is raising
• Licence to practice will become mandatory
• UKCHIP has increasingly recognisable cache
• Personal development well-defined and visible
UKCHIP Objectives• a) To promote, advance and encourage
the study and practice of the application of Informatics in the promotion of health, well being and dying with dignity
• b) To establish, uphold and improve the standards of qualification, training, competence and conduct of Health Informaticians in the United Kingdom
• c) To establish mechanisms for the benefit and protection of the public
• d) To collaborate with official bodies, societies and professional associations on matters relating to the above