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Healthcare: Leadership, Integration, Platforms...CCIO experiences in the NHS
Dr. Tony Shannon,Director, Frectal Ltd
21st Century Healthcare
• Healthcare:
• Leadership: • Integration: • Platforms:
• Change:
Dr. Tony ShannonM.B. B.Ch. B.A.O. UCD, IrelandFellow of College of Emergency Medicine England
Fellowship in Informatics USAMSc in IT Management England
Clinical Lead, NHS Connecting for Health – National Programme for IT
Chair, Clinical Review Board, openEHR Foundation
Consultant in Emergency Medicine, Leeds Teaching HospitalsChief Clinical Information Officer, Leeds TH/Leeds NHS & Social Care
Director, Frectal Ltd
NHS EDs – after 4 hour std
NHS: Connecting for Health
• Biggest civil IT programme in world• 10 year; £12 billion; based in Leeds• Began in 2003
• Primary, Community, Acute, Mental Health
• Aimed at a single strategic solution
NHS National Programme for IT: 2004
NHS National Programme for IT
Thinking in silos Process versus IT Closed solutions
International Standards
Local Innovators
eHealth Bodies
& Vendors
NHS National Programme for IT
NHS National Programme for IT: 2011
Complex Systems
Change: People: Leadership & Culture
Referral in
Assessment
Plan CareDeliver Care
Referral Out
Operational (1 patient)
Strategic (++ patients)
Tactical ( > 1 patient) Resource management
Performance management
Change: People + Process + Info + Tech
Leeds TH 200+
Enterprise Wide
System x
Common Web UI
Integration EngineESB
A B C
1
2
3
4
5
Core Process
Core Process
Core Process
Core Process
Core Process
Modular
SOA
Enterprise wide
System Y
Access/SQL
Current State of the HIT Market
Single patient
Multi-patient
Intelligence
Market Forces
• Usability
• Integration
• Clinical Kernel
#Usability
Leeds TH 200+
Enterprise Wide
System x
Common Web UI
Integration EngineESB
A B C
1
2
3
4
5
Core Process
Core Process
Core Process
Core Process
Core Process
Modular
SOA
Enterprise wide
System Y
Access/SQL
CDR
#Integration
# Clinical Kernel- Archetype
• Clinically oriented
• Maximal dataset– Can be coded with
terminologies
e.g. Pulse, BPKey contactsetc
• Computable
• Reusable
DevelopmentClinically LedUser CentredAgile Development
Single Patient Multiple PatientsClinical Intelligence View
www.RippleOSI.org
Collaborate : Innovate : OpenTowards an open health & care platform
@RippleOSI
www.RippleOSI.org
Open Platform - in action
Open RequirementsOpen GovernanceOpen Citizen
Open ViewerOpen IntegrationOpen Architecture
Offers x 6
Story of Self
Story of Us
Story of Now
21st Century Healthcare
• Healthcare:
• Leadership: • Integration: • Platforms:
• Change:
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