NMAHP – Readiness for
eHealth
Heather Strachan
NMAHP eHealth Lead
eHealth Directorate
Scottish Government
Survey Purpose Is Two-fold
• To support NMAHPs develop specific action plans
for progressing the national and local eHealth
programmes
• Provide a high level assessment of capability and
capacity that will inform the national eHealth
programme development and implementation
NMAHP Contribution to eHealth
Aims
Leadership and Engagement
•
Involvement of the NMAHP community in leading local eHealth activity and
NMAHP Contribution to eHealth participating in the development and delivery
of the National eHealth programme
Workable Solutions and Infrastructure
• Ensuring NMAHPs have fit for purpose infrastructure and software solutions
to support decision making and communication at the point of care
EHealth Capability
• Equipping NMAHPs through training education and development in
information and knowledge management skills
Management of Knowledge
• Development of best practices and processes in the creation, capturing and
reuse of knowledge for decision making and communication
Survey Design
• Pilot undertaken
• Pragmatic
–
–
–
–
Capture high level description with detail to illustrate
Draw out good practices to build upon
Identify barriers for tackling
Style and language to be familiar and understandable
• A Self Assessment Tool
– Probe and guide on eHealth priorities
– Support action planning
– Platform for sharing practices geographically, across
practice areas
Survey Tools
Around Each NMAHP eHealth Aim….
e- Health
Capabilities
Equipping NMAHPs through
training education and
development in information
and knowledge management
skills
eHealth
Management of
Knowledge
Development of best practices
and processes in the creation,
capturing and reuse of
knowledge for decision making
and communication
Infrastructure & Solutions
Ensuring NMAHPs have fit for purpose infrastructure and software
solutions to support decision making and communication at the point of
care
Leadership & Engagement
Involvement of the NMAHP community in leading local eHealth activity and
participating in the development and delivery of the National eHealth
programme
Example of Survey layout
Infrastructure and Solutions
Optimised Patient Care
Definition: Current and future eHealth Systems
support NMAHPs delivered safe, effective, patient
centred, timely, efficient and equitable healthcare.
Share
Through effective
communication
Care
Through good decision
support
Compare
For QA and development
of best practices
Supporting
NMAHPs
e- Health
Capabilities
Focus
of this
Survey
Tool
Equipping NMAHPs
through training education
and development in
information and knowledge
management skills
eHealth
Management of
Knowledge
Development of best
practices and processes in
the creation, capturing and
reuse of knowledge for
decision making and
communication
Infrastructure & Solutions
Ensuring NMAHPs have fit for purpose infrastructure and software
solutions to support decision making and communication at the
point of care
Leadership & Engagement
Involvement of the NMAHP community in leading local eHealth activity
and participating in the development and delivery of the National
eHealth programme
Rationale: eHealth Systems can support NMAHPs,
as part of the multidisciplinary, multiagency team,
deliver care, record decision making and activity,
share information and compare information for the
benefit of patients.
NMAHPs should utilise
existing national eHealth software applications and
services wherever practicable, and be involved in
both service redesign and influence the
procurement process for future national and local
eHealth software applications and services to
enable benefits for patients to be realised.
Overall Question: What current systems are in use
by the NMAHP community and does the
environment facilitate their appropriate use?
Another typical layout example
Specific Questions
2. How effectively are NMAHPs able to SHARE knowledge and information across the clinical community? (explore
sharing across multidisciplinary care pathways; access to approved sources and its format- paper/electronic; two-way
communication across areas of practice and platforms to enable communication e.g. electronic messaging)
What happen in current practice relative to the ideal ?
Response
Evidence to illustrate
What limits/constrains good practices?
Response
Evidence (examples of what limits/constrains)
What good practice, innovations to build upon?
Response
Evidence (examples that might help elsewhere)
What priority actions?
Response
Evidence
Format
Overall Question:
Do NMAHPs have the competencies required to support the
development, implementation and usage of eHealth and where required, what
opportunities are available to help develop these competencies? Confidentiality
and security, working clinical systems etc.
Next level question
• To what extent is training and development in eHealth identified as part of
Training and Development Plan i.e.
• How well is training and development resourced?
• To what extend is support available following training?
Sub questions:
• What is in place relative to the ideal?
• What barriers/constraints?
• What good practice, innovation to build upon?
• What priority actions?
Process
• Co-ordinator indentified
• Meeting's) set up – NMAHP eHealth
Leads, eHealth and Knowledge
Management Staff
• Led by facilitator
• Findings recorded live – evidence added if
available
Outputs
Format
• Local action plan
• Summary report
• MKN and portal access for sharing experiences, good practices
Outputs
• High level mapping of capability and capacity
• Indicators of success developed from good practice, barriers and
agreed actions
• Toolkit to support clinical engagement and share experience
What next?
• Influencing the change and benefits work stream
• Sharing good practice via the Managed Knowledge Network
• Possibly identifying new projects
• Informing the national eHealth programme
Leadership & Engagement
Indicators for Success
• Get together: to create a stronger voice and impact by
working together
• Clarify roles: get clarity on roles, remit and levels of
accountability and influence from Directors & Board
• Be known and build influence: collectively seek to
build linkages nationally and with local clinical,
management and support colleagues
• Promote the benefits: promote the benefits however
small, to help things scale up
Infrastructure & Solutions
Indicators for Success
• Know what you’ve got and understand its current
and potential use: locally and nationally
• Learn from others: learn from others’ experience and
investment in infrastructure and tools
• Build close working relationships and design for
clinical benefits: ensure cross working with clinicians,
eHealth & IT and communication
• Create easy wins: seek out opportunities to deliver and
promote easy wins
eHealth Capabilities
Indicators for Success
• Know what competencies are needed: understand
what ‘eHealth capabilities’ means
• Seek to get e-Health recognised as a basic skill set:
to be integrated into training and development e.g.KSFs,
PDPs
• Make the most of what is there: explore opportunities
for getting most out of existing resource
• Use of Champions: for on site and continued support
Management of Knowledge
Indicators for Success
• Identify what information is needed: how to obtain it
and how it can be used to support improvement in
clinical practices
• Know what tools and resources exist to support best
use of knowledge for clinical practice whether paper
or electronic
• Maximise use of information and knowledge: in
guidance, communication and best practice processes
and tools
• Help shape the development of eHealth to make it
easier to what is needed to support and improve clinical
practice
• Help ensure eHealth information becomes integrated
into ways of working and is used to underpin
improvements