Care Design 2016

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#6 Share information across the network

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Our sixth proposed redesign principle is to share information across the network. Shared information and standardised processes ensure:

  • Co-ordination
  • Continuity
  • Improved access
  • Anticipation of need
  • Consistent response
  • Reduced travel - ‘move information not the patient’


This is what we think but what we really want to know is what YOU think! 

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  1. Chris Dickson
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  2. Caroline Poole
    21 pts
  3. Candy Perry
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  4. Deanna Mason
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  5. Tim Benson
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......and they can port that with them and allow access.  Amir Hannan sharing his practice for some years - but where's the evidence of spread at scale?  The patient is the one constant in the care pathway, paying more attention to enabling patient-held information will overcome many of the issues we face around inter-operability, border transfers, and clinical governance.  I'm still struggling to get my GP to "allow" me to view the information that is mine! Change in culture needed.  Why...

Caroline Poole
by Caroline Poole
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Caroline Poole

Interoperability is an exact science. Computers are digital and work by exactly matching information. This means we need to use stringent identifiers and codes to describe what happens, who is involved, where and when. Digital health is relatively complex and requires good education and training. HL7 FHIR is the best interoperability standard available.

Tim Benson
by Tim Benson
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Tim Benson

As a design principle this is an imperative so fundamental it should be a necessary condition of all the other design principles rather than stand alone.  Where are now is patients (or service users or carers) telling their story multiple times often on the same day or in the same hour. The danger is they (we) add things and subtract things, we change our story as it becomes rehearsed, it no longer was what we first said. It is different. The same goes for the listener if we rely on them...

Candy Perry
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Candy Perry

This is the most fantastic of mindsets - to gather honest feedback and input from a a variety of experts (whether from experience or as a professional), and really listen. To then map out the algorithms to make it work test it and share it, will be an effective and sustainable value for all. It is a remarkably simple way to share best practices giving everyone a shared benefit - and accountability - of improving upon excellence and experience, ultimately improving wellbeing.

Deanna Mason
by Deanna Mason
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Deanna Mason

ensure the team understand information requirements, at which point in the process for which individual, where the information comes from or could come from and how that information is going to be shared. ensuring that information is in a useable format and easy to get to.    

Chris Dickson
by Chris Dickson
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Chris Dickson
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