Bringing knowledge to bear on commissioning

Sue Lacey BryantChief Knowledge Officer, NHS Milton Keynes

2nd February 2010

A practical approach

• Background

• Applying knowledge

• Building know-how

• Continuing to learn

Quality: MK

5 main areas of responsibility

1. Fit-for-purpose knowledge management strategy2. Mainstream Quality:MK - a self-improving system3. Enable commissioning staff to define information

needs & make best use of information & data4. Develop a whole system approach to service

review, care pathway development5. Lead organisation to achieve WCC 5 & 8

Key stakeholders

1. Senior management: prioritise knowledge management initiatives, and assess them, on business outcomes

2. Staff: promote and measure ‘KM’ programmes on “What's in it for me?”

A = Applying knowledge

Evidence from:• clinical & cost effectiveness • data (activity, cost, outcomes)• “best” practice – models of service• patient experience

A: Aligning services with prioritiesReduce

geographic health inequalities

Reduce mortality from

major killers

Keep vulnerable people well

Improve the local urgent care system

Maintain patient safety and national

standards

• Focus on strategic goals• Profile and define knowledge needs

• Review systems and support for monitoring, analysing, interpreting data *activity, outcomes, cost)

• What is working well? What could work better?• Improve access & increase use of data, skills & resources

Delivering capability

Streamline data reporting

• Move from reactive reporting from information services to pro-active, planned, streamlined reporting in line with organisational needs

• To align the workload of the information team with the work of commissioners (via new Strategic Development Boards), contracting and performance

• Review the current information services structure to ensure it fits with business requirements

Commissioning Librarian

• Supporting pathway review and service redesign

• Searching for information

• Keeping up to date• Information skills

training• www.qualitymk.nhs.uk

IMPACTEImproving Medical Practice by Assessing CurrenT Evidence

B = Building Know-How to improve performance

Mainstreaming systematic approach to clinical pathways

NHS MK Model of improvement

Tools, and yet more tools...

• Simul8 / Scenario generator

• StratComm • National Benchmarker• NHS SEEIT • Opportunity Locator• SHAPE: Strategic Health

Asset Planning and Evaluation application

C= Continuing to learn • Evidence-based practice skills• Effective meetings practice

• Learning sets to support model of improvement

• Metrics; outcome measures• Mosaic

• Lessons learned events

www.qualitymk.nhs.uk

Benefits of KM

• INFORMATION SERVICES aligned to priorities– Streamlined reporting; more efficient

management of workload; more proactive analytical service (more strategic use of data); more intelligent users and uses of information

• EVIDENCE: – Access to specialist information skills– Growing clinical involvement & support for

innovation at practice level; & share & spread

Benefits of KM• EXPLICIT BUSINESS PROCESSES for commissioning & contracting

• BUILDING CAPABILITYWell understood model of quality improvement: confidence & capability; Personal & corporate effectiveness. Learning & networking

• BETTER METRICS• PPE: Strengthened involvement of patients & public

• A “SELF IMPROVING SYSTEM”

$64,000 Questions

• What does “a fit for purpose knowledge strategy look like”?

• How will we demonstrate the value of KM in our Trusts?

Sue.Lacey-Bryant@miltonkeynes.nhs.uk