Presentation to the North

Yorkshire and Humber CIOs

November 2017

Adrian Byrne

CIOChair of the national health CIO network

@adebyrne

A GDE, you were lucky, we would dream of having a GDE

Our network was a piece of string linked by tin cans

• Around 16 high scoring digital maturity trusts

(acute)

• Aim to be at HIMSS L6/7 in four years

• Highly integrated health systems

• Showcase for the NHS

• Up to £10m for each

• Fast followers (£5m ea)

The NHS GDE Programme

Bob Wachter – The Digital Doctor

Presentation

• UHS as a Digital Exemplar (GDE)

• Success stories/Innovation

GDEWhy UHS?

• National programme

• Integrator

• Pioneer

Leading technology analysis firm Gartner has said the

NHS IT market is too reliant on closed proprietary

systems, and must follow other industries and drive to

open platforms and surrounding eco-systems

Viable

future

Fit for

purpose

Cost of

replacement

<£1m

<£2m

>£2m

CaMIS

PASPathology

Prescribing

HICSS clinicals

Aria chemo

Somerset cancer

Sectra PACS/HSS radiology

Casemix warehouse

Reporting solutions (Qlikview)

Critical care

Patient portal

Systems

Support (24Hr)ApEx DTOC system

Cost of

replacement

<£1m

<£2m

>£2m

Core network

eMail

eMail archive

Desktop hardware

Desktop software (MS)

Storage platforms

Core MS database (SQL)

Oracle

Datacentre

Switchboard

Bleeps/messaging

Technology/Platforms

Support (24Hr)

Wireless network

Firewall/security

Viable

future

Fit for

purpose

Who we work with

• EMIS

• JAC

• Hyland

• IMDSoft

• Sectra

• Intersystems

• Get Real Health

• SystemC/Graphnet

The UHS GDE Programme

A. Beyond Records

B. Medication

Optimisation

C. Decision Support

D. Device Integration

and Tracking

E. PHR

F. Digital Diagnostics

G. Enabled workforce

H. Infrastructure

• Integrated Medical Chatbot

• HL7 FHIR Compatible

• Connect to your EPR

• Capture and store data to the EPR

• Build your own Medxbot

• Secure and GDPR / HIPAA Compliant

Medxbot

Technology

transforming

lives

Time to Think Differently

By 2019 an

extra 2.9m

with long term

conditions

Everyone has

web

access

The Kings Fund

Expectations

increasing

Transparency

of Information

Treatment at

convenient

location

UHS Vision

“By using modern technology we will remove blocks

between our expertise and the patient”

Personalized care, anywhere

SENSORS CARE PLANSENGAGEMENTAI INSIGHTS

My Medical Record1. Co-production leading to efficiency

� Pre assessment for surgery

2. Demand management� Prostate cancer saving outpatient appointments

3. Self care with no business case� Quality and reputation bonus

Do you check the My Medical Record site

for your results?

My medical

record

The transactional record

Appointment cancellations, updated demographics, allergies, medications etc.

Journals and surveys, secure messaging

Appointments, documents, Lab results & Radiology result messages, secure messaging

PatientUHSFT

Cloud based PHR

Patient Portal

Lifestyle App

Long term

condition App

Web Services

Provider PortalProvider EMR

UHS is standing up a FHIR compliant PHR in Azure, in live and test. Apps can

connect, developers can build and test apps

Open Platform PHR

• If every app has it’s own data platform you will

have chaos

• If every app has its own user account process

you will have chaos

• NEED:

– PHR platform like a vendor neutral archive

– A federated identity scheme

So, lots of small projects

• Whiteboards replacing the physical whiteboard

• Paperless order comms with Sample 360

• Tracking projects for equipment etc

• Connected devices reducing transcription error

• Wearable technology

• Even looking at the Amazon Echo as a tool

“I was invited to use My medical record and asked to weigh

myself using the digital scales once a week. As I was going

through a rough patch it was good to know that there were

people keeping an eye on how I was doing. If my weight went

down too low then I would automatically get contacted by a

member of the clinical team.

I also used the messaging function in the system. It is

comforting to have a simple way of telling people you are not

feeling well” – IBD patient

“I hate this issue of being in the dark all the time, as I

said, we live from result to result, and that period in

between, we are left in the dark. I’m not any longer,

I’m there, I’m with them, I’m up there with them. Any

query, any issue, it’s like going to the board meeting

isn’t it where decisions are being made and I can be

part of those decisions being made. I really feel I am

now part of the team, if you like, and not waiting for

the answers, I’m up there with them now, and that’s

what team work is all about, isn’t it” – Prostate patient