the national perspective

©2002 Sowerby Centre for Health Informatics at Newcastle

The National Perspective

ICRSThe Durham & Darlington

ApproachWhere to Start?

Ian Purves

?


“If history repeats itself, and the unexpected always happens, how incapable must Man be of learning from experience.”GB Shaw (1856 - 1950)


Problem Analyst

Solution Specifier

Solution Designer

Problem Owner

Concepts

Formalisms Programmes

Mappings

Rhetorics Natural language and “rich pictures”

Conceptual models

Formal Representations

Interpretations of calculi,

transformations, or traces.

Assignments of mappings and

referents

Implementer

http://www.chintz.com/leather_goods.htm


What are the issues?

• Sectors and boundaries …• No 10• NHS IA• StHA• Acute Trust• Mental Health

Trusts• Community and

Social Service Trusts

• PCTs• GP Practices• Patients

• Understanding sectoral fragmentation

• Provision of practical steerage and guidance

• Duality of accountability No 10 Patients


Where to start?

• … at home …• Developing real clinical benefit

from Informatics


You are here


What are the issues?• Sectors and boundaries• … ‘Legacy’

Incumbent systems Available functionality Available infrastructure Natural clinical workgroups and governance

arrangements• Understanding the role of national strategy• Utilising national technical standards


Solution … Local Processes

• Understanding the clinical needs• Understand and empower ‘legacy’

capacity• Developing the business plan• Programme & project management• Education and training• Feedback to the centre


How to begin to start?• In our area building on DuDEHR

Utilising our methods Utilising developed communities

• New project to further refine … Communities and their capacities Federation between communities Local supportive development centre

(e.g. ethnography, project management …) Evolution of different system architecture

projections


How to begin to start?

• … in your area? … • … nationally? …

“The future belongs to the unreasonable man who looks forward, not back, who thinks the unthinkable and who is certain only of uncertainty.”

GB Shaw

“Introducing new material via a lecture may be avery effective teaching method, but it ismostly a very ineffective learning method.”

Uri Leron and Ed Dubinsky

the national perspective

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