CCIO Summer School Haiku introductory presentations

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CCIO Leaders Network CCIO Summer School 4-5 July

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Haiku Introductory Presentations 4-5 July

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CCIO Leaders Network CCIO Summer School 4-5 July Dr Paul Altmann Chief Clinical Information Officer Oxford University Hospitals NHS Foundation Trust

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4 Dr Paul Altmann • Chief Clinical Information Officer, Oxford University Hospitals NHS Trust • Consultant Nephrologist (1 clinic/week; 4 weeks on-call per year) • Challenges: – Rather prolonged gestation of our digital vision – Resistance to change – Resistance to the “bigger picture” – Training clinicians when they “don‟t have time for this” – Contracts – The 24 hour day

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Areas of interest • Improving quality of patient care • Improving working lives of our staff

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CCIO Leaders Network CCIO Summer School 4-5 July Sarah Amani Team Manager Surrey & Borders Partnership NHS Foundation Trust

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Pressure Points • Disconnected innovations and data • Misalignment of clinical workforce, IT & corporate functions • Engaging clinical workforce in advancing using of technology for better healthcare

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8 1.Change Management 2.Data Collection & Analysis 3.Software Procurement & Deployment Areas of Interest

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Mr Bill Aylward Senior Vitreoretinal Surgeon Moorfields Eye Hospital NHS Foundation Trust CCIO Leaders Network CCIO Summer School 4-5 July

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10 About me • Consultant Ophthalmologist for 20 years • Medical Director for 8 years • Chair Royal College Informatics committee 6 years • Passion for well designed and helpful IT

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About Moorfields • 208 years old • 2nd largest eye hospital in the world • 390k outpatients annually • 80k A&E • 32k operations • 13 sites • 9 sub-specialties • Mission is patient care, research, teaching

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Pressure Points • Delivering mission using paper notes • Resistance to change • Cultural barriers to open source • Funding Areas of Interest • Software Design • Specific Software • Data Collection and Analysis • Change Management

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Dr Jack Barker Chief Clinical Information Officer King’s College Hospital NHS Foundation Trust CCIO Leaders Network CCIO Summer School 4-5 July

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14 Jack Barker • Chest and General Physician Kings College Hospital • Previously clinical lead for Respiratory Medicine • Previously clinical lead for Lung Cancer and currently Tuberculosis • Clinical lead for EPR at King‟s since 1999 • Clinical Director for IT at KCH (CCIO) since 2009

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Main Tasks • Getting to paperless within the hospital • Linking the Partners in an Academic Health Science Centre • Providing Seamless IT linkage with Primary Care, Community Care and Social Care

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Main Areas of Interest • Personal Development • Software Design • Specific Software • Communication and collaboration software • Hardware Purchasing and Deployment • Data Collection and Analysis • Data for Regulatory bodies • Interoperability between systems - within organisation/ out with organisation • Patient Engagement

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Dr Marcus Baw Locum GP BawMedical Ltd CCIO Leaders Network CCIO Summer School 4-5 July

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18 Who? Dr Marcus Baw MBChB FRCA MRCGP Locum GP – BawMedical Ltd Prison GP Emergency Physician RGCP Health Informatics Group openGPSoC NHS Hack Day

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Pressure Points I Face • Unrefined user interfaces in clinical systems, slowing down workflow and distracting from high quality care. • Ever-increasing functionality gap between software, systems and devices I use outside of work and those within work. • Clinical information isn't always available at the Point of Care in the right form, yet nationally data can be extracted w/o direct patient consent. • Inadequate hardware capability and infrastructure (such as clinician accessible WiFi)

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Interests #Interoperability #Hardware Purchasing and Deployment #Software Design #Specific Software

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Gary Birks Business Development Director Dell CCIO Leaders Network CCIO Summer School 4-5 July

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22 Gary Birks Dell Healthcare and Life Sciences Business Development Director • >15 years of healthcare IT experience – Client Executive, Acute Delivery Manager, Programme Manager – Head of IM&T at NHS Enfield Primary Care Trust – Consultant to the Department of Health • EDS, BASF, 3M

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The Challenges • Innovative service design and delivery v innovative technology • The return on investment - It‟s all about the money • The reality of benefits realisation – What is the benefits baseline?

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Mr Giulio Bognolo Chief Medical Officer - UK Cerner CCIO Leaders Network CCIO Summer School 4-5 July

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25 Giulio Bognolo • Chief Medical Officer @ Cerner – My past: • Consultant Cardiothoracic Surgeon • Management consultancy • Clinical Director for Service transformation @ NHS • Editor @ BMJ • Consultant at European Medicines Agency

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Challenge • Use technology to transform healthcare – Identify the most effective strategy to engage and excite patients and the clinical community on the use of technology to transform healthcare, improve patient satisfaction, outcomes, effectiveness and ultimately prevent progression of medical conditions

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Gerry Bolger Clinical Nurse Lead for ICT & Clinical Systems Imperial College Healthcare NHS Trust CCIO Leaders Network CCIO Summer School 4-5 July

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28 Introductions Gerry Bolger • Trust Clinical Lead for Nursing / Clinical system • Joint appointment between ICT & Nursing directorates • Specifically Co-chair Clinical Documentation workstream Imperial College Healthcare NHS Trust • UK first Academic Health Science Centre • Trauma Centre • 4 mains sites + 10 satellites • c10,000 employees • Maturing EPR programme – HIMSS L7 ITUs (half) – Order Comms in place – Moving to EPR • PAS, MedsMgt, ClinDocs, • Vision for HIE & device integration

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Challenges & interests Pressure Points 1. Maintaining momentum in a large organisation with a large EPR deployment 2. Enabling nursing to be an equally recognised leadership role internally & externally (profession) Interests 1. Professional development 2. Communication & collaboration software 3. Social media

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Dr Rhidian Bramley Chief Clinical Information Officer The Christie NHS Foundation Trust CCIO Leaders Network CCIO Summer School 4-5 July

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Dr Rhidian Bramley • Dr Bramley is the clinical director of radiology and chief clinical information officer (CCIO) at The Christie, as well as a clinical health informatics lead with NHS Northwest and a national lead with NHS Connecting for Health. Thanks to his visionary approach, Dr Bramley has been fundamental in many projects, which have enhanced the safety, quality, speed and efficiency of information flow across care pathways - all of which are vital to improving patient care. His achievements include leading on the successful national deployment of radiology information systems, digital imaging and voice recognition. He was highly commended in the HSJ clinical leader award for his innovation in developing clinical portals that provide secure web access to clinical records and enhancing clinical safety through electronic result acknowledgment and recording clinical outcomes.

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Main Areas of Interest • Personal development • Software design • Software procurement and deployment • Specific software • Communication and collaboration software • Data collection and analysis • Change management • Information governance and security • Interoperability between systems

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CCIO Leaders Network CCIO Summer School 4-5 July Dr Colin Brown Chief Clinical Information Officer University Hospitals of Morecomb Bay NHs Foundation Trust

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34 Dr Colin Brown – CCIO University Hospitals of Morecambe Bay • April 1996: Consultant Physician / Gastroenterologist • Developing Trust endoscopy services and systems • 2003-2007: Cumbria and Lancashire SHA Endoscopy Lead • Influencing Trusts towards patient centred, high quality, safe services • Learning / experiencing how to “align agendas” • Planning/set up 2 BCSP centres • 2008 – now: Clinical Director of Cumbria and MB BCSC • Delivering a “world class” patient-centred, clinical service • 2011 – 2013: Trust Clinical Lorenzo lead • Transforming an organisation from informatics-led, through clinical engagement phase, into a clinical and business-led informatics agenda for patient-centred services • 2012 – 2013: Interim Clinical Director for Elective Medicine • Re-setting specialties along a clinician-led, business planned agenda • 2013: CCIO (Associate Medical Director) • Chair of Lorenzo National User Group

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Pressure Points • UHMB Trust : • FT authorisation 2010 (poor maternity/acute services) • Financial difficulty • Failed Trust Board (2011) • Lorenzo early adopter • Highly innovative Informatics team (Single Patient Record) • Being transformed with local CCG’s (Bettercaretogether) • Cumbria and Lancashire Footprint : • Disconnected health economy records (defined by patient flows) • Less mature local trusts (Blackpool, Preston, East Lancs) • Forward thinking GP’s • Need to connect e-health economy • National / Regional : • Where are the delivery vehicles for the EPR single record strategy ? • Has the NHS lost its faith ?

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Professor Iain Carpenter Associate Director, Health Informatics Unit Royal College of Physicians CCIO Leaders Network CCIO Summer School 4-5 July

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Who I am 37 Prof Iain Carpenter FRCP Associate Director, lead on record standards Health Informatics Unit, Royal College of Physicians. www.rcplondon.ac.uk/projects/healthcare-record-standards Executive Chair, Professional Record Standards Body for health and social care www.theprsb.org.uk

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38 Pressure points • Dissemination and implementation of the national structure and content standards for clinical records • Developing and establishing the business model for the PRSB

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39 Areas of interest • #Specific Software • #Communication and collaboration software • #Data Collection and Analysis • #Change Management • #Data for Regulatory bodies • #Interoperability between systems - within organisation/ out with organisation • #Patient Engagement

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Anne Cooper Clinical Informatics Advisor NHS England CCIO Leaders Network CCIO Summer School 4-5 July

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41 Anne Cooper National Clinical Lead for Nursing Health and Social Care Information Centre Pressures I face: • Increasing professional engagement and leadership • Ensuring needs of nurses, midwives and HVs included in system design • Avoiding medical dominance in system delivery (we are greatest part of NHS and care workforce)

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• Leadership development • Patient feedback • Social Media • Change Management

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David Davis National Clinical Lead for AHPs Health and Social Care Information Centre CCIO Leaders Network CCIO Summer School 4-5 July

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44 David Davis NHS Pathways Clinical Lead (call triage), South East Coast Ambulance Service NHS Foundation Trust National Clinical Lead for AHPs, HSCIC Director of Communications, College of Paramedics

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Pressure Points • Personal development – of clinicians at scale – 12 professions! • Change management – making sense out of change • Patient engagement (and clinician!) – bringing patients closer to clinicians with data • Collaboration with industry – can we utilise industry to help make the changes?

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Dr Jenny Dean Medical Director, EMEA Harris Corporation CCIO Leaders Network CCIO Summer School 4-5 July

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47 Jenny Dean • Medical Director from Harris Healthcare Solutions: an IT and communications organisation that predominantly provides clinical portals – both provider and patient portals • Pressure Points: – The complexity of health IT within an already complex health system: it‟s a rapidly evolving landscape – Although improving significantly, health IT projects are still more management/IT led with clinical buy in, rather than clinically-led

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Main areas of interest #software design #Interoperability between systems #information governance and security

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Dr Michael Fisher Chief Clinical Information Officer Royal Liverpool and Broadgreen University Hospitals Trust CCIO Leaders Network CCIO Summer School 4-5 July

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50 • Mike Fisher – CCIO Royal Liverpool and Broadgreen University Hospitals Trust – New Hospital Opens 2017 – no medical records department! – Our EPMA is rubbish – Our desktop support is very poor and totally lets down what is otherwise an extremely good and progressive IM&T dept.

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Main Areas of Interest • Software Design • Specific Software • Data Collection and Analysis • Change Management

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Dr Susan Hamer Organisational and Workforce Development Director National Institute for Health Research Clinical Research Network CCIO Leaders Network CCIO Summer School 4-5 July

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53 Dr Susan Hamer Organisational and Workforce Director NIHR CRN Nurse: Academic: Policy developer: Change agent: Teacher: Boundary Spanner Innovator: Leader: Thinker: Writer Wife: Mother: Daughter: Feminist

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Pressure points and interests • Data quality…..enabling normal practice activity……not enough local leaders……unrealistic expectations….poor financial planning……. • Personal Development • Data Collection and Analysis • Change Management • Patient Engagement

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Mandy Hollis Acting General Manager Service Improvement & Business Support to Chief Nurse Oxford University Hospitals NHS Foundation Trust CCIO Leaders Network CCIO Summer School 4-5 July

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56 Mandy Hollis Oxford University Hospitals NHS Trust Role • Acting General Manager, Service Improvement • Business Support to the Chief Nurse Main Pressure Point - Career Progression Still challenges for nurses wishing to progress interest in informatics: • Remain in clinical specialty & develop expertise in specific system • Move to informatics/corporate role (where informatics plays key part), but challenge to retain clinical identity and support for clinical practice.

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Mandy Hollis Oxford University Hospitals NHS Trust Main areas of interest: # Personal Development # Software Design # Data Collection and Analysis # Change Management

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Dr Akash Karki Locum GP Suffolk CCIO Leaders Network CCIO Summer School 4-5 July

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59 Dr Akash Karki • Sessional GP Suffolk • LMC representative for 111 Clinical Governance Group • Previous Clinical Leadership Fellow

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Issues • Personal – Professional isolation and identity (is there anyone out there?) – Administrative burdens (forms, forms, forms) – Revalidation • Locally – Better communication channels and networks to • create meaningful dialogue amongst clinicians, practices and CCGs whilst at the coal face to better inform decision making . • disseminate important clinical pathway guideline information in a way that has more impact • 111 Post Event Messages

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Interests • Personal Development • Change management • Interoperability between systems - within organisation/ out with organisation • Social Media • Patient Engagement • Information Governance and Security

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Professor Jonathan Kay Clinical Informatics Director NHS England CCIO Leaders Network CCIO Summer School 4-5 July

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Background • Chemical pathologist in Oxford • Professor of Health Informatics, City University London • Past: Chairman, Academy of Medical Royal Colleges Information Group Senior Clinical Consultant to the Design Authority, NPfIT Founder member HL7-UK, UK CHIP Chair, Clinical Terms Project

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Interests in Health Informatics • Previous: Communication between systems (Data standards) Decision support systems • Now: #Personal Development #Communication and collaboration software #Change Management #Information Governance and Security #Interoperability between systems #Patient Engagement

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Dr Phil Koczan Chief Clinical Information Officer UCL Partners CCIO Leaders Network CCIO Summer School 4-5 July

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66 Dr Phil Koczan • CCIO UCLPartners • UCLP is an Academic Health Science System working across the spectrum of healthcare and research

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Dr Phil Koczan • Pressure points – Partnership working across the network – Consent and IG – Interoperable systems and standards • Areas of Interest – Personal development – Data collection and analysis – Information Governance and Security – Interoperability between systems

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Dr John Lockley Clinical Lead for Informatics Bedfordshire CCG CCIO Leaders Network CCIO Summer School 4-5 July

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69 Dr John Lockley • GP since 1976 • Teach for Cambridge University • Clinical Informatician, involved in IT since early ‟80s • Clinical Lead for Informatics, Bedfordshire CCG • Chair iSUG, Member SNUG Committee, member NCRP for C&B • Professional writer and broadcaster – currently columnist for eHI • Member, Advisory Panel for eHI‟s CCIO network

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Interests • Integration of the IT, the people, the paper, the patients and the processes in a truly holistic fashion

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Pressure points • CCGs are new, and all are feeling their way, with limited funds for development • Poorly joined up primary and secondary care systems • Nationally, primary care is almost overwhelmed and needs supporting (but clinicians have little time to learn new skills)

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The GPs‟ predicament Here is Edward Bear, coming downstairs now, bump, bump, bump, on the back of his head, behind Christopher Robin. It is, as far as he knows, the only way of coming downstairs, but sometimes he feels that there really is another way, if only he could stop bumping for a moment and think of it.

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Dr Eric Loveday Chief Clinical Information Officer North Bristol NHS Trust CCIO Leaders Network CCIO Summer School 4-5 July

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74 Eric Loveday radiologist chosen to re-engage a dispirited Trust

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Main areas of interest • Software Design • Software Procurement and Deployment • Specific Software • Communication and collaboration software • Hardware Purchasing and Deployment • Change Management

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Dr William Lumb Chief Clinical Information Officer NHS Cumbria CCG

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77 Pressure points • National directives/changing landscape • Politics (inc. organisational self interest) • Change Management

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Main areas of interest • #Personal Development • #Specific Software • #Change Management • #Interoperability between systems • #Information Governance and Security

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Dr Joe McDonald Deputy Medical Director, Chairman Northumberland, Tyne and Wear NHS Foundation Trust, CCIO Leaders Network CCIO Leaders Network CCIO Summer School 4-5 July

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80 Dr Joe McDonald (Chair) Consultant Psychiatrist National Clinical Lead for IT NHS Trust Medical Director Clinical Software Comparison Website Owner Newcastle United Supporter Frequently mistaken for a low ranking but knowledgeable official, the bus driver / train guard etc.

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My Interests • Usability • Usability • Usability • Transparency • Safety “Common sense is a prejudice acquired before the age of 18” – Albert Einstein

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Dr Tony Shannon Chief Clinical Information Officer Leeds Teaching Hospitals CCIO Leaders Network CCIO Summer School 4-5 July

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Dr. Tony Shannon M.B. B.Ch. B.A.O. Ireland Fellow of College of Emergency Medicine England Fellowship in Informatics USA MSc in IT Management England Consultant in Emergency Medicine Leeds Teaching Hospitals Chief Clinical Information Officer Leeds Teaching Hospitals Chief Clinical Information Officer Leeds NHS & Social Care

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84 Pressure Points • Organisational Change – People/Process/Technology • Integration & Interoperability – Leeds Clinical Portal/Leeds Care Record • Positive Disruption of Market – Leeds Lab

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Areas of Interest #Personal Development #Change Management #Managing collaboration with industry #Software Design #Interoperability between systems

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Dr Paul Shannon Medical Director CSC CCIO Leaders Network CCIO Summer School 4-5 July

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87 Paul Shannon • Consultant Anaesthetist in Doncaster – 2 days • Medical Director for CSC in the UK – 3 days • Interest in e-business for 10 years since MBA (best thing!)

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2 current issues • How to ensure sufficient resource is devoted by the NHS to engage clinicians? • How to encourage „interoperability‟ amongst suppliers?

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Dr Mark Simpson Chief Clinical Information Officer Hull and East Yorkshire NHS Foundation Trust CCIO Leaders Network CCIO Summer School 4-5 July

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90 Mark Simpson • Emergency Consultant • Chief Clinical Information Officer • Hull & East Yorkshire NHS Trust

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• Challenges • Clinical Effective ROI • New Promise v New Vulnerability • ● ● • #Software Procurement and Deployment • #Specific Software • #Change Management

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Fiona Stephens Chief Clinical Information Officer Medway Community Healthcare CCIO Leaders Network CCIO Summer School 4-5 July

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93 Hardware selected; Communication improving Welcome to IT Fiona Stephens Medway Community Healthcare CIC

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94 Challenges New community information system Cost improvements Interests # Social media # IG & security # Data collection & analysis # Change management

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Professor Michael Thick Chief Clinical Information Officer Chief Medical Officer McKesson IOG CCIO Leaders Network CCIO Summer School 4-5 July

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96 Where are we? • Our role is delivery of quality care, ie, safe, good outcomes, good experience. • This is critically dependant on: i) good process, which is fed by good data ii) engaged numerate clinicians, who have responsibility and accountability iii) Engaged management Developing the argument that EPR's are essential for safety And efficient care delivery

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Where are we going? Our role is as leaders who promote and participate in Service redesign with the patient at the heart of the process. Service transformation requires the Right Information, in the Right Place, at the Right Time. This can ONLY be done with information technology, and it's use will in turn stimulate further redesign.

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Dr Robert Wah Global Chief Medical Officer CSC CCIO Leaders Network CCIO Summer School 4-5 July

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99 Robert Wah, MD • Global Chief Medical Officer, CSC • Practising Reproductive Endocrinologist, seeing patients, doing surgery, teaching at U.S. National Institutes of Health • Served 23 yrs on Active Duty, US Navy • Was Associate CIO for Military Health System. Caring for 10 Million patients, 65 Hosp, 450 Clinics worldwide • Was first Deputy National Coordinator for Health IT at US Dept of Health and Human Services (HHS). Set up the ONC (Office of Nat Coord for Health IT) • Elected President-elect of AMA (American Medical Association) Will be President, June 2015

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Robert Wah, MD • I seek to transform healthcare with better information for better decisions • I work to create a Grand Healthcare Platform, a virtual pool of information that everyone in healthcare will contribute to and extract from.

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Dr Wai Keong Wong Haematology Registrar Royal Free London NHS Foundation Trust CCIO Leaders Network CCIO Summer School 4-5 July

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102 Wai Keong Wong • Haematology SpR – North Central London Rotation University of Newcastle upon Tyne Graduate MRCP FRCPath PhD • IT Journey – User (Why things don‟t work) -> EHI Live 2011 – Electronic Prescribing Implementation Committee • National Leadership and Management Fellow Alumni – Bupa Clinical Analytics – Chair of the Junior Doctor Executive forum – Royal Free Hospital

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IT Stuff - Present • BCS / DH – Patient Guidance to Safe Record Keeping • NHS Hackday x 4 – CellCountr – VitalVis • Digital Doctor Conference and Podcasts • CCIO Leaders Network Advisory Panel – Inaugural Chair

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World Class Clinicians World Class Software Developers World Class Health IT + ≠