Facilitator of the Future
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Transcript of Facilitator of the Future
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Facilitator of the Future
PRIMIS
Fifth Annual Conference 11 – 12 May 2005
Piecing Together the Future
Jeannette Murphy(University College London)
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THE FACILITATOR OF THE THE FACILITATOR OF THE FUTUREFUTURE
Jeannette Murphy, CHIME Graduate TutorRoyal Free & University College London
Medical School
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Purpose of this SessionPurpose of this Session
Stimulate you to think about your role as facilitators
Reflect on what the future holds for you
Facilitation
What is it?
Does it have a future?
What’s shaping the future?
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Looking to the FutureLooking to the Future
In 5 years time will there be a need for PRIMIS?
In 5 years time will you be employed in your current role?
Will problems of data quality, information be sorted out, making you redundant?
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Changes in Healthcare DeliveryChanges in Healthcare Delivery
Big changes in last 70 years
1935 2005
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WHERE ARE WE NOW?
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Acknowledgement
Photos from talk given by W. Ed Hammond (Duke University, USA); President, AMIA
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ChallengeChallenge
Healthcare providers must migrate from paper to electronic records
Individuals, teams, and organisations need help / support as they make this journey
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PRIMIS Philosophy and MissionPRIMIS Philosophy and Mission
Improve patient care through the effective use of clinical computer systems
• Provide training and assistance to information facilitators
• Facilitators "cascade" their knowledge and skills to GPs and practice staff in their local health communities
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teacher
facilitator
trainer
instructor
mentor
VOCABULARYVOCABULARY
changeagentcoach
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What is Facilitation?What is Facilitation?
“The process of making things easier for individuals, teams, groups and organisations”
Helping individuals, teams and organisation to change
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Paradigm ShiftsParadigm Shifts
Nature of Teaching and Learning
● Knowing About (didactic model)
● Knowing How (skills model)
● Knowing Where (evidence model)
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Teacher-centred
Self-directed
Group work
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History of FacilitationHistory of Facilitation
Role of facilitators in primary health care established nearly 20 years ago (1982)
First facilitator employed to help GPs implement guidelines on the prevention of arterial disease (Astrop 1988)
Rapid growth in number of facilitators
61 in 1988456 in 1994
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Skills and KnowledgeSkills and Knowledge
• Understanding of how groups work and how to manage them
• Awareness of relevant statistics
• Research knowledge of health needs
• Understanding of multidisciplinary audit
(Hooker 1994)
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Facilitators working in primary care have been identified as the most suitable group to provide relevant information and training for practice staff
(Armstrong 1994b, Bower et al 1997)
BenefitsBenefits
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Where does future come Where does future come in?in?
PRIMIS has a good track record …..5 year partnership with NHS IA
Suggests facilitators doing a good job
But, will information facilitators be needed in 5 years time??
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The NHS Needs You!The NHS Needs You!
“With massive NHS investment in information technology, need find ways to improve quality of electronic health records in general practice and derive maximum benefit from the data they contain”
Professor Azeem Majeed, Professor of primary care at Imperial College London (2004)
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Reasons Need FacilitatorsReasons Need Facilitators1. Impact of Connecting for Health – long
term
2. Staff leave, new staff take up post
3. Practices need updating, refreshing, reminding
4. New initiatives will create need demands for information
5. Once achieve basic mastery, control of local data, staff will perceive new opportunities
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Present SituationPresent Situation
Quality and completeness of electronic health record varies enormously
Variability in completeness and accuracy of coding
Practices are at very different starting points
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WarningWarning
Amount of effort needed to improve data quality should not be under-estimated
Requires ongoing support and monitoring
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Visions of the FutureVisions of the Future
So how might the future be different?
Does future have to do with gadgets (IT and all that??)
Does future have to do with new insights, new theories?
Is there anything new to learn about learning or is it just a matter of putting what we already know into practice?
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Facilitators of the FutureFacilitators of the Future
New Career Pathways – e.g.
• Research
• Consultancy
• Migrate to other sectors
• Use technology to support change
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FUTURE - some FUTURE - some predictionspredictions
1) All facilitators will be accredited
2) Some will move from PRIMIS to other areas
• within health, outside health – e.g. education, social services, community development, corporate world
Possess generic, transferable skills
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3) Consultancy with software companies, Local Service Providers
• Facilitators might use their knowledge and skills to work directly with software companies to help design better systems which reflect needs of users
• Think about ergonomics, human-computer interface problems
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Scope for Change, Scope for Change, Innovation?Innovation?
Facilitation: a people intensive business
Cannot easily be turned into distance learning, elearning, ementoring
But perhaps in future facilitators will find novel ways to use technology to support their role
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Using Technology to Support Using Technology to Support FacilitationFacilitation
Create and sustain virtual communities
Provide help after practice has achieved some basic goals and needs time to embed, reflect, grow
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On-line FacilitationCanadians have been experimentingCanadians have been experimentingwith online facilitationwith online facilitation
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Ways of Supporting Practices from a Ways of Supporting Practices from a DistanceDistance
Use emerging tools for facilitating communication, cooperative working within practices
Weblogs (Blogs) Online support groups Text messaging Videoconferencing Local intranets N3
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Same tools can be used to support facilitators
Deliver Continuing Professional Development, accredited learning opportunities
CPD for FacilitatorsCPD for Facilitators
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Future of FacilitationFuture of Facilitation
IMAGINE - a world where …..
The value of human capital is recognised (not just machines, technology, premises)
Society appreciates the need to invest in people
Skills of facilitators, trainers, developers, educators are recognised
Understood that technology does not deliver benefit - people do
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Ring fenced budgets for education, training, development are established
Invest in research into ETD - to know what does and does not work
Realise importance of engaging workforce - preparing them for change
Listen to what people at the bottom have to say
Imagine a World where …Imagine a World where …
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How do you see the future?How do you see the future?