Medical Leadership/Complex Systems/Open Data- Presentation Nov 2014
27
Medical Leadership Complex Systems Open Data Dr Tony Shannon Director, Frectal Ltd
-
Upload
tony-shannon -
Category
Healthcare
-
view
1.277 -
download
0
Transcript of Medical Leadership/Complex Systems/Open Data- Presentation Nov 2014
Medical Leadership Complex Systems Open Data
Dr Tony Shannon
Director, Frectal Ltd
Tony Shannon
M.B. B.Ch. B.A.O. UCD, Ireland
Fellow of College of Emergency Medicine England
Fellowship in Informatics USA
MSc in IT Management England
(Clinical Lead, NHS Connecting for Health – National Programme for IT)
(Chair, Clinical Review Board, openEHR Foundation)
Consultant in Emergency Medicine, Leeds Teaching Hospitals
Chief Clinical Information Officer, Leeds TH/Leeds NHS & Social Care
Director, Frectal Ltd
21st Century Healthcare
• Healthcare:
• Leadership:
• Complexity:
• Data:
• Change:
Medical Leadership
• Ts 3rd UCD grad
Complex Systems
1908
Leeds
Flickr.com/photos/62766743@n07
• 1 million population served
• £800 million budget
• 200,000 ED attendances
• 14,000 staff
• 600+ consultants
• 300+ information siloes
Cynefin Framework
Snowden, D., Boone, M. (2007). "A Leader's Framework for Decision Making". Harvard Business Review: November 2007, pp 69–76.
Complex Probe
10000 1000 Inate 10
Complicated Analyze
Chaos Act Simple Categorize
Complex Adaptive Systems
• Many parts, Many interactions
• Perpetual novelty
• Identify Patterns – e.g., Weather, Internet, Human Body, Healthcare
– Self-organise
• Iterative, Evolutionary Change – Golden Spiral
Value = Quality ↑
Risk↓ Cost↓ Time↓
Change = People + Process + Tech
NHS EDs – after 4 hour std
NHS National Programme for IT
Thinking in silos Process versus IT Closed solutions
Open Data
1987
Referral in
Assessment
Plan Care Deliver Care
Referral Out
Operational (1 patient)
Strategic (++ patients)
Tactical ( > 1 patient) Resource management
Performance management
Patterns in Health Care
Leeds TH 200+
Enterprise Wide
System x
Common Web UI
Integration Engine ESB
A B C
1
2
3
4
5
Core Process
Core Process
Core Process
Core Process
Core Process
Modular
SOA
Enterprise wide
System Y
Access/ SQL
Current State of the HIT Market
21st Century Healthcare: Open Data Platform
International Standards
Local Frontline Innovators
National eHealth Bodies
& Vendors
Regional
21st Century Healthcare
• Healthcare: Leadership Required
• Leadership: Doctor: Nurse: Manager
• Complexity: People: Process: Technology
• Data: Patient: Platform: Open
• Change: Think Smarter
