Heat maps and hotbeds in Hodges' model

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

	"Out of area placements are a good indicator of heat within the system and how over-stretched it is." p.5 Prof. Paul McCrone, Lintern (2014).

Sources:
Image: http://www.usability.gov/sites/default/files/images/eye-tracking-full-option1.jpg

Lintern, S. (2014) Analysis reveals mental health trust funding cuts, Health Service Journal. 124, 6411, 4-5.

The Health Foundation launch new Person-Centred Care resource centre

Dear CHAIN member,

We would like to draw your attention to the following new resources.  
Please pass on as appropriate.  Thank you.

The Health Foundation has launched their new person-centred care resource centre:

http://personcentredcare.health.org.uk/

The resource centre is designed to help healthcare professionals implement a more person-centred healthcare service, where people are supported to more effectively manage and make informed decisions about  their own health and care. Initially focusing on shared decision making and self-management support.

Regards,
Wendy Zhou
CHAIN Manager

CHAIN - Contact, Help, Advice and Information Network  
– is an online international network for people working in health and social care.  
For more information on CHAIN and joining the network please visit website: 
http://chain.ulcc.ac.uk/chain/index.html

Infostandards.org: HSCIC supports the information standards community

Dear Peter,

You may have seen the publicity this week regarding the launch of a new website, www.infostandards.org, developed by the Health and Social Care Information Centre, working with the Department of Health, NHS England and other commissioning partners.

Infostandsards.org has been developed to support information standards professionals across health and social care. The site provides a single place where all information standards can be located, along with valuable supporting material, such as e-learning, implementation guidance and case studies. It also enables users of the site to become active participants in the development and appraisal of standards, by providing the means to share material, draw on each others’ experiences and engage in discussions about existing and potential future standards.

TRUD is pleased to support this new venture and recognises the importance of engaging with information standards professionals across health and social care. The site provides a single place where all information standards can be accessed, along with valuable supporting materials, such as e-learning, implementation guidance and case studies. It also enables users of the site to share material, draw on each other’s experiences and engage in discussions about existing and potential future standards, collections and extractions.

The site’s scope and design will evolve continually to meet the needs and preferences of the community, so we encourage you to become active users and help shape its future development. It is the intention that the site will be an integral part of the assurance process for information standards and collections, details of which will be made available on the site in due course.

Dr Ken Lunn, Director of Information Standards Delivery, said:

"We have supported the creation of the infostandards.org website because openness and increased engagement with end users can only improve the development, delivery and adoption of effective information standards. Standards are essential to the delivery of improved, digitally enabled health and care services and by collaborating with the wider community we can tackle together the challenges we all face. I look forward to seeing how the site will be used by the community."

In support of implementation of the NHS dictionary of medicines and devices (dm+d) the Pharmacy Terminology team are currently updating some of the dm+d implementation guidance. Following feedback from the community a starter guide to dm+d providing an overview of dm+d, an explanation of the Standard, how it relates to the SNOMED CT UK Drug Extension and some fundamentals on content, structure and the release itself has been drafted and is available for comment on infostandards.org.

http://www.infostandards.org/topic/prescribing/dmd-draft-user-guide-available-for-review

The guidance is not currently ready for formal consultation but we would value your input at this juncture to see if the contents are useful and useable.

Questions about www.infostandards.org can be sent to info.standards AT hscic.gov.uk and via twitter where you can follow us @infostandards

Regards

The TRUD support team
Health and Social Care Information Centre

Radical Statistics Group: Journal #107 Health & Wealth

Mis-measurement of health and wealth – Issue 107 (2012)

See also:

Straight Statistics

The UK Statistics Authority

The Information Centre: October bulletin

Welcome to the October edition of IC Knowledge

Welcome back to IC Knowledge, the online bulletin that keeps you up-to-date with new data releases, service news and forthcoming events.

In our first edition we look at:

• New data linkage service now available
• GPES to provide data for QOF payments from April 2013
• Data workshop set to inspire innovation in use of information
• National Diabetes Audit set for busy autumn of activity
• First ever Social Care Outcomes Framework published
• Updated commissioning data sets due next month
• Improved mental health report among new statistics due out soon

Read the latest edition now

My source: IC subscription

Copyright © 2012, Re-used with the permission of the Health and Social Care Information Centre. All rights reserved.

A question. An answer - in response to recent media (HSJ Ack.)

Here are a couple of quotes from HSJ Roundtable meetings:

"What I hear around the country is that we have masses of information but we need to turn that into something that is intelligible and can be used for strategic decision making."...

"We need to look at how information links together to get a holistic picture of the situation." p. 20.

Dr Shahid Ali, (2012) Commissioning Information. Full Measures. HSJ, June 28, 20-23.

 "I don't think we should be integrating systems, we should be integrating around patients."  p. 20.

Dr Shahid Ali, (2012) Integrated Care. Let the Data Flow. HSJ, June 21, 20-25. 

"There's no integrated view of integrated care. The danger is that you have an integrated care system and everyone says, 'I will do one as well', and you end [up] with six of them." p. 22.

Owen Powell, (2012) Integrated Care. Let the Data Flow. HSJ, June 21, 20-25.


A question or two, or three ...

Is there a generic framework that can be shared and utilised across all health and social care?

A free resource that can be deployed in imagination, in solo on paper, in tandem and within a group potentially shaping collaboration, innovation, change and transformation. Applied in the clinical environment, the home, the lecture theater, the sports field...

A tool that can help support reflective practice not only at a strategic level, but the tactical and operational. What is happening on the ground floor? A framework that can help represent not only processes and policy, but practice, individual and group purposes.

Yes, policy maker and CEO meet with your information manager ... and discuss strategy.

But what is data, information, knowledge ....? What is 'health care' for it appears above we do not know?

Is there really no integrated view - even at a basic level that deserves further study?

Yes, health care practitioner meet your patient (client), their carer, your other partners (social enterprise...) and pursue what really counts: the best quality of care you can deliver given several constraints.

What is the outcome to be?

For the majority of the population (those not living with a long term medical condition) the transformation must be self-efficacy:
if 'shift happens' it must be from ill-health to health through education.

One answer:
The health care system cannot do this alone.

Visual means: Patient Status at a Glance (PSAG)

A recent HSJ came with a CHKS supported document on Top Hospitals. Page 14 considers Worldwide comparison and learning from others with three items on Patient Status at a Glance (PSAG) Boards; Developing a safety culture; and Reducing readmissions.

All are related (communication, safety, outcomes, multidisciplinary collaboration), but PSAG stands out to me for obvious reasons as it acknowledges the value of visual management, a quick heads-up overview of status. On PSAG four brief sentences note that South Tees Hospital NHS Foundation Trust in the UK has applied experience from Virginia Mason Medical Center in Seattle to develop PSAG in surgery.

Of course this application is focussed, being quite specific in the value of fewer nursing interruptions and a daily update for bed managers. This now contributes to making many wards more productive.

Hodges' model is a 'PSAG' of sorts, but it is more general, global in scope, summative. Perhaps it could act as a precursor to discharge?

Like the astronomer's blink comparator it could provide a before:after visual cue.

So, I wonder if Hodges' model could provide not only Patient Status upon Reflection, but Care Status upon Collective Reflection. This is vital at a time when we also need the patient and carers to be more productive in terms of supporting and sustaining their own care.

The International Council of Nurses (ICN) eHealth Bulletin - December Issue

In this Issue:

ICN eHealth SAG Meeting
ICN Accredited Centres News
eHealth Programme Activities
Conference Presentations
eHealth Team Publications
ICN Website
Conference Announcements

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