NMAHP – Readiness for eHealth Heather Strachan NMAHP eHealth Lead eHealth Directorate Scottish Government

Survey Purpose Is Two-fold To support NMAHPs develop specific action plans for progressing the national and local eHealth programmes Provide a high level assessment of capability and capacity that will inform the national eHealth programme development and implementation

NMAHP Contribution to eHealth Aims Leadership and Engagement Involvement of the NMAHP community in leading local eHealth activity and NMAHP Contribution to eHealth participating in the development and delivery of the National eHealth programme Workable Solutions and Infrastructure Ensuring NMAHPs have fit for purpose infrastructure and software solutions to support decision making and communication at the point of care EHealth Capability Equipping NMAHPs through training education and development in information and knowledge management skills Management of Knowledge Development of best practices and processes in the creation, capturing and reuse of knowledge for decision making and communication

Survey Design Pilot undertaken Pragmatic –Capture high level description with detail to illustrate –Draw out good practices to build upon –Identify barriers for tackling –Style and language to be familiar and understandable A Self Assessment Tool –Probe and guide on eHealth priorities –Support action planning –Platform for sharing practices geographically, across practice areas

Survey Tools Involvement of the NMAHP community in leading local eHealth activity and participating in the development and delivery of the National eHealth programme Leadership & Engagement Infrastructure & Solutions Ensuring NMAHPs have fit for purpose infrastructure and software solutions to support decision making and communication at the point of care e- Health Capabilities Equipping NMAHPs through training education and development in information and knowledge management skills Management of Knowledge Development of best practices and processes in the creation, capturing and reuse of knowledge for decision making and communication eHealth Around Each NMAHP eHealth Aim….

Example of Survey layout Focus of this Survey Tool Infrastructure and Solutions Definition: Current and future eHealth Systems support NMAHPs delivered safe, effective, patient centred, timely, efficient and equitable healthcare. Rationale: eHealth Systems can support NMAHPs, as part of the multidisciplinary, multiagency team, deliver care, record decision making and activity, share information and compare information for the benefit of patients. NMAHPs should utilise existing national eHealth software applications and services wherever practicable, and be involved in both service redesign and influence the procurement process for future national and local eHealth software applications and services to enable benefits for patients to be realised. Overall Question: What current systems are in use by the NMAHP community and does the environment facilitate their appropriate use?

Another typical layout example Specific Questions 2. How effectively are NMAHPs able to SHARE knowledge and information across the clinical community? (explore sharing across multidisciplinary care pathways ; access to approved sources and its format- paper/electronic; two-way communication across areas of practice and platforms to enable communication e.g. electronic messaging) What happen in current practice relative to the ideal ? ResponseEvidence to illustrate What limits/constrains good practices? ResponseEvidence (examples of what limits/constrains) What good practice, innovations to build upon? ResponseEvidence (examples that might help elsewhere) What priority actions? ResponseEvidence

Format Overall Question: Do NMAHPs have the competencies required to support the development, implementation and usage of eHealth and where required, what opportunities are available to help develop these competencies? Confidentiality and security, working clinical systems etc. Next level question To what extent is training and development in eHealth identified as part of Training and Development Plan i.e. How well is training and development resourced? To what extend is support available following training? Sub questions: What is in place relative to the ideal? What barriers/constraints? What good practice, innovation to build upon? What priority actions?

Process Co-ordinator indentified Meeting's) set up – NMAHP eHealth Leads, eHealth and Knowledge Management Staff Led by facilitator Findings recorded live – evidence added if available

Format Local action plan Summary report MKN and portal access for sharing experiences, good practices Outputs High level mapping of capability and capacity Indicators of success developed from good practice, barriers and agreed actions Toolkit to support clinical engagement and share experience What next? Influencing the change and benefits work stream Sharing good practice via the Managed Knowledge Network Possibly identifying new projects Informing the national eHealth programme Outputs

Indicators for Success Get together: to create a stronger voice and impact by working together Clarify roles: get clarity on roles, remit and levels of accountability and influence from Directors & Board Be known and build influence: collectively seek to build linkages nationally and with local clinical, management and support colleagues Promote the benefits: promote the benefits however small, to help things scale up Leadership & Engagement

Indicators for Success Know what you’ve got and understand its current and potential use: locally and nationally Learn from others: learn from others’ experience and investment in infrastructure and tools Build close working relationships and design for clinical benefits: ensure cross working with clinicians, eHealth & IT and communication Create easy wins: seek out opportunities to deliver and promote easy wins Infrastructure & Solutions

Indicators for Success Know what competencies are needed: understand what ‘eHealth capabilities’ means Seek to get e-Health recognised as a basic skill set: to be integrated into training and development e.g.KSFs, PDPs Make the most of what is there: explore opportunities for getting most out of existing resource Use of Champions: for on site and continued support eHealth Capabilities

Indicators for Success Identify what information is needed: how to obtain it and how it can be used to support improvement in clinical practices Know what tools and resources exist to support best use of knowledge for clinical practice whether paper or electronic Maximise use of information and knowledge: in guidance, communication and best practice processes and tools Help shape the development of eHealth to make it easier to what is needed to support and improve clinical practice Help ensure eHealth information becomes integrated into ways of working and is used to underpin improvements Management of Knowledge