1. Information Literacy – Are you prepared or paralysed Heather Strachan NMAHP Clinical Lead Scottish Government Heather.Strachan@scotland.gsi.gov.uk

2. The Challenge! We are drowning in a sea of data. The challenge is to learn to swim. Lyman and Varian 2000

3. Define Information Literacy. How Information literacy works. Why we need to bother. How eHealth can support. Examples from Scotland Overview

4. Information? Information is data that are processed to be useful: provide answers to who, what, where and when. Dictionary definition

5. Information? “The power of information is in its capacity to reduce uncertainty.” Alan Hyslop, Head of eHealth Strategy, Scottish Government

6. Information qualities (1) Information must be fit for purpose!

7. Finagle's Law of Information The information you have is not what you want! The information you want is not what you need! The information you need is not what you can obtain! The information you can obtain costs more than you want to pay! Source: Campbell (Ed), 1957, Publication of Astounding Science Fiction

8. Applied Information Illiteracy! © Bill Waterman

9. Literacy? “The possession of education” “A person’s knowledge about a particular subject or field” Dictionary

10. Information qualities (2) Information must be fit for purpose and used for a purpose!

11. Better Health Better Care Action Plan Health Improvement Tackling Health Inequalities Improving Quality of Healthcare Mutuality

12. Culture of Information Literacy Promotes openness and sharing of information. Enables learning from mistakes rather than blame. Supports creativity and innovation. Supports team working. Is clear about its mission and goals.

13. Information Literacy “a generic set of skills, values and behaviours which support evidence-based practice, lifelong learning, self-management, social inclusion and service improvement.” NHS Knowledge Services: Information Literacy Framework 2008

14. Too much data! The amount of newly stored information in 2002 was estimated as 5 exabytes of data. This compares with 2-3 exabytes of data produced in 1999 (and only 12 exabytes for the first 3000 years of the human race). Lynman and Varian, 2003

15. Too little time! “ Estimates show 5 years after a nursing student graduates, 50% of the knowledge acquired will be obsolete”. McCormick 1984

16. “Storage does not correlate with significance, not volume with value. Standing atop gigabytes, terabytes, and even exabytes of information will not necessarily help us see further. It may only put our heads in the clouds." Brown and Duguid 2002 Limited value!

17. Barriers to evidence based practice The major barrier to using current research evidence is time, effort and skills needed to access the right information among the massive volumes of research. Cabana et al. 1999

18. Why does it matter ? “Knowledge is the enemy of disease. The application of what we know already will have a greater impact on health and disease than any drug or technology likely to be introduced in the next decade.” Muir Grey MEDINFO 2007

19. Our Vision for eHealth “exploiting the power of electronic information to help ensure that patients get the right care, involving the right clinicians, at the right time, to deliver the right outcome” Better eHealth Better Care NHS Scotland eHealth Strategy 2008 www.ehealth.show.scot.nhs.uk

20. The eHealth Contribution make patient care safer and more effective. contribute to ‘health literacy’ to support citizens managed their own health. safeguard confidentiality by handling patient information securely. enable more efficient use of healthcare resources.

21. Six eHealth Strategic Principles Safeguard confidentiality Continue the eHealth Journey, Focus on benefits, supported by technology and change Virtual electronic patient records Technology development, standardisation and convergence. Collaborative approach to delivery, drawing on best expertise

22. eHealth Architecture Vision What will we get? Portal summary view of patient information from multiple systems. Seamless access to source systems for viewing and data entry. Ability to query data from range of sources. How does it work? Web based portal accessible from any site. Single sign on provides login to source systems. Source systems feed information stores using unique patient ID Number. Record locator knows the stores that hold information The integration platform streamlines the retrieval of information from multiple sources. google search engine Websites

23. Only If! We know what questions we want answered! The right data is collected. Business process and patient pathways are defined. Appropriate technology, data and terminology standards exist.

24. An Educational Framework! Proctor and Ward 2008

25. Information Literacy Cycle NHS Knowledge Services, Information Literacy Framework 2008

26. Enabling Partnership An online network - An “NHS Google” will be created to help search for quality assured health information and learning resources for multiple providers. A network of access and support points – provide health, voluntary and local authority staff access to information materials in a range of formats and provide support in selecting, evaluating and filtering the information retrieved. Person to person communication – A helpline network, tools for building online communities and learning programmes to build skills of patients, public and staff in information literacy and developing knowledge working role.