1. Delivering Knowledge for Health Shedding Light Dr Ann Wales Programme Director for Knowledge Management ann.wales@nes.scot.nhs.uk on….. Knowledge Networks

2. Delivering Knowledge for Health Overview 1.What is Knowledge Management? 2.Why does it matter? 3.How is it supported? Practical resources and tools: –E-Library –Shared Space 4. Developing a Managed Knowledge Network for NMAHP eHealth

3. Delivering Knowledge for Health Winston Churchill ‘If you have knowledge, let others light their candles with it’

4. Delivering Knowledge for Health What is knowledge management? The way an organisation can leverage the knowledge of its employees, partners and outside experts to support the business objectives of the organisation. Ackerman et al, 2003 The cultivation of an environment within which people are willing to share, learn and collaborate together leading to improvement. Care Services Improvement Programme, 2006

5. Delivering Knowledge for Health An organisation’s most valuable resource is the knowledge of its people.

6. Delivering Knowledge for Health For the NHS…. Performance depends on how effectively its staff can: Create new knowledge Share knowledge around the organisation Apply that knowledge in practice

7. Delivering Knowledge for Health Crisis in managing knowledge for health Advances in medical knowledge – new treatments, procedures, technologies ……. Not matched by equivalent ability to apply knowledge in practice. Lack of equal access to new knowledge Impossibility of keeping up to date with new information – literature doubles every 19 years. Delays in publication-distribution chain Finite capacity of individuals to absorb and apply knowledge

8. Delivering Knowledge for Health Consequences……(1) Medical error annually results in 44-98,000 unnecessary deaths in the USA. “……more people die from medical mistakes each year than from highway accidents, breast cancer or AIDS.” Medical error wastes up to $29 billion per annum in USA. USA Institute of Medicine

9. Delivering Knowledge for Health Consequences……(2) About 16,000 lives could be saved in the UK annually if all current knowledge of cancer were properly applied. ICRF Vision for Cancer, 1995

10. Delivering Knowledge for Health Consequences…… (3) 10% of admissions result in adverse events which lead to patient harm or death. CMO, NHS England

11. Delivering Knowledge for Health Managing knowledge effectively 1.Technology networks for managing and sharing knowledge. 2. Human networks (Managed Knowledge Networks): Human relations, conversation and eliciting tacit knowledge.

12. Delivering Knowledge for Health www.elib.scot.nhs.uk

13. Delivering Knowledge for Health E-Library as Technology Network Access across boundaries Disciplines Sectors Organisations Clinical / Non-clinical Professional/ Patient Published knowledge base 5000 journals 5000 eBooks Over 70 bibliographic databases Tens of thousands of evaluated guidelines, patient information, websites, etc. Keeping up to Date Training and Development Personalisation

14. Delivering Knowledge for Health Managed Knowledge Networks (MKN’s) Networks of people Networks of practice Comprise multiple communities Access, share, evaluate, apply knowledge in common area of endeavour. Fuse explicit (published) and tacit (personal) knowledge. Transform knowledge into practice Drive innovation and culture change

15. Delivering Knowledge for Health Analyse need Source – Find / Capture Evaluate Generate / Synthesise Share Adapt Use Knowledge Management Cycle

16. Delivering Knowledge for Health Examples MKN’s  Cancer  Coronary Heart Disease  Mental Health  Stroke  Diabetes  Healthcare Associated Infections  Equality in Care  Information Governance  Remote and Rural Care  NMAHP eHealth Communities(c150)  Care Pathway and Guideline Groups  Oncology Pharmacists  Heart Failure Nurses  Community Mental Health Teams  Stroke Nurses Forum  Infection Control Managers  Community Health Partnership Managers  Community Hospitals and Intermediate Care Group  Patient / Public Involvement Groups  NMAHP eHealth Leads

17. Delivering Knowledge for Health Practical Support for MKN’s Resources and Tools: Specialist e-Libraries Shared Space

18. Delivering Knowledge for Health

19. Shared Space Collaborative workspace Virtual Learning Environment Community website Supports Knowledge Networks Facilitates sharing of resources and experience. Supports health and social care staff, patients and public, in working and learning together.

20. Delivering Knowledge for Health

21. Menu of options always available – display depends on your role Resources – new -full list -search Discussions Contacts -browse -search Events and courses News Navigation Go back to e-Library

22. Delivering Knowledge for Health A Managed Knowledge Network for NMAHP eHealth

23. Delivering Knowledge for Health Project Objectives Establish: An NMAHP eHealth Managed Knowledge Network - Building on community development to date. Tools and systems for long-term sustainability and growth: Special e-Library – resources for practice Shared Space – communication and collaboration

24. Delivering Knowledge for Health Deliverables By end of September 2007: Knowledge and Information Audits Knowledge Management competencies needs analysis Special e-Library for NMAHP eHealth Communication and Engagement Plan Knowledge Management Strategy and Implementation Plan

25. Delivering Knowledge for Health Benefits (1) : “From Knowing to Doing” “The great aim of education is not knowledge but action” Herbert Spencer Embed knowledge management in NMAHP: –Working practices –Personal and professional development –Service development / modernisation –Leadership

26. Delivering Knowledge for Health Benefits (2): eHealth Engage clinicians in managing knowledge as integral element of eHealth Strategy. Build the knowledge and evidence base for NMAHP eHealth Consultation, communication, coordination in eHealth strategy development and delivery.

27. Delivering Knowledge for Health Benefits (3): Learning and Development Learning: Personal ~ Network ~ Organisational Ownership, responsibility, empowerment through accessing, sharing and creating knowledge. Sharing of experience, expertise, good practice, resources. Partnership working across Boards and sectors. Service modernisation through innovation and cultural change.

28. Delivering Knowledge for Health Creating a knowledge-sharing culture: Where to start? Start to practice it at your level. Influence is possible at all levels. Put the knowledge-sharing technology in place Educate in its effective use.

29. Delivering Knowledge for Health Managing knowledge effectively 1.Technology 2.People with skills and mindset

30. Delivering Knowledge for Health “As we let our own light shine, we unconsciously give other people permission to do the same.” Marianne Williamson, 1962

31. Delivering Knowledge for Health Shedding Light Dr Ann Wales Programme Director for Knowledge Management ann.wales@nes.scot.nhs.uk on….. Knowledge Networks