Suchergebnisse

Cover -- Title Page -- Copyright Page -- Contents -- Preface -- How to use the book -- Before we start -- Governance scenario 1: My first governance exercise with Excel -- Governance scenario 2: Child health monitoring in primary and community care -- Governance scenario 3: Outpatient orthopaedic clinic in secondary care -- Governance scenario 4: Weighing the evidence -- Governance scenario 5: Comparison with national performance -- Governance scenario 6: Risk management in patient care -- Appendix Getting the data from your proprietary system and into Excel -- Index

Cover -- Title Page -- Copyright Page -- Contents -- Foreword -- Preface -- Part I: What can informatics do for me? -- 1 Informatics is important, honest -- Why should we care about informatics? -- Why do our leaders care about informatics? -- Does it really work? -- 2 Informatics can improve patient care -- Keeping better records -- Preventing harm to patients -- How having better information available would save lives -- Not just about preventing harm -- Improvements mean change -- 3 Informatics can help with professional practice and development -- Informatics can help you find information -- Resources to help you find information -- Informatics can help you present information -- Informatics can help you record your professional development -- 4 Informatics can facilitate integrated care -- Joined-up care needs joined-up information -- A case study from mental health -- NPflT: from jigsaw to trainset - the vision -- NPflT: from jigsaw to trainset - the reality -- Conclusions -- 5 Informatics can empower patients -- The patients - remember them? -- Facilitating self-management -- Informing patient decisions: beyond paternalism -- Part II: What do I need to do for informatics? -- 6 Be professional -- Your professional responsibilities -- Codes of conduct -- Record keeping -- New consultation skills -- What do I need to know? -- 7 Data standards -- Boring but important -- The bits someone else will worry about -- The bits you have to worry about -- What type of problems are there and how do we spot them? -- SNOMED: the future (?) -- 8 Keep information safe -- Information governance -- Data protection -- Confidentiality -- Freedom of information -- What are the risks? -- 9 Involve the patients in decision making -- Consent -- Accessibility to information for patients -- 10 Conclusions -- References -- Bibliography -- Index

Purpose
Co-production has been used in public services in the UK areas such as mental health to improve the participation of service users in decisions made about the services traditionally provided for them and done to them. It has also been used in areas such as mental health and to address concerns about the quality of services provided to members of minority communities. Western Australia is currently passing legislation to address the issue of aboriginal cultural heritage management in the context of recent adverse incidents such as the incident where Rio Tinto was responsible for the destruction of the site. This paper aims to show how a formalised model of co-production can assist in the implementation of this legislation.


Design/methodology/approach
This paper considers how effective co-production has been within the domain of mental health services in the UK and then considers whether they are lessons that may be learnt in other contexts. It considers whether concepts from co-production have a role to play in ensuring that the legislation and its implementation are not seen as actions done to or on behalf of the aboriginal communities and if a more structured approach to coproduction can produce a model, which facilitates genuinely collaborative aboriginal heritage management.


Findings
The approach has facilitated the development of a model to monitor and improve collaboration within aboriginal cultural heritage management, which complements existing participatory approaches and enables businesses to demonstrate their legislatory compliance.


Social implications
The study offers an approach, which may be used globally to empower indigenous communities in decision-making in other contexts, such as deforestation in South America and oil and gas exploitation on Inuit and First Nations land in Canada.


Originality/value
The use of co-production concepts and capability modelling is novel in this space.

PurposeThe purpose of this paper is to review the implementation of a service improvement in the UK National Health Service, relevant to the National Programme for IT in the NHS.Design/methodology/approachCase study and semi‐structured interviews, relating users' interaction with information systems to other aspects of a service improvement programme.FindingsInformation technology is a major plank of public sector service reform in general. Its impact will rely on the completeness of cultural reform and the transformation of a reactive information audience into one more proactive in seeking and making opportunities for beneficial change.Research limitations/implicationsThe research reported was conducted in a single setting, preliminary to an action research project. The project's aim will be to engage NHS users in a critical appreciation of their information needs, and to contribute this appreciation to the evaluation and refinement of the National Programme for IT and its products. The advantage of a situated study stems from concrete perspective and the capture of detail. These elements are readily understood by the reader, who can then assess the level of relevance to his own situation.Practical implicationsThe intervention of a major information project ought to be synchronised in the host community with organisational development and the critical review of information needs.Originality/valueInasmuch as the NHS can be said to epitomise the social complexity of other major public sector organisations, the paper will interest readers from outside and inside the NHS. The contribution of a recipient perspective will counterbalance the tendency to "technology push" detectable in the National Programme.

Cover -- Title Page -- Copyright Page -- Contents -- What this book is about -- About the authors -- Acknowledgements -- Part One: The process of implementing an EDR -- 1 What is an electronic disease register? -- 2 Computerising patient records -- 3 Managing the process of change -- Part Two: Fylde PCG: a case study -- 4 The case study and its context -- 5 Establishing agreed policies across the PCG -- 6 Implementing the policy -- 7 Implementing the policy in an In Practice VISION practice -- 8 Implementing the CHD policy in an EMIS practice -- Part Three: Where do we go from here? -- 9 Future PCG developments for coding CHD -- 10 Conclusions -- Appendices: Further resources -- Appendix A: VISION guidance for the NSF -- Appendix B: The web site -- Appendix C: HIP for CHD protocol in EMIS -- Index

The papers in this eBook were presented at this summer's King's Fund digital healthcare congress, held in London, UK. They relate to effective patient engagement, the facilitation of mobile working in community care, the avoidance of hospital admissions through better supervision of elderly patients in care homes, the continuous real time surveillance of performance in mental health care, and the economics of digital healthcare interventions