Informing Healthcare
Encyclopedia
Informing Healthcare was set up by the Welsh Assembly Government
in December 2003 to improve healthcare services for people in Wales
by introducing modern ways of sharing and using information.
It is one of the key enablers for 'Designed For Life'; the national ten year strategy to deliver better health and social care
for Wales.
The central aim of the Informing Healthcare programme is to create a 'world class' technical infrastructure for NHS Wales that will allow information to be shared securely irrespective of organisational boundaries. It will also provide a consistent set of information and technology services for all organisations in NHS Wales.
Key principles of the programme are based on:
Consideration is also given to local priorities, whilst migrating to national designs and solutions.
Delivery of a single electronic health record
for Welsh citizens, improvements to health information systems and development of health informatics
staff are primary goals.
Informing Healthcare is based in Pencoed
, Wales with North Wales offices in St Asaph
. Dr Gwyn Thomas is Informing Healthcare’s Chief Executive Officer.
As part of the reorganisation of NHS Wales, Informing Healthcare has merged with Health Solutions Wales, Business Services Wales and the Primary Care Informatics Programme to create the NHS Wales Informatics Service (NWIS). The new organisation was formed in April 2010.
A significant cause of current information problems is the lack of an immediately available, accurate patient record, accessible to those who require the information whether care takes place during the day, the evening or at the weekend.
Patient records are held by many professionals in many settings, for example within hospital departments or pathology labs
, either on paper or electronically. While general practitioner
s (GPs) hold the most complete record, this information is currently held within the GP practice and is not shared. This approach to record keeping means the whole picture of a patient’s care is fragmented.
The Single Electronic Record is designed to overcome these problems. It does not mean that all information will be held in one place, but provides a view of the patient’s health record derived from many sources. It means that health professionals will be able to access all the information they need, whenever and wherever required. This access will take place in a secure environment, and the information provided is limited to what any given professional needs to know.
The Single Electronic Health Record is built from a number of key components. The Individual Health Record (an electronic “bridge” between GP and urgent care settings), and the Welsh Clinical Portal (a clinical “healthspace” that will allow health professionals to access records, request results and order tests from a variety of sources and labs). These projects will be brought into use incrementally, so developers and clinicians can evaluate and restructure systems when needed.
The eventual goal is the development of an integrated approach to health and social care records, although full integration of these records is still in the developmental stage.
Informing Healthcare has introduced a code of practice to ensure patients are asked before their information can be viewed by a doctor or nurse outside their GP practice. This ensures patients know only the right healthcare professional is accessing the right information.
Informing Healthcare’s security policy been the focus of several positive media reports this year, including a feature by The Guardian
, praising its commitment to patient consent and suggesting America can learn from the Welsh approach to computerised health records.
For instance, Informing Healthcare is working to deliver new Laboratory Information Management Systems (LIMS) to all NHS trusts that will improve pathology services across Wales for the benefit of patients and staff. The new system will replace the 13 computer systems currently operating in the 18 main pathology laboratories in Wales. It will reduce the number of duplicated tests and mean that, no matter where a patient receives care, the results of tests will be readily available.
To help ease the pressure on radiology
departments a new and improved radiology system, called Radis2, is now in the process of being implemented across Wales, and will eventually lead to an All Wales Radiology Management System. Radis2 replaces the existing RADIS, which is over 18 years old. The new system allows for better integration of systems such as PACS
(picture archiving and communications system) and digital dictation
. It also brings an improved database, making it easier to extract management information. All hospitals in Wales will have access to Radis2 by 2010.
In April 2009, the Cancer Information Network System Cymru (Canisc) was established as a national service making it easier for information about treatment to be shared. Designed originally by Cardiff’s Velindre NHS Trust in 1991, Informing Healthcare, along with Velindre and Health Solutions Wales delivered Canisc throughout Wales, and management of the new service will be under the Business Services Centre. The new national service allows any number of NHS Wales organisations to record assessments, treatments and follow up care into a common patient casenote, which any healthcare professional caring for that patient can access, thus giving a full picture of each individual's care wherever that person happens to be treated.
Some of Informing Healthcare's other projects include working with hospital pharmacies
to improve medicines management; ensuring that patients are correctly identified via a Master Patient Index; and procuring the Map of Medicine, a clinical information and service design resource.
professionals are the people work with health IT or information. They cover a wide range of occupations including IT technicians, information analysts, project managers, medical records officers and clinical coders. Together they form a new and rapidly growing class of professional in NHS Wales.
Informing Healthcare is working to ensure Wales attracts new staff to work in this expanding field and to develop them by promoting education, training and professional development through the Welsh Health Informatics Professional Development Programme.
Welsh Assembly Government
The Welsh Government is the devolved government of Wales. It is accountable to the National Assembly for Wales, the legislature which represents the interests of the people of Wales and makes laws for Wales...
in December 2003 to improve healthcare services for people in Wales
Wales
Wales is a country that is part of the United Kingdom and the island of Great Britain, bordered by England to its east and the Atlantic Ocean and Irish Sea to its west. It has a population of three million, and a total area of 20,779 km²...
by introducing modern ways of sharing and using information.
It is one of the key enablers for 'Designed For Life'; the national ten year strategy to deliver better health and social care
Health and Social Care
In the UK, Health and Social Care is a broad term that relates to integrated services that are available from health and social care providers...
for Wales.
The central aim of the Informing Healthcare programme is to create a 'world class' technical infrastructure for NHS Wales that will allow information to be shared securely irrespective of organisational boundaries. It will also provide a consistent set of information and technology services for all organisations in NHS Wales.
Key principles of the programme are based on:
- A national co-ordinated approach
- Incremental change
- Best use of existing infrastructure and systems
- A balance between immediate improvement and investment in future improvements.
Consideration is also given to local priorities, whilst migrating to national designs and solutions.
Delivery of a single electronic health record
Electronic Health Record
An electronic health record is an evolving concept defined as a systematic collection of electronic health information about individual patients or populations...
for Welsh citizens, improvements to health information systems and development of health informatics
Health informatics
.Health informatics is a discipline at the intersection of information science, computer science, and health care...
staff are primary goals.
Informing Healthcare is based in Pencoed
Pencoed
Pencoed , is a town in the county borough of Bridgend, Wales, United Kingdom, mid-way between Wales's two largest cities of Cardiff and Swansea.Lying on the Ewenny River it has a population of around 11,000...
, Wales with North Wales offices in St Asaph
St Asaph
St Asaph is a town and community on the River Elwy in Denbighshire, Wales. In the 2001 Census it had a population of 3,491.The town of St Asaph is surrounded by countryside and views of the Vale of Clwyd. It is situated close to a number of busy coastal towns such as Rhyl, Prestatyn, Abergele,...
. Dr Gwyn Thomas is Informing Healthcare’s Chief Executive Officer.
As part of the reorganisation of NHS Wales, Informing Healthcare has merged with Health Solutions Wales, Business Services Wales and the Primary Care Informatics Programme to create the NHS Wales Informatics Service (NWIS). The new organisation was formed in April 2010.
Single Record
The vision is for information about individual patients to be available securely where and when it is needed through the Single Electronic Health Record.A significant cause of current information problems is the lack of an immediately available, accurate patient record, accessible to those who require the information whether care takes place during the day, the evening or at the weekend.
Patient records are held by many professionals in many settings, for example within hospital departments or pathology labs
Medical laboratory
A medical laboratory or clinical laboratory is a laboratory where tests are done on clinical specimens in order to get information about the health of a patient as pertaining to the diagnosis, treatment, and prevention of disease.-Departments:...
, either on paper or electronically. While general practitioner
General practitioner
A general practitioner is a medical practitioner who treats acute and chronic illnesses and provides preventive care and health education for all ages and both sexes. They have particular skills in treating people with multiple health issues and comorbidities...
s (GPs) hold the most complete record, this information is currently held within the GP practice and is not shared. This approach to record keeping means the whole picture of a patient’s care is fragmented.
The Single Electronic Record is designed to overcome these problems. It does not mean that all information will be held in one place, but provides a view of the patient’s health record derived from many sources. It means that health professionals will be able to access all the information they need, whenever and wherever required. This access will take place in a secure environment, and the information provided is limited to what any given professional needs to know.
The Single Electronic Health Record is built from a number of key components. The Individual Health Record (an electronic “bridge” between GP and urgent care settings), and the Welsh Clinical Portal (a clinical “healthspace” that will allow health professionals to access records, request results and order tests from a variety of sources and labs). These projects will be brought into use incrementally, so developers and clinicians can evaluate and restructure systems when needed.
The eventual goal is the development of an integrated approach to health and social care records, although full integration of these records is still in the developmental stage.
Informing Healthcare has introduced a code of practice to ensure patients are asked before their information can be viewed by a doctor or nurse outside their GP practice. This ensures patients know only the right healthcare professional is accessing the right information.
Informing Healthcare’s security policy been the focus of several positive media reports this year, including a feature by The Guardian
The Guardian
The Guardian, formerly known as The Manchester Guardian , is a British national daily newspaper in the Berliner format...
, praising its commitment to patient consent and suggesting America can learn from the Welsh approach to computerised health records.
Service Improvement
Informing Healthcare’s commitment to improving IT systems and to support delivery of the single electronic health record means upgrading, changing, or redesigning several existing systems.For instance, Informing Healthcare is working to deliver new Laboratory Information Management Systems (LIMS) to all NHS trusts that will improve pathology services across Wales for the benefit of patients and staff. The new system will replace the 13 computer systems currently operating in the 18 main pathology laboratories in Wales. It will reduce the number of duplicated tests and mean that, no matter where a patient receives care, the results of tests will be readily available.
To help ease the pressure on radiology
Radiology
Radiology is a medical specialty that employs the use of imaging to both diagnose and treat disease visualized within the human body. Radiologists use an array of imaging technologies to diagnose or treat diseases...
departments a new and improved radiology system, called Radis2, is now in the process of being implemented across Wales, and will eventually lead to an All Wales Radiology Management System. Radis2 replaces the existing RADIS, which is over 18 years old. The new system allows for better integration of systems such as PACS
Picture archiving and communication system
A picture archiving and communication system is a medical imaging technology which provides economical storage of, and convenient access to, images from multiple modalities . Electronic images and reports are transmitted digitally via PACS; this eliminates the need to manually file, retrieve, or...
(picture archiving and communications system) and digital dictation
Digital dictation
Digital dictation is a method of recording and editing the spoken word in real-time for transcription and maximum intelligibility in a digital audio format...
. It also brings an improved database, making it easier to extract management information. All hospitals in Wales will have access to Radis2 by 2010.
In April 2009, the Cancer Information Network System Cymru (Canisc) was established as a national service making it easier for information about treatment to be shared. Designed originally by Cardiff’s Velindre NHS Trust in 1991, Informing Healthcare, along with Velindre and Health Solutions Wales delivered Canisc throughout Wales, and management of the new service will be under the Business Services Centre. The new national service allows any number of NHS Wales organisations to record assessments, treatments and follow up care into a common patient casenote, which any healthcare professional caring for that patient can access, thus giving a full picture of each individual's care wherever that person happens to be treated.
Some of Informing Healthcare's other projects include working with hospital pharmacies
Hospital pharmacy
A hospital pharmacy is concerned with pharmacy service to all types of hospital and differs considerably from a community pharmacy.Some pharmacists in hospital pharmacies may have more complex clinical medication management issues whereas pharmacists in community pharmacies often have more complex...
to improve medicines management; ensuring that patients are correctly identified via a Master Patient Index; and procuring the Map of Medicine, a clinical information and service design resource.
Informing Healthcare and Health Informatics
Health informaticsHealth informatics
.Health informatics is a discipline at the intersection of information science, computer science, and health care...
professionals are the people work with health IT or information. They cover a wide range of occupations including IT technicians, information analysts, project managers, medical records officers and clinical coders. Together they form a new and rapidly growing class of professional in NHS Wales.
Informing Healthcare is working to ensure Wales attracts new staff to work in this expanding field and to develop them by promoting education, training and professional development through the Welsh Health Informatics Professional Development Programme.