Title: What is Primary Care Informatics What is its relevance to: Governance, Modernisation Research
1What is Primary Care Informatics? What is its
relevance to Governance, Modernisation
Research
- Simon de Lusignan
- http//www.kssnet.org
2Overview
- Introduction to informatics
- Why primary care is unique
- And has its own informaticians
- The current primary care informatics agenda
- Clinical governance cycle
- Conceptual framework to link the key aspects of
the agenda - Illustrates the opportunities for research
- How the workshops fit into this agenda
3What is informatics
- More than computers in medicine
- How ICT (information and communications
technology) can transform - A scientific discipline, studying data,
information and knowledge and how they
can improve healthcare
Lorenzi MN. The Cornerstones of Medical
Informatics. JAMIA 2000 7 (2) 204-5. van
Bemmel JH, Muden MA Eds. Handbook of medical
informatics. Heidelberg Springer-Verlag 1997.
4Why is primary care unique?
- Any patient with any problem(s) any time
- Heuristic decision making (intelligent rules of
thumb) - Holistic Biopsychosocial model
- Primary care has its own scientific body of
knowledge .delivered via patient-centred
consultations
Essex B. Doctors dilemmas and decisions.
London BMJ Books, 1994. Engel GL. The need for
a new medical model a challenge for biomedicine.
Science 1977196129-36 Fugelli P. Trust in
general practice. BJGP 200151575-579.
5Current PCI agenda
- Getting the consulting room on-line and
paperless. - Providing access to information without overload
- Recording structured (Coded) data in a
computerised medical record - Providing feedback on quality in an educational
environment - Using pooled anonymised data to inform
- The quality improvement agenda
- Provide data for research
American Informatics Association, Primary Care
Working Group. URL http//mailman.amia.org/pipe
rmail/fppc-wg/2002-February/000041.html
6A Clinical Governance cycle
- A conceptual framework that provides
- A model for the elements of the current agenda
- Emphasises the dynamic nature of governance
7Clinical Governance Cycle -
On-line E-mail Paperless
EBM at point of care
Recording of structured (coded) data
Improved Patient Care
Feedback
Data extraction aggregation
de Lusignan (1999)
8Clinical Governance Cycle research
opportunities
New Evidence
Does NeLH-PC answer clinicians questions?
Access to and ability to use ICT
New Coding System
Mechanism of feedback
Feedback
Data to answer a research question
de Lusignan (1999)
9Where do the workshops sit?
Confidence and competence of Community nurse
with ICT
NeLH-PC
On-line Paperless
EBM at point of care
Recording of structured (coded) data
Improved Patient Care
Quality improvement In East Kent
This afternoon Hypertension data
Feedback
Data extraction aggregation
Data for Clinical Governance
de Lusignan (1999)
10Summary
11Summary
- Informatics is a key enabler of quality
improvement - Primary care has unique informatics needs
because of its complexity - A Clinical Governance Cycle is a unifying
conceptual framework - Education should see itself as an intervention
looking to raise standards of care
12Thanks for listening Workshops
Next Simon de Lusignan
- www.kssnet.org
- www.gpinformatics.org