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Facilitator of the Future

PRIMIS

Fifth Annual Conference 11 – 12 May 2005

Piecing Together the Future

Jeannette Murphy(University College London)

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THE FACILITATOR OF THE THE FACILITATOR OF THE FUTUREFUTURE

Jeannette Murphy, CHIME Graduate TutorRoyal Free & University College London

Medical School

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Purpose of this SessionPurpose of this Session

Stimulate you to think about your role as facilitators

Reflect on what the future holds for you

Facilitation

What is it?

Does it have a future?

What’s shaping the future?

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Looking to the FutureLooking to the Future

In 5 years time will there be a need for PRIMIS?

In 5 years time will you be employed in your current role?

Will problems of data quality, information be sorted out, making you redundant?

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Changes in Healthcare DeliveryChanges in Healthcare Delivery

Big changes in last 70 years

1935 2005

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WHERE ARE WE NOW?

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Acknowledgement

Photos from talk given by W. Ed Hammond (Duke University, USA); President, AMIA

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ChallengeChallenge

Healthcare providers must migrate from paper to electronic records

Individuals, teams, and organisations need help / support as they make this journey

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PRIMIS Philosophy and MissionPRIMIS Philosophy and Mission

Improve patient care through the effective use of clinical computer systems

• Provide training and assistance to information facilitators

• Facilitators "cascade" their knowledge and skills to GPs and practice staff in their local health communities

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teacher

facilitator

trainer

instructor

mentor

VOCABULARYVOCABULARY

changeagentcoach

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What is Facilitation?What is Facilitation?

“The process of making things easier for individuals, teams, groups and organisations”

Helping individuals, teams and organisation to change

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Paradigm ShiftsParadigm Shifts

Nature of Teaching and Learning

● Knowing About (didactic model)

● Knowing How (skills model)

● Knowing Where (evidence model)

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Teacher-centred

Self-directed

Group work

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History of FacilitationHistory of Facilitation

Role of facilitators in primary health care established nearly 20 years ago (1982)

First facilitator employed to help GPs implement guidelines on the prevention of arterial disease (Astrop 1988)

Rapid growth in number of facilitators

61 in 1988456 in 1994

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Skills and KnowledgeSkills and Knowledge

• Understanding of how groups work and how to manage them

• Awareness of relevant statistics

• Research knowledge of health needs

• Understanding of multidisciplinary audit

(Hooker 1994)

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Facilitators working in primary care have been identified as the most suitable group to provide relevant information and training for practice staff

(Armstrong 1994b, Bower et al 1997)

BenefitsBenefits

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Where does future come Where does future come in?in?

PRIMIS has a good track record …..5 year partnership with NHS IA

Suggests facilitators doing a good job

But, will information facilitators be needed in 5 years time??

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The NHS Needs You!The NHS Needs You!

“With massive NHS investment in information technology, need find ways to improve quality of electronic health records in general practice and derive maximum benefit from the data they contain”

Professor Azeem Majeed, Professor of primary care at Imperial College London (2004)

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Reasons Need FacilitatorsReasons Need Facilitators1. Impact of Connecting for Health – long

term

2. Staff leave, new staff take up post

3. Practices need updating, refreshing, reminding

4. New initiatives will create need demands for information

5. Once achieve basic mastery, control of local data, staff will perceive new opportunities

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Present SituationPresent Situation

Quality and completeness of electronic health record varies enormously

Variability in completeness and accuracy of coding

Practices are at very different starting points

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WarningWarning

Amount of effort needed to improve data quality should not be under-estimated

Requires ongoing support and monitoring

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Visions of the FutureVisions of the Future

So how might the future be different?

Does future have to do with gadgets (IT and all that??)

Does future have to do with new insights, new theories?

Is there anything new to learn about learning or is it just a matter of putting what we already know into practice?

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Facilitators of the FutureFacilitators of the Future

New Career Pathways – e.g.

• Research

• Consultancy

• Migrate to other sectors

• Use technology to support change

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FUTURE - some FUTURE - some predictionspredictions

1) All facilitators will be accredited

2) Some will move from PRIMIS to other areas

• within health, outside health – e.g. education, social services, community development, corporate world

Possess generic, transferable skills

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3) Consultancy with software companies, Local Service Providers

• Facilitators might use their knowledge and skills to work directly with software companies to help design better systems which reflect needs of users

• Think about ergonomics, human-computer interface problems

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Scope for Change, Scope for Change, Innovation?Innovation?

Facilitation: a people intensive business

Cannot easily be turned into distance learning, elearning, ementoring

But perhaps in future facilitators will find novel ways to use technology to support their role

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Using Technology to Support Using Technology to Support FacilitationFacilitation

Create and sustain virtual communities

Provide help after practice has achieved some basic goals and needs time to embed, reflect, grow

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On-line FacilitationCanadians have been experimentingCanadians have been experimentingwith online facilitationwith online facilitation

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Ways of Supporting Practices from a Ways of Supporting Practices from a DistanceDistance

Use emerging tools for facilitating communication, cooperative working within practices

Weblogs (Blogs) Online support groups Text messaging Videoconferencing Local intranets N3

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Same tools can be used to support facilitators

Deliver Continuing Professional Development, accredited learning opportunities

CPD for FacilitatorsCPD for Facilitators

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Future of FacilitationFuture of Facilitation

IMAGINE - a world where …..

The value of human capital is recognised (not just machines, technology, premises)

Society appreciates the need to invest in people

Skills of facilitators, trainers, developers, educators are recognised

Understood that technology does not deliver benefit - people do

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Ring fenced budgets for education, training, development are established

Invest in research into ETD - to know what does and does not work

Realise importance of engaging workforce - preparing them for change

Listen to what people at the bottom have to say

Imagine a World where …Imagine a World where …

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How do you see the future?How do you see the future?