health & social care informatics “re-energising the ... · the role of the cio: evolving or...
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Informatics Directors*/Chief Clinical Information Officers Network
Tuesday 23rd June 2015 9.30am-1.00pm (including lunch)
Health & Social Care Informatics “Re-Energising the Profession”
Gwyn Thomas Chair UKCHIP
NATIONAL INFORMATION BOARD Personalised Health and Care 2020
Workstream 6
“Supporting care professionals to make the best use of data and technology”
“On a national scale developing a professional culture with informatics skills as a core professional requirement must be a major priority”.
“The pace at which information technology is rolling over society does not allow the NHS to wait for the arrival of ready-made informatics/IT literate professionals some time in the future”.
“NHS and senior members of professional bodies will have to show leadership and commitment.”
“There are formidable educational, cultural and management challenges to
overcome. But they are more than matched by the scale of the benefits the success of this strategy will bring for patients, professionals and the public” .
Information for Health An Information Strategy for the Modern NHS 1998–2005 “A national strategy for local implementation”
Informatics Professionalism
2015 – The Informatics Environment Professional and Organisational Leadership
The Chief Information Officer (CIO) as Head of Profession
The first CIO…
• USA , 1990s - One of the ‘Chiefs’ (CEO,CFO, COO,CMO)
• UK Government CIO • Created 2004 – CIO Council • Axed 2013 • Replaced, 2015 with CDO
Meanwhile in the NHS and Local Government the Professional Head could be
• CIO/CCIO • Director of Informatics/IM&T/ICT • Head of Informatics/ IM&T/ICT
And
• Report to the CEO? - Very Rare • Seat on the Board? - Very Rare • Leadership Role? - Very Rare • Strategic Role? - Sometimes • Supporting Role? - Always • Operational Role? - Always
2015 – The Informatics Environment Professional and Organisational Leadership
The Chief Information Officer (CIO) as Head of Profession
Informatics Directors*/Chief Clinical Information Officers Network
Tuesday 23rd June 2015 9.30am-1.00pm (including lunch)
*Or most senior informatics person in the organisation
TOP 100 CIOs
1 in 2 Report to the CEO. 1 in 3 Seat on the Board.
The Industry Benchmark
CIO vs CDO: There can be only one
The Role of the CIO: Evolving or Evaporating?
The CIO and the T-Rex: Adapt or Die
From CIO to CEO: Why it's time to give up on the impossible dream
Why CIOs should become chief integration officers in 2015
CIOs Struggle With Relevance of Role to Business
CIOs face identity crisis as the'one-size-fits-all’ job description no longer fits
What’s a CIO for … And Who Cares??
The CIO Identity Crisis A few Private Sector headlines ….
Health &
Social Care
Services
CIO RECRUITMENT
RATIO 50:1
Capacity & Capability The Informatics Talent Pool
IMPROVE THE MEAN
REDUCE THE SPREAD
• Very Intelligent
• Masters in their own environment
• Struggle to succeed outside it
• Find it difficult to communicate with Humans
The Dolphin Effect
2015 - The Perceptions of CEOs (A Quantum of SOLACE)
“In the mean time, if you have to go to hospital and if your name is Smith, Jones, Patel or Mohammed, be afraid, be very afraid”. Dr Joe McDonald Chair, UK CCIO Network 2014
NHS IT Strategies
1992 - 2015
In 23 years the Informatics Profession has failed provide the collective leadership
• To do what clinicians see as absolutely necessary and • To do what patients see as blindingly obvious.
Professional Leadership The Track Record
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data about a p
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dures following data
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ining after two data breaches in
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Care.data: How did it go so wrong?
Professional Reputation
• No clear policy for Professional Registration – The Public Good • Government • Employers • Regulators
• No requirement for Professional Membership
• The Benefits Proposition?
• Amongst all organisations representing Informatics Professionals there are: • duplication of functions • overlapping roles and responsibilities • organizational rivalries • fragmented leadership
• Estimated 60,000 Informatics staff working in health and social care, but less
than 10% actively registered / members of a professional body and most of those are not active
The Informatics Environment UK Professional Landscape
What is Health & Social Care Informatics?
REGULATED
NOT REGULATED
Why is Professionalism important for Health & Social Care Informatics?
Health & Social Care Informatics is fundamental:
• To the safe delivery of patient and service user care, and
• For the maintenance of public trust in the secure handling of personal health and care information
Professional Reputation & Public Trust
“Who can I trust with my data – and how do I know?”
What is Professionalism?
• Practice
• Standards • Behaviours • Ethics • Development
Registration
Developing Skills
Recording Skills
Proving Skills
Validation & Regulation
“You are personally accountable for your professional practice and must always be prepared to justify your decisions and actions.”
“Doing the Right Thing… When No-one is Looking”
Health & Social Care Informatics “Re-Energising the Profession”
• Provides Leadership • Acts Independently • Representation • Reputation • Knowledge Base • Professional Standards • Personal Development • Code of Ethics • Publicly Open Register • Regulates Bad Practice
What’s important to you? • Independent Voice for Policy & Professionalism
• Skills Framework and CPD
• Professional Recognition
• Recognition that informatics is integral to the delivery of better, safer
care
2014 Consultation - What Informatics Staff told us
Health & Social Care Informatics “Re-Energising the Profession”
Independence • Standards • One voice • Objective assurance • Public trust
Inclusivity • NHS, Social Care, Academia and the Private Sector • Collaboration is the only credible approach • Professional standing and reputation
Sustainability • Active and involved membership • Developing and exploiting the knowledge base • Serving individual members • Professional registration • Promote the value of informatics
Federation for Informatics Professionals (Fed-IP) – Our Aims
Health & Social Informatics “Re-Energising the Profession”
More information:
“Fed-IP Prospectus” (www.ukchip.org)
“EHI Health CIO Network –
CIO Handbook Ch.2
“Informatics Professionalism”
“Your professional reputation is determined by the lowest standards that you tolerate not the highest you have
achieved”
Health & Social Care Informatics “Re-Energising the Profession”
“Time to raise the bar”