Transfer of Care Initiative. Keith Naylor Head of Implementation Transfer of Care, HSCIC

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1 Transfer of Care Initiative Keith Naylor Head of Implementation Transfer of Care, HSCIC 1

2 Rising Demands The rising demands on healthcare systems and associated costs require a much more efficient and transparent means of recording, transmitting and accessing reliable clinical information in order to manage and deliver high quality care to patients, and populations. 2

3 Realising Benefits NIB Standards Roadmap National standards for the clinical structure and content of transfer of care information will: facilitate shared care, enable interoperability between locations and contexts, and yield comparable data to support the management and monitoring of services NIB Standards Roadmap 3

4 National Information Board Personalised Health and Care 2020 The NIB will support key standards that help clinicians ensure that patients are safely transferred between episodes of care. Personalised Health and Care

5 National Information Board Personalised Health and Care 2020 The NIB proposes the adoption of the Academy of Medical Royal Colleges publication Standards for the clinical structure and content of patient records, with a requirement that all organisations and clinical systems should implement the standards Personalised Health and Care

6 NHS England Board Statement Confirm our intention to use all available commissioning levers in 2015/16 to help secure comprehensive adoption of digital standards by the publicly funded NHS and care sector. We will work to ensure that the NHS makes a step change towards delivery of the goals outlined in the Five Year Forward View and the National Information Board Framework Personalised Health and Care The NHS England Board 6

7 Transfer of Care What is it? 7

8 Transfer of Care What is it? 8

9 ITK CDA Transfer of Care Document Structure ITK CDA Transfer of Care Document Header Section Diagnosis Section Supporting narrative Procedures Section Supporting narrative Section Supporting narrative Coded element Coded element Coded element 9

10 Professional Adoption and Leadership 10

11 Standards Document Types Transfer of Care Transfer of Care Product Family Professional Record Keeping Standards edischarge Ambulance / 111 Social Care (SCIP) Outpatient Letters Referrals SNOMED CT Dictionary of Medicines and Devices Organisation Data Service Codes NHS Data Dictionary Interoperability Toolkit (ITK)

12 HSCIC Role HSCIC and NHS England have formed a joint team to establish the Transfer of Care initiative and to support local organisations procure and deploy suitable solutions. 12

13 Transfer of Care Roadmap Keith Naylor Head of Implementation Transfer of Care, HSCIC 13

14 Transfer of Care edischarge Timeline 14

15 Transfer of Care Initiative Scope 15

16 Vendor Support Keith Naylor Head of Implementation Transfer of Care, HSCIC 16

17 Transfer of Care - Components Allowing you to concentrate on the activities within your business and features within your product that really add value for your customers. Component re-use across care settings CDA template re-use edischarge Outpatients Referrals Ambulance Emergency. ITK CDA Transfer of Care Document Header Section Diagnosis Section Supporting narrative Procedures Section Supporting narrative Section Supporting narrative Coded element Coded element Coded element 17

18 Market Development Standardised components Promotes the development auto-population functions at the sender (e.g. medications, presenting diagnosis) Promotes the development of high level functions at the receiver (e.g. Alerts, Triggers, Decision Support etc.) 18

19 Accreditation Services Discussions with leading IT Directors indicate they value product accreditation Similar to ITK Accreditation Accreditation Service under discussion Message delivery and structure Potential to extend to verifying content 19

20 Bringing it to market Keith Naylor Head of Implementation Transfer of Care, HSCIC 20

21 Bringing it to Market We realise: Local Trusts and care providers are your customers and that we have to persuade them and their commissioners to purchase systems which include Transfer of Care support. That the various market sectors have different levers and incentives 21

22 Regulatory Pressures intention to use all available commissioning levers in 2015/16 to help secure comprehensive adoption of digital standards The NHS England Board The 2015/16 NHS Standard Contract states that acute providers must send discharge summaries electronically by October 2015 and strongly recommends the use of professionally agreed standard headings. GP Systems of Choice contract undergoing amendment to require primary care systems to receive Interoperability ToolKit (ITK) Transfer of Care electronic messages. 22

23 Message Delivery over SPINE Technical Architects have published ITK specifications supporting message delivery over the SPINE Transactional Messaging Service (TMS) Interoperability Toolkit - TMS Transport 23

24 Provider (Trust) Support The centre will support adopting organisations: Information Governance. Practical guidance on reallife clinical scenarios and the information governance approaches taken. Clear definitions of what to share and when Interoperability handbook for provider trusts Architecture and Standards Guide HSCIC exploring the support of provider trusts On the ground support Architectural and business change design support Procurement guides, example OBS 24

25 Digital Maturity We have undertaken a small scale baseline survey of edischarge functionality within the acute sector Results being analysed now Regular re-survey to analyse progress and roll out/adoption Potential inclusion in Digital Maturity Index Peer pressure 25

26 For more information

27 Thank you and any questions? Keith Naylor Head of Implementation Transfer of Care, HSCIC 27