To be the definitive source of trusted data and health intelligence, providing specialist information services to support the delivery of high quality patient care
..the explosive growth in information technology has not been accompanied by a commensurate improvement in the understanding of information. It is undoubtedly easier to manufacture and distribute electronic hardware than to refine our concepts of information (Stamper 1973)
Infrastructure Single Record Applications Network (PSBA) GP Practice Systems Community Care Information System (CCIS) Welsh Clinical Portal (WCP) My Health On Line (MHoL) National Data Centres Server Infrastructure Standardised Devices and Platforms Mobile Device Management Corporate Apps Howis and Content Management Office Applications Finance and HR Specialist Applications Patient Administration Systems (NPAS) Emergency Department System (EDCIMS) Radiology Information System (RADIS) Picture Archiving System (PACS) Patient Screening Services Welsh Clinical communications Gateway (WCCG) Community Care Information System (CCIS) Child Health System (CH2000/CYPRIS) Pharmacy System National Laboratory System (LIMS) Other Clinical and Departmental Systems IHR Services Master Patient Index (MPI) Diagnostic Reports Service (DRS) Interoperability Services GP Links/Data Transfer R Service (DTS) National Integration Services Indexing Services Welsh Care Records Service Index Repository Services Welsh Care Records Service Repository (WCRS) National Reference Data Service (NRDS) NHAIS National Active Directory (NADEX) National Image Sharing XDS Repository (XDS-VNA) NHS England Spine Services Secondary Uses Business Intelligence Self Service Dashboards Reporting Services Big Data
Birthweight=3860gms, Gestation=40 weeks, Maternal age = 17 Immunised for 1st Diphtheria Tetanus apertussis Polio Hib Immunised for 3rd Diphtheria Tetanus apertussis Polio Hib Registration ended with GP Practice xxxxxxxx Immunised for Pneumococcal Booster Immunised for Diphtheria Tetanus apertussis Polio Booster OP Attendance at Prince Charles Hospital (Oral Surgery) A&E Attendance at Prince Charles Hospital, Source = Not Applicable Self Ref OP Attendance at Prince Charles Hospital (Oral Surgery) Inpatient Ordinary admission (Emergency) at Prince Charles Hospital OP Attendance at Prince Charles Hospital (Oral Surgery) Immunised for 2nd Pneumococcal Registered with GP Practice W95026 A&E Attendance at Prince Charles Hospital, Source = Not Applicable Self Ref OP Referral to Cwm Taf Local Health Board (Oral Surgery) Inpatient Ordinary admission (Elective) at Prince Charles Hospital (Oral OP Attendance at Prince Charles Hospital (Oral Surgery) Registered with GP Practice W95634 Immunised for 1st Pneumococcal Immunised for 2nd Diphtheria Tetanus apertussis Polio Hib Immunised for M.M.R. 1 Immunised for 1st Meningitis C A&E Attendance at Prince Charles Hospital, Source = Not Applicable Self Ref Inpatient Ordinary admission (Emergency) at Prince Charles Hospital (Oral Immunised for M.M.R. 2 Height= 109.4cms, Weight= 19.400kgs Immunised for 2nd Meningitis C Inpatient Ordinary admission (Emergency) at Prince Charles Hospital Immunised for HIB/Meningitis C Booster OP Referral to Cwm Taf Local Health Board (Oral Surgery) OP Attendance at Prince Charles Hospital (Oral Surgery) Mapping the patient journey fuzzy matched contacts with the NHS, data linked using name, postcode, DOB, gender and NHS number
Challenges Big data - needs big questions... Trad stats and MDSs v Real time Transparency and patient web Data quality (IQI) IG (and ownership) Unstructured data Priorities! The four Vs (Gartner) Volume, variety, velocity - and veracity Boost Productivity: Introduce Slack