Scottish Health Scottish Health Information Service (SHIS)Information Service (SHIS)

SCIMP, November 2007Jill Telfer

Penny Bridger

Scottish Health Information Service Scottish Health Information Service (SHIS)(SHIS)

ISD’s strategy for developing a Secondary Uses Service for NHS Scotland:

•Develop smarter, more efficient, secure and user-friendly ways of delivering information intelligence

•Maximising IT development opportunities.

•Provide a proactive support service - experienced ISD analysts assist the NHS to make best use of the information available.

SHIS - Commitments, SHIS - Commitments, Opportunities & DriversOpportunities & Drivers

•ISD required to “establish an NHS Data Warehouse as a secondary uses service and support its use through training and awareness”, The Strategic Review of Health and Care Statistics 2005

•ISD data warehousing developments

•CSAG recommendation to provide a central anonymisation service for national information flows

•eHealth - opportunity to utilise data available from the EHR to support direct patient care and produce information for secondary uses.

SHIS - progressSHIS - progress

•NHS Data Warehouse •Communications •Workforce development•Implementation and Roll-Out•Navigator- example of bespoke product using the NHS Data Warehouse•Information Governance

SHIS - CommunicationsSHIS - Communications

• Agreement with key eHealth stakeholders to the high level strategy

• Presentations to NHS Board Chairs, NHS Chief Executives, Scottish Association of Medical Directors

• External workshops held to raise awareness and consult more widely

• Internal workshops within ISD to review options for supporting the Service.

SHIS - NHS Data WarehouseSHIS - NHS Data Warehouse

• Independent technical review approved existing data warehouse design and architecture.

• Continue planned incremental development to incorporate remaining existing National data sets into the NHS Data Warehouse

• Incorporate new data flows into the NHS Data Warehouse as they arise

• Interest from NHS Boards in incorporating local management information.

Information GovernanceCommon Dimensions – Business Objects

Data warehousingData warehousing

GRO( DEATHS )

SMR 01( ACUTE )

SMR 04( MENTAL Health)

Prescribing( Primary care)

SMR 06( CANCER)QOF

( GP )

DENTAL

A&E( EDIS )

Prescribing( ACUTE )

SCI ReferralsWorkforc

e( SWISS )

Blood Transfusion

Waiting Times

SPARRA( predictive)

Others……….

HEATBenchmarking/

ClinicalGovernance

NAVIGATOR

SHIS product development -SHIS product development -NavigatorNavigator

• Web based information service providing user-friendly access to broad range of comparative information.

• Supports quality improvement and the review, monitoring & planning of healthcare services.

• Available to healthcare staff based in NHS Boards, CHPs, Hospitals and GP practices.

• Early stage of development – piloted with NHS Lothian and Fife during September 2007.

NavigatorNavigator

• Obtains information from NHS Data Warehouse using NHSNet.

• Information presented at high level with facility to “drill down” to review more detailed data

• User access controlled and determined according to role and need to know.

NHS Board

CHP A

CHP B

CHP C

SHIS - Information GovernanceSHIS - Information Governance

• Plan to undertake a Privacy Impact Assessment on the NHS Data Warehouse

• Involve the Information Commissioner and Data Controllers across Scotland

• Set up a Steering Group with representation from the NHS.

SHIS - next stepsSHIS - next steps

• Develop and implement a communication plan • Continue to work through information

governance dependencies• Consult with NHS Boards on options for

supporting the use of SHIS• Identify and plan for the workforce and OD

implications • Roll out Phase 1 of Navigator and work closely

with NHS Boards to expand its scope.

SHIS - further information:SHIS - further information:

Jill TelferJill.Telfer@isd.csa.scot.nhs.uk

Navigator

Mike MuirheadMike.Muirhead@isd.csa.scot.nhs.ukDr Penny BridgerPenny.Bridger@isd.csa.scot.nhs.uk

ISD Scotland Websitewww.isdscotland.org