Bringing knowledge to bear in a primary care organisaiton Feb 2011
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Transcript of Bringing knowledge to bear in a primary care organisaiton Feb 2011
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Bringing knowledge to bear on commissioning
Sue Lacey Bryant, Chief Knowledge Officer
11th February 2011
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“If Only we knew what we know”
“Knowledge is the enemy of disease, the application of what we know will have a bigger impact than any drug or technology likely to be introduced in the next decade”
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Who are we?
Your virtual knowledge team: • Anne Gray – Knowledge Officer, NHS MK Public Health • Linda Potter – Primary Care Librarian Library services via a joint SLA• Sue Lacey Bryant, Chief Knowledge Officer
plus Steve Hance, Project manager
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The programme
1. What is Knowledge Management? Sue2. KM - an ABC; starting at A Sue3. KM in practice: informing referrals management Steve4. KM from B-C Sue5. Evidence into practice: Making an IMPACTE Linda6. Informing commissioning decisions Anne7. Keeping up to date Anne8. Transferring knowledge Sue
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1. What is knowledge management?
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• Using knowledge to improve business performance, reduce costs and improve quality
• Consciously moving the right knowledge to the right people at the right time to be translated into action to improve
organizational performance
Knowledge management is about:
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Practical and pragmatic
• Applying knowledge
• Building ‘know-how’
• Continuing to learn
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As Chief Knowledge Officer ...• Ensure strategic and operational activity is informed by sound
evidence • Ensure information requirements of projects, and of
consortia, are defined• Ensure the business intelligence team is proactive,
streamlined, focused on users• Stimulate approaches to capturing knowledge so that ‘know-
how’ is made explicit and transferred• Manage the Library SLA to deliver proactive services• Spread and embed good practice• Support future configurations & current imperatives
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Director of GP Commissioning Consortia Development
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Business intelligence team
Refining, analysing and combining, and interpreting
DATA
IFORMATION
MeaningfulTimely RelevantQuality assured
Information customers Data providers
Data Transformation
Support and education for data suppliers/customers, to improve data quality and information requests
Quality assessed
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Implementing primary care systems
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Knowledge is everyone's business
Across the organisation including - Communications and EngagementCorporate Affairs Human relations & organisational development Information TechnologyPublic Health IntelligenceQuality and StandardsSystem Reform
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2. Knowledge management – an ABC
Starting at A
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A = Applying knowledge
• Data on activity, cost, outcomes
• Research evidence on clinical outcomes and cost effectiveness
• “Best practice” including models of service
• Patient experience
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KM in practice: opportunities for innovation
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Adjusted Clinical Groups system: ACGs • 1 of several predictive models to target case management• Identifies patients with a high disease burden— who may
benefit from review, improved coordination of care• Focuses on developing & commonly occurring patterns of
morbidity - looking for convergence of risks defined by diagnoses, use of health services and prescribing eg. seeing multiple providers, taking multiple prescriptions
• Supports quality improvement; helps control varying levels of co-morbidity amongst patients
• From John Hopkins University
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3. KM in practice Informing referrals management
Steve Hance Project manager, Referrals project
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• The challenge: Reducing un-warranted variation in activity and
outcomes of care to increase value and improve quality
• The solution: “The application of best practice is massively
beneficial to quality and productivity “ David Nicholson . HSJ 10/09/2009
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Communication
• So much data: how come I never see it? • Data : Referral Data, Referral data from Choose & book,
Monthly data report, Practice data, Low priorities data, Audit data
• Evidence• Kings Fund report, Understanding patients’ choices at the
point of referral, setting out evidence base and options report• Communication• www.qualitymk.nhs.uk , Newsletter – GP Consortia weekly
briefings, Consortia email bulletin, Ad hoc e-mails
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Education: Learning opportunities
• Referrals wheel• Top tips• GP Referral LES• Practice visits • Sharing best practice• Consortia meetings• CPD events
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Commissioning: What next? How can we use these data?
• Identify areas which are performing well/badly
• Formulate action plan to identify why
• Identify ‘spend to save’ opportunities eg Lesion clinic?
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Referrals support service
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What works best for you in consortia? • Reviewing the sample of documents on
referrals –• How would you prefer to receive this
data/information? – What format? Media? – Presentation? Level of detail? – From whom? Frequency?
• How should it be delivered to give you maximum benefit?
• What else do you want to see/have available?
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4. Knowledge management
from B- C
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B = Building Know-How to improve performance
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Establish commissioning methodology
Commissioning, Disinvestment and Contracting Manual, July 2010
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NHS MK Model of improvement
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C= Continuing to learn
• Master-classes• 1:1 sessions• Group presentations• Shadowing• Learning sets
• www.qualitymk.nhs.uk• After Action Reviews• Education steering group
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www.qualitymk.nhs.uk
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5. Evidence into practice
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Information specialists: skills
• Information retrieval: sources, searching and
sourcing• Information management• Information skills training• Research • Synthesis• Communications• Web-editing skills
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Making an IMPACTE
Improving Medical Practice by Assessing CurrenT Evidence
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6. Informing commissioning
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What information do you need?
• Best practice – guidelines, service specifications, case studies
• How to run a clinical service – location, processes, workforce, competencies
• Monitoring– performance, outcomes, audit
• How much does it cost?– health economics, cost benefit, prioritisation
• Tools – NICE, DoH, public health
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Helping you find the evidence
• NHS Evidence www.evidence.nhs.uk – “upgrade” due in April 2011– Currently paid for though central agreements,
SHA and local libraries
• But there are lots of other resources too..
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Commissioning resources• Commissioning websites • Expert Bodies eg RCGP, BMA, Pickering, CQC• Other NHS trusts• Social Care and Local Authority sites• Statistical websites eg PHOs, Information Centre
Why not ask a librarian?Ask the librarian to find the information• searches based on individual requirements• for individuals or teams eg Programme Boards• appraise and summarise the results
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Knowledge Officer
• Searching for information– Retrieval, selection, appraisal, synopses
• Provide evidence to support pathway review and service redesign
• Information skills training• Links to MK Hospital and other NHS libraries• Knowledge Zone: www.qualitymk.nhs.uk• Keeping up to date
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www.qualitymk.nhs.uk
information and resources brought together by NHS Milton Keynes to support the development of GP Consortia
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GP Consortia
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Knowledge Zone
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Local and national statistics
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7. Keeping up to date
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How do you keep up to date?
• Question 1 - How do you keep up to date with new evidence around clinical practice?
• Question 2 -How will you keep up to date with new evidence/policies around commissioning?
• Answer - Collection of alerting resources on Quality MK website
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Keeping up to date
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8. Your InvitationTransferring knowledge to successor organisations Workshop objectives
– Protecting knowledge assets– Mitigate the risk of knowledge drain 2010-13– Support GP consortia development– Support system transition
Workshop outputs – Identifying key assets – Prioritised list that informs our planning– Gap analysis of where we lack knowledge to meet our
organisational priorities 2010-13
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The future?
• How can we better support current imperatives?
• Who will manage knowledge in the future?