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Integrated care pathways

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Integrated care pathways
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12/3/2011
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Integrated care pathways



Dr Jeremy Rogers MD MRCGP

Senior Clinical Fellow in Health Informatics

Northwest Institute of Bio-Health Informatics

Talk Outline





ICPs

eICPs

Challenges

History of ICPs



► Industrial process management tool from 1950s

► Healthcare in US from 1980s

► UK from 1990s

► 12 NHS pilots 1991-2

► UK user group 1994, but folded in 2002

► Resurgent interest

► BMiS Workshop May 2003

► NELH database (Colin Gordon)

► International Web Portal (Jenny Gray,Venture T&C, UK)

► National Pathways Association (Northgate)

► NPfIT

Where we are now:

What’s an ICP ?

► Document

► Describing idealised process

► within health and social care



► Collects variations

► between planned and actual care



► Iteratively developed

► Develop – implement – review – revise

What’s an ICP ?





► Embed guidelines & ► Best use of resources

protocols ► Record variances

► Locally agreed ► Compare plan against

► Evidence based reality

► Patient centred ► Tool for (Clinical)

► Best practice Business Process Re-

engineering

► Everyday use

► Individualised

Management of Newly Diagnosed Type 1 Diabetes



Diagnosis in Primary Care







Referral to and assessment by

secondary care within 24 hours





Dehydration/vomiting/at weekend

No dehydration or vomiting Admit to RBH

DNS to commence insulin Diabetes Clinical Nurse Advisor

within 24 hours to see









>60 years

<60 years IV insulin

twice daily Data collection

Basal/bolus* as per protocol

pre-mix* HbA1c

Weight/BMI

Islet cell antibodies

* Unless patient and lifestyle

dictate otherwise Ongoing education

Support/Assessment

by DNS





Referral to dietitian,

podiatrist and psychologist





Group education at 3-6 months

T:\type1.ppt\Julia\Feb99

Current UK Status





160 ► 2401 in NELH database

140 ► 1214 subjects

►predominantly surgical

120

► Often admission pro-formas

100

► 170 Trusts writing, 179 using

80

► 10 PCTs writing, 21 users

60

► Not many available online

40

► (<10% ?)

20

► Airdale, Battle

► eICP rare

0

1 51 101 151



► ~60 in use at Gloucester NHS

No. in use per trust Trust (ERDIP), in urology

The Future:

What’s an eICP ?



Model pathway Instantiated pathway

► Versioned ► Patient demographics

► Iteratively developed ► Patient characteristics at start

► Links to guidelines, protocols, ► Care plan

evidence ► Individualised

► Activity specs ► Activities carried out or not carried

out

► Valid state changes

► Outcome

► Role specification

► Reasons for variance

► Explicit overall objective

What’s an eICP ?





Ended pathway What’s an epathway?

► Includes abandoned, rejected, ► MLMs

completed

► GLIF

► Record of variances

► CLIPS

► Patient characteristics

► Activities or activity states ► Protocols

► Performers ► PRESTIGE

► Timings ► Protégé

► Proforma

► SOPHIE

eICP in NPfIT



►Phase I (2004/5)

►Ability to construct and use ICPs

►Migrate paper ICPs to eICPs

►Record total journey times

►Phase II (2006)

►Model care pathway

►Instantiated care pathway

►Ended care pathway

►By 2010

►All singing all dancing

Automated eICPs ?



► ‘Evidence-based action at the point of care

instantaneously triggers follow on actions

elsewhere in the system’ Tackaberry, iSoft (2000)

► ‘Automatic identification and invoking of

workflow, alerts, review and guideline activation’

NPfIT OBS 2003

Implementation:

Barriers to the Future

► Human Factors ► Technical Factors

► Cultural ► Time & Scale

► Organisational ► Too many critical

dependencies

► Cognitive

► Not yet invented

► Time ► Lack of EBM

► Patients



► Commercial ► Political

► Cost

► Expectations

Human Factors:

Likely Hazard Warning



► The usual

► No buy-in, time, skills, training, leader, benefit

► Sabotage, fizzling out

► ICP from on high (ie written by consultant)

► Attempt perfection at first draft rather than iterate

► Or, alternatively, less enthusiasm for necessary iteration

► Biting off more than can chew

► Medicine is complex: eat it a bit at a time

► Interdisciplinary friction

► Terminology, working practices, culture etc.

Technical Barriers :

Specific Informatics Problems



► Authoring ► Clinical Terminology

► EPR Data Quality ► Consent

► Indexing ► Visualisation

► Act management ► Automation

► Pace of change

Barriers:

Technical eICP Authoring

PROS CONS

► Software supported ► Automation requires strict logic

► Re-use of modules ► Specialist activity

► Standard Components ► Limits ownership &

participation

► timeframes,

interventions, evidence, ► Edge-of-protocol effects

references, and ► Can be very complex to view

goals/outcomes

► Re-use at risk of ‘curly bracket’

► Geographically distributed problem

authoring

► Chaotic co-behaviour

► Increase accessibility of

process, buy-in ? ► Not done yet

Barriers:

Political & Commercial

POLITICAL COMMERCIAL

► Unrealistic expectations ► Pharmas

► Bad press ► Snake Oil Distractors

► War of authorities ► Apathy in face of

► NICE, BNF, Colleges, BMA, ► Low user demand

Clinical Evidence, NELH,

► More pressing problems

NHSIA, Pharmas etc.

► True development cost

► Covert agendas

► Manage docs, not patients

► Cold feet


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