GGI launches Special Interest Group on Governance at EHMA 2019

... with EHMA conference themes

individual - self

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

personalisation (starts here?) identity (assured by self,  proxy, or advocate)	digital transformation (with socio-TECHNICAL benefits) sustainability (energy, amenities, transport, logistics; across all four domains and the spiritual dimension)
integration (social care, physical, mental health, across all four domains and including spiritual dimension) SOCIO-technical	Value-based care (measures, outcomes, policy development ...) Left to right: Andy Payne, Laura Botea and Ian Brandon at EHMA 2019 Annual Conference – Espoo, Finland.

Good Governance Institute – European Health Management Association (EHMA) Good Governance Institute Special Interest Group on Governance


My source:
https://twitter.com/GoodGovernInst/status/1145982812962590720

Book: Digital Objects, Digital Subjects: Interdisciplinary Perspectives on Capitalism, Labour and Politics in the Age of Big Data

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

Digital Objects Digital Subjects	DIGITAL OBJECTS
DIGITAL SUBJECTS	Capitalism, Labour, Politics

My source: EUROPEAN-SOCIOLOGIST list

Cover image: Amazon

Healthcare: theDataMap [subjects, agents & agencies] c/o Harvard University

individual

INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

*person* patient, self, client	physician, nurse, allied health professional, social worker...
(experiential)  public health,  carers	payer, insurer, provider, government, tax payer, (corporate social responsibility)

theDataMap - Copyright © 2012-2013 President and Fellows Harvard University

Health & Social Care - Safe Record Keeping Project

Dear Member

BCS, The Chartered Institute for IT and the Department of Health Informatics Directorate (DHID) have launched a project to develop clear and easy to follow guidance for patients and the public on the subject of health and social care records.

The project will provide patients with advice on how to look after the health and social care records and other sensitive personal data that they are creating or health and social care providers are sharing with them. BCS is inviting individuals or organisations to tender for the contract to carry out this work.

Further information about the tender process can be found at: ...

Please do not hesitate to contact me if you require any further information.

Regards,

Dr Wai Keong Wong
Project Coordinator
BCS and DH project for safe patient record
w.wong AT bcs.org

My source: BCS, Dr Wai Keong Wong with thanks.

Social Media in Healthcare Infographic

Via: PowerDMS

Although the emphasis of this graphic is USA centric there are many aspects that apply generally, especially social media policy. If anyone has health care infographics with a UK, EU, developing nations focus please get in touch.

Thanks to Ray Lau, Graphic Designer for approaching me regards this.

Informatics vs. Clinical engagement: the general and the specific

If there are two aspects to life that both allow us to get on, but also trip us up it is the marvellous ability we have to generalise and also be specific. As ever context rules.

In mental health and cognitive therapy in particular people affected by anxiety or depression (sometimes both) have over time adopted negative attitudes and beliefs about themselves, others and the future. These assumptions are gross not only in their impact and ability to disable, but their generality. They may take root and grow from specific interpersonal experiences, it is surprising though this conversion from small instances and how much store is placed upon generalities.

Cognitive therapy in part involves getting to the specifics - the core beliefs. Then with some effort positive and adaptive change can happen.

All statements and declarations of intent in Health IcT must begin somewhere. Policy and government funding is a key driver, as is the existence of corporations ready to respond. In our daily lives there is a natural market by virtue of the beliefs, thoughts and behaviours that are framed by our selves, others, and the future.

In health IcT there are two distinct markets - the inevitable consequence of the application of a technology - brought together with a definitive purpose. InformationWeek Healthcare features the following post by Marianne Kolbasuk McGee:

EHR Adopters: Confident, Or Cocky?

This begins -

Healthcare providers are doing whatever it takes to deploy electronic health record systems and all the related technology they'll need to qualify for a share of the $27 billion in U.S. federal stimulus funds set aside to encourage investment in health IT. Their top priorities this year all relate in some way to the government's financial incentive program, including meeting regulatory requirements, managing digital patient data, improving care, reducing costs, and increasing efficiencies.

In health IcT good project management can and does assist. As per the post having a reference point that dictates access to finance through certified EHR systems is a vital check. Providers and the market must recognise the emergent properties and tendencies that prevail, not least the supply of informatics savvy nurses and other clinicians. I notice on HiMSS the question -

Do you think the federal healthcare IT training programs will turn out enough truly qualified people to combat the EMR/EHR staff shortage?

What is the difference between meaningful use in general and specific cases? What is the distance from the bold text in the quote above to the dashboard specifics - the minutia? That is the art and science of informatics. Who has the core beliefs?

I'm writing this in NW England so experience and the market differ markedly; but wherever the locale  health IT's meaningful use should not solely rely on $ £ € and business consultants to drive change. Especially when "improving care" is at stake.

The big 'E' - ENGAGEMENT is always the e-lephant in the SPeC.

Meaning arises from what is often emergent. Project management is about keeping things ordered and tidy.

If the allure of the general is not to prove distracting, then we need to be prepared to get messy too. Give the tools to the clinicians.

Socio-technical perspectives are essential, that is the fuzzy, messy (HUMANISTIC) and the tidy, disciplined [MECHANISTIC] ends of h2cm need to have a combined voice.

Clinical Informatics in the North West – the start of a new era!

Thursday, 1st July 2010, 6.15pm light buffet, 7pm talk
Clinical Informatics in the North West – the start of a new era!
Speakers: Dr Andrew Coley, Dr Asad Sadiq, Mr Bibhas Roy, Dr Sydney Schneidman, Dr Rhidian Bramley, Dr Amir Hannan
Organiser: BCS Health Northern
Venue: Manchester Conference Centre, Sackville Street, M1 3BB

HICAT - a new approach by NHS Northwest – is this the start of a new era for Clinical Informatics in the region?

The HICAT are the Health Informatics Clinical Advisory Team at NHS North-West:

• Dr Andrew Coley is the Senior Clinical Officer.
• Dr Asad Sadiq is a consultant psychiatrist and Mental Health IT lead.
• Mr Bibhas Roy is an orthopaedic surgeon and Secondary Care IT lead.
• Dr Schneidman is an A&E consultant and Lorenzo clinical IT lead.
• Dr Bramley is a consultant radiologist and Diagnostics IT lead.
• Dr Hannan is a GP and the Primary Care IT lead.

We will describe the HICAT Mission Statement and the principles used to help deliver the next generation healthcare using IT to help deliver care. We will describe what we are doing for Clinical Informatics across the board in the North West and what impact we expect from the initiatives and efforts to have on clinical practice in the region, both short term and long. We will explain how our work will benefit patients. The speakers will be happy to discuss our plans and expectations with a knowledgeable audience and to take note of helpful feedback.

This talk should appeal to all with an interest in the use of Informatics by clinicians and the impact that can have on the quality and safety of patient care and the efficiency of services provided through the NHS.

...

If you have any queries on anything BCS related then please do not hesitate to contact me. Also, if you know of any IT events that would be of interest to fellow members, then please let me know.

Regards,
Andrew Mohan,
Chairman,
BCS Manchester Branch
The Branch's website has details on all of its events and links to the other BCS groups that operate in the Greater Manchester area.

http://twitter.com/bcsmanchester

NHS data breaches: the 'cogeography' of who and where?

Computing this past week featured an item (extract below with link) -

Five more NHS trusts involved in serious data breaches
Written by Tom Young
Computing, 17 Jul 2009

Privacy watchdog the Information Commissioner's Office (ICO) has found five more NHS organisations in breach of the Data Protection Act.
The Royal Free Hampstead NHS Trust reported the loss of an unencrypted CD initially thought to contain medical treatment details of 20,000 patients from the hospital’s cardiology department.
Chelsea and Westminster Hospital Foundation Trust reported the theft of an unencrypted memory stick containing 143 patient details including sensitive medical information.
And Epsom and St Helier University Hospital NHS Foundation Trust has been storing hospital records insecurely for nearly two years following data being transferred between hospitals. ...

Straight away reading this I thought of my previous post about cogeography and commented accordingly (which registered twice - oops!). In light of the previous post here's that comment with some additions....
Such events merely (without trivializing) highlight the human capacity to ERR big(gish) time. Is it not possible for tech to help? If info systems through to mobile devices had a sense of where they are and their status as carrying sensitive data recognised through digital IDs - plus additional meta-dynamic data, then 'cogeographic awareness' might result?

I blogged about this with ref to conceptual spaces.

This would be an artificial example and would make it possible for data previously designated as confidential, sensitive, - HOT data if you will - to self-destruct, 'e-vaporate' if it found itself beyond a given combined virtual or physical environment be that hospital, Trust boundary, SHA, or National border...? This capability already exists no doubt in the security services (although sometimes you wonder) or as suggested in the realms of 'MI' and '007'.

Cogeographic or (cogneographic) may be a neologism and seeks to conjoin the cognitive (cognition) involved in defining, representing and using concepts in conceptual spaces; AND the finding that knowledge is invariably situated - that is knowledge has a geography.

Copies of NHS and social care
data could - should - MUST
have a geography too...?

Another comment rightly questioned the ability to put personal data on
CDs and other media in the first place. Amid the emergence
of renewed debate about the future of e-health
records, clinicians may have a professional
duty to demand cogeographic
properties no
less ...?

Image source: http://www.tapintoquality.com/facts/glossary-d.html

Happy Anniversary 20th July!

Political shortsightedness and the power of nuclear weapons

The political expense debacle for ALL the main political parties* here in the UK and the consequences have numerously been described as 'fall-out'.

Although the lasting image is one of MPs staring into the headlights, there are many politicians who must be quietly pleased. When you listen to the leaders explain how the mess will be fixed, they appear to treat the expenses shinannighans as the problem that demands political reform. Once expenses are transparent and the public reassured then the problem is resolved and democracy will be strengthened.

As the political domain links at Hodges' model has attested for many years (and this resource merely scratches a personal political itch) politics covers rather more than 'expenses' and their governance. Long term calls for reform have included aspects of government and democracy beyond the clamour over the voting system. There is a need for global political reform and if this needs to start at a national level from the 'bottom' (literally in this case) -up then so be it. Ideally though political reform must happen in several quarters simultaneously. That is, socially, nationally and reform of the UN. This is happening and through the activism of various World Citizenry - Global Parliament initiatives that exist.

A meeting of minds is not enough: there is a need for a meeting of global consciousness. On a more mundane level - for Westminster the politicians and voters must wake up and grasp the opportunity for wider political reform.

A nuclear blast gives rise to much more than expense laden fall-out.

What about:

• Overpressure
• Electromagnetic pulse
• ....?

Just like clean-up and decommissioning in the nuclear industry, reform and cleaning up the bloat and detritus of political institutions is complex, labour intensive, time consuming, scary for some. Oh yes, and probably expensive too....

*And a shot across the bows for all the others!