Prof Michael Thick Chief Medical Officer and Chief Clinical Information Officer

Prof Michael Thick Chief Medical Officer and Chief Clinical Information Officer Prof Michael Thick Chief Medical Officer and Chief Clinical Information Officer - Start

2018-09-22 13K 13 0 0

Prof Michael Thick Chief Medical Officer and Chief Clinical Information Officer - Description

IMS MAXIMS. Wake up……the future is just leaving!. Innovation, change and survival!. Trends and pressures. Technology is advancing faster than we can implement it.. We can't afford national healthcare as we currently know it.. ID: 676086 Download Presentation

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Prof Michael Thick Chief Medical Officer and Chief Clinical Information Officer




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Presentations text content in Prof Michael Thick Chief Medical Officer and Chief Clinical Information Officer

Slide1

Prof Michael Thick

Chief Medical Officer and Chief Clinical Information Officer

IMS MAXIMS

Wake up……the future is just leaving!

Slide2

Innovation, change and survival!

Trends and pressures

Technology is advancing faster than we can implement it.

We can't afford national healthcare as we currently know it.

Current models of Management are not fit for purpose.Changing things is hard!

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Slide3

Technology

Always encounters a vested interest!

Frequently exceeds the imagination of those who have the power to implement it.

Service size and inertia is delaying the journey from Cure to Prevention.

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€1

€10

€100

€1,000

€10,000

0%

100%

Healthy,

Independent Living

Chronic

Disease Management

Doctor’s

Office

Community

Clinic

HOME CARE

Assisted Living

Skilled

Nursing Facility

RESIDENTIAL CARE

Community

Hospital

ICU

Specialist

Clinic

CLINICAL CARE

COST of CARE/DAY

QUALITY

of LIFE

Traditional

Health IT Focus

Slide5

Development of the transformation

Number of tests available

Number of people tested

PCR and Chemistry based “dipstick” methods win

Protein arrays, microfluidics & POC drive uptake

Rapid DNA Sequencing, arrays, microfluidics drive costs down

PCR, DNA Seq & bead based methods drive simplicity

Gene Expression & <50 SNP tests

Protein expression & whole genome tests

<10 SNP tests

ICT solutions drive transformation

Today

2015

2008

2006

Slide6

Characteristics of future information systems.

Empower the less skilled to do “bigger” roles

Decision Support will be the most important element

It will be “active”, and incoming data will be matched to it to make decisions

Patients

AND Carers will expect

Right data, Right information, Right place, Right time

Patient accessible (governance of content and consent)

Interoperability and mobile working

Slide7

Current models of management

Have to face situations, expectations and possibilities that are 21st Century

….is running with management models of the 20th Century

….in an organisational structure which is 19th Century

…and is highly politically sensitive and risk averse

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66% of hospitals offer inadequate care

Targets – 13% inadequate, 61% require improvement

7% of Health and Social Care Providers “Inadequate overall”

“Worryingly wide” variations in quality of care

CQC Annual Report 2015

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Command and control!

Slide13

Chaos!

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Definition of Chaos

Chaos is the science of complex, dynamic, non linear systems.

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Instead of seeing our health services as passive machines, made up of cogs and wheels, we should see it as a living, thinking organism, composed of dynamic patterns of intelligence involving everyone who is part of it.

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From Newton to Quanta

See the system as a whole, with the power to change depending on constructing relationships rather than negotiating the authority of entities.

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“only those who will risk going too far can possibly find out how far it is possible to go.

T.S. Eliot.

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Changing things is hard!

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People are very open minded about new things…..as long as they are exactly like the old ones.

Charles Kettering

.

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Towards a million change agents”

Explores concept of “social movement” as means of bringing about change.

Literature review (Bate et al)

There is a place for “heroic” leadership. BUT

Evidence favours multiple, multilevel, dispersed and networked leadership.

Slide30

Satisfaction

/Complacency

Denial

/Rejection

Anger/

Resistance

Acceptance/

Curiosity

Enthusiasm/

Hope

Commitment/

Excitement

OPPOSED ENGAGED

Communication

Priorities

Convey

urgency

Give facts

Provide

evidence

Convey big

picture

Listen

Show

concern

Restate

facts

Listen

Demonstrate

concern

Restate facts

Convey

commitment

Restate big

picture

Communicate

vision

Ask for help

Involve

Celebrate

wins

Inspire

Feedback

success

Inspire

Create

Champions

Communication & Resistance

Change - Resistance Model

Slide31

Test fast….fail fast…..adjust fast!

Tom Peters

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The iceman carried a series of tattoos to inform any “doctor” of his medical problems AND to identify relevant acupuncture treatment sites.

Patient sees doctor in 3200BC

The HRCT scan of the iceman missed the arrow head

Slide34

The Future of Health

“…..The future is already here, it’s just not evenly distributed…..”

(William Gibson)

Professor Michael Thick

Chief Medical Officer/Chief Clinical Information Officer

IMS MAXIMS

Michael.Thick@imsmaxims.com


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