WHICTS County ICT Programme Board

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W055 Map of Medicine (Diabetes Care
Pathway) Early Adopter Pilot Project Key Points
Notes (15th May 08) Debbie Westwood Programme
Lead Clinical Development Worcestershire
PCT 01905 733695 Debbie.westwood_at_nhs.net (W055_m
om_presentation_v01.ppt)
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Content

• Background to Proposal
• MoM - Reminder
• Proposal - Scope
• Project Brief
• Decisions Required
• Other Information

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Background to Proposal

• Proposal developed to pilot MoM in support of
  diabetes care pathway
• Agreed CPEC (11th Mar 08) DCPG (20th Mar 08).
• Submitted 25th Mar 08 - Accepted 11th Apr 08.
• A service project with ICT support.
• Overall aims within proposal
• Assess how MoM can support care pathway
  development and use.
• Test how localised MoM can be.
• Develop a framework that other care pathways can
  use without having to learn lessons all over
  again.

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MoM - Reminder

• Web based visual representation of evidence based
  patient care journeys
• Covers 28 medical specialities 390 pathways.
• Links to NeLH, articles, images, advice and
  guidance.
• Can be localised with additional detail by
  certain users.
• On its own just a tool, but can assist with..
• Education.
• Supporting clinician information needs.
• Reviewing local models of care for consistency.
• Mapping business processes to care pathways.

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• Localisable benchmark for clinical processes

• Framework for sharing clinical knowledge across
  care settings

• Evidence based care pathways available in any
  setting

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LOCALISATION PROCESS
Once approved, will be published on the Map of
Medicine and viewable to all users
Plan the localisation activity - Who? - What? -
When? - How? - Why?
Work in appropriate groups to agree the local
pathway to be included on the Map Administrated
by User Manager
Pathway updated in MoMSuite Viewable to groups
doing localisation work
Pathway reviewed by clinical group Required
changes made Approval of pathway
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Proposal Scope

• Covers Diabetes Care Pathway.
• Create local framework for other pathways.
• Establish user roles access types
• Edit / Review / Approve / View etc. (more later)
• Distribution of necessary guidance / support.
• Agree training regimen.
• Develop Diabetes pathways using MoM - test
• whether incremental development possible / easy.
• Localisation methods incl. local policies
  agreements.
• Develop KPIs and baseline of information.

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Proposal Scope

• Integration with knowledge management
• Ongoing educational aspect.
• Communicating (new) availability to existing /
  new staff.
• Ensure service ownership of Map of Medicine
• Not ICT tool just ICT enabled.
• Embed into ongoing service management debate.
• Enable showcasing of Map of Medicine
• Sell what lessons we have learnt expertise
  gained.
• Production of lessons Learnt
• To assist other internal / external colleagues.

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Proposal Scope

• Proposal for mainstreaming into service
• Framework of policies procedures (incl. access
  security) for other pathways to be developed
  without need for new projects.
• Ensure ongoing communication in place
• New local practice via MoM advertised.
• New national MoM developments known.
• Method for new and refresher training.
• Benefits realisation report produced
• Report against immediate products produced.
• Develop publish lessons learnt of short term
  findings.
• Place date in diary for future benefits
  assessment.

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Proposal Scope (Some Exclusions)

• Just Diabetes at this stage.
• Covers just PCT Acute Trusts?
• Theoretically NOT Ambulance, BUT agreement gained
  to include Ambulance specifically Emergency
  Care Practitioners (ECPs).
• Does not link to clinical systems (yet)
• e.g. Diabetic Retinopathy.
• Interfacing / invoking is another, later project.

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Project Brief to be created

• Designed to get everyone up to speed with same
  information (the what of the project).
• Approach developed and refined in tandem.
• Extension of Proposal to include
• Organisational structures.
• More detail on products to be produced.
• Tentative schedule please remember this is a
  pilot
• Each stage new piece of work requiring its own
  assessment of what is required, how achieved
  likely time to deliver.
• We are all under resource pressure, so will be
  looking to see how MoM can be deployed alongside
  existing pathway work.
• Consider initial communications risks.

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Project Brief (contd)

• Allows for decisions made in this meeting to be
  incorporated into Brief.
• Requires sign off by Board i.e. YOU
• When Brief agreed, it is further refined into a
  Project Initiation Document (PID) signed off
  when conditions are in place to start project
• Control docs progress reports, issue / risk
  logs, test scripts, sign off conditions, lessons
  learnt etc.
• Policy docs comms strategy / management of
  risk, business continuity, transitional
  arrangements etc.
• More detailed stage planning

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Immediate Actions / Decisions

• Still agree with Scope Proposal?
• Any significant concerns to be dealt with?
• Project Organisational Governance
• Executive Sponsor Paul Bates
• Project Board Diabetes Care Pathway Group
• Project Executive Dawn Edwards
• Senior Users remainder of DCPG
• Senior Supplier Ian McGregor (Dep Dir ICT
  Services)
• Project Manager Debbie Westwood.
• Knowledge Managt Lead Margaret Rowley
• Team Manager Denise Hewitt (ICT Proj. Man.)
• Other Supporting ICT Depts.

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Immediate Actions / Decisions (contd)

• Operational Governance (MoM Roles)
• User Manager (Margaret Rowley)
• Controls ongoing access / permissions to product.
• Editors
• Clinical Content managers guided by clinicians.
  (who?)
• Non Clinical admin changes (Margaret Rowleys
  team)
• Publishing Roles
• Reviewers formal clinical review of content
• Can initially be group then named clinician for
  review sign off (deputy chair of DCPG?)
• Approver final sign off
• Individual clinician. Chair of DCPG?

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Immediate Actions / Decisions (contd)

• Communications Launch date
• Initial awareness of work and invitation to be
  involved.
• Later selling of product.
• Organisation List for MoM Nat Team
• Worcestershire PCT.
• Worcestershire Acute Hospitals NHS Trust.
• West Midlands Ambulance Service.
• General Practices tbc. If so then other primary
  care contractors?
• For completeness possibly Mental Health Pship?

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Immediate Actions / Decisions (contd)

• Local View Name
• Not the project name
• Long name Worcestershire Short name Worcs

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Some Extra Things to Note

• MoM Roles (Training)
• Executive Sponsor Initial meeting
• User Manager (3 days)
• Editors (2 days)
• Reviewer (1/2 day)
• Approver (1/2 day)
• Local Trainers for training End Users tbc
• End Users - tbc