Evidence Based Contents Service

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Evidence Based Contents Service

• Dee Hackett
• EBCS Clinical and Process Lead

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Care pathways definition

• An Integrated Care Pathway determines agreed,
  multidisciplinary practice based on guidelines
  and evidence where available, for a specific
  patient/client group. It forms all or part of
  the clinical record, documents the care given and
  facilitates the evaluation of outcomes for
  continuous quality improvement. 1
• 1 Riley, K (1998) NPA Newsletter Spring pp2

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Evidence Based Contents Service(EBCS)

• Aims of the EBCS.
• How will EBCS work?
• What will the EBCS deliver?
• Which care pathways to be developed?
• What is the governance structure?
• Who has been involved?
• Progress so far
• Can you get involved?

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Aims of the Evidence Based Contents Service

• To gather together clinical knowledge and
  organisational processes to develop care pathways
  .
• To translate developed care pathways for Local
  Service Providers (LSPs) to deliver within the
  Care Record System (CRS) clinical applications.

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Specialist Libraries
NICE etc.
Procured external sources
CPTRS
Map of Medicine
Rules and Tools
National clinical toolbox
Better Prescribing
The constant patient
Nursing Toolbox
Risk Minimisation
The busy clinician
DOAS Projects
National library of guidelines
SNOMED Implementation
Clinical professional development
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What will the Evidence Based Contents Service
deliver?

• A collation of all evidenced based knowledge from
  the current and future CfH Knowledge Process
  Safety projects.
• National evidenced based care pathways from
  collated evidence.
• An evaluated and validated care pathways using
  the integrated care pathways appraisal tool.
  (ICPAT)
• Translated evidence based care pathways into
  SNOMED and data entry items.
• Published and delivered care pathways to LSPs
  and LHC through the care pathways specialist
  library.

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Which care pathways should EBCS develop?

• Initially most current commonly in use care
  pathways.
• Clinical areas identified within the ISIPs.
• Current DOAS project areas.
• Approximately 100 pathways

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Governance arrangements
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Who have we talked to?

• Technical and benefits teams NHS CfH
• National clinical leads for NHS CfH
• All LSP RIDS benefits leads
• Care Pathways Network
• Individual NHS provider organisations
• NMC
• RCN
• NLH specialist libraries
• Project managers and leads within KPS directorate
• CUI leads
• NHS direct

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Progress so far

• SOC agreed by Agency board Nov 2005
• EBCS OBC agreed by EBCS project board in March
  2006
• EBCS OBC to agency board March 2006
• If agreed EBCS commence April 2006.

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Can you get involved?

• NLH specialist library for care pathways.
  www.nlh_at_nhs.uk
• If you wish to join care pathways network.
  dee.hackett_at_cfh.nhs.uk
• If you wish to contact EBCS team ebcs_at_cfh.nhs.uk
• Any more information about NHS CfH www.cfh_at_nhs.uk

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Workshop.

• Working in small groups identify different
  aspects of implementing electronic care pathways.
• 10 minutes discussion for each question.
• 5 minutes feedback per table.
• Need to have a scribe in each group and someone
  to feedback

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Question one?

• Identify at least four benefits of having
  electronic care pathways for you, your patients,
  clients or users and your organisation.

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Question two

• Identify at least four issues and prioritise that
  may arise from implementing electronic care
  pathways to you, your patients clients or users
  and your organisation

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Question three

• Identify at least four risks and prioritise of
  implementing electronic care pathways to you,
  your patients, clients or users and your
  organisations.

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Question four

• What are the four key ways in which I can help
  NHS CfH in implementing electronic care pathways?