Secondary Care clinical systems
This report was compiled to address a long standing question posed to the Recruitment Optimisation Support Team (ROST) concerning the potential of replicating the health informatics (HI) support given to Primary Care sites, within the setting of Secondary Care. This question has been difficult to answer without an understanding of the data landscape in Secondary Care sites, including a measure of the complexity of clinical system layout between departments, as well as the general processes used to identify potentially eligible participants for research opportunities.
This report was compiled to address a long standing question posed to the Recruitment Optimisation Support Team (ROST) concerning the potential of replicating the health informatics (HI) support given to Primary Care sites, within the setting of Secondary Care. This question has been difficult to answer without an understanding of the data landscape in Secondary Care sites, including a measure of the complexity of clinical system layout between departments, as well as the general processes used to identify potentially eligible participants for research opportunities.
The scoping activity behind this report was carried out with a view to gaining a better understanding of how Secondary Care research is delivered, including how data is utilised now and how it could be better utilised in the future to aid identifying patients potentially eligible for research opportunities.
The scoping activity behind this report was carried out with a view to gaining a better understanding of how Secondary Care research is delivered, including how data is utilised now and how it could be better utilised in the future to aid identifying patients potentially eligible for research opportunities.
This workstream was designed to meet the following objective and linked activity within the overall Progression Plan Project 11 action plan
This workstream was designed to meet the following objective and linked activity within the overall Progression Plan Project 11 action plan
Objective 10.0 Scoping of digital opportunities for future engagement emerging from the ‘Big Data Network’ group including ideas to utilise digital within a number of areas of research planning and delivery
Objective 10.0 Scoping of digital opportunities for future engagement emerging from the ‘Big Data Network’ group including ideas to utilise digital within a number of areas of research planning and delivery
Activity 10.1 Log potential areas for discussion emerging from the group meetings and over time, solidify plans to scope opportunities further
Activity 10.1 Log potential areas for discussion emerging from the group meetings and over time, solidify plans to scope opportunities further
Activity 10.2 Scoping project exploring the potential to utilise successful data driven methods of patient identification in Primary Care, within clinical systems used in Secondary Care settings
Activity 10.2 Scoping project exploring the potential to utilise successful data driven methods of patient identification in Primary Care, within clinical systems used in Secondary Care settings
This workstream produced an output that can be located within the Project 11 micro-site by following the link embedded in the image below
This workstream produced an output that can be located within the Project 11 micro-site by following the link embedded in the image below
Executive Summary
Executive Summary
This report was compiled to address a long standing question posed to the Recruitment Optimisation Support Team (ROST) concerning the potential of replicating the health informatics (HI) support given to Primary Care sites, within the setting of Secondary Care. This question has been difficult to answer without an understanding of the data landscape in Secondary Care sites, including a measure of the complexity of clinical system layout between departments, as well as the general processes used to identify potentially eligible participants for research opportunities.
This report was compiled to address a long standing question posed to the Recruitment Optimisation Support Team (ROST) concerning the potential of replicating the health informatics (HI) support given to Primary Care sites, within the setting of Secondary Care. This question has been difficult to answer without an understanding of the data landscape in Secondary Care sites, including a measure of the complexity of clinical system layout between departments, as well as the general processes used to identify potentially eligible participants for research opportunities.
Before engaging with colleagues working in Secondary Care, we identified some key considerations to focus on in terms of the parameters of what would make the development of a HI service in this setting feasible:
Before engaging with colleagues working in Secondary Care, we identified some key considerations to focus on in terms of the parameters of what would make the development of a HI service in this setting feasible:
- Is there consistency in the way information is recorded?
- Is information always recorded electronically?
- Is information recorded often in a free text format and therefore difficult to scrutinise electronically?
- Are clinical systems consistent both between departments but also between sites?
- As a result of collating this information, do we have the available skills and resources within the CRN WM team to offer this replicable HI service to another setting type?
The Secondary Care staff who participated in the investigations said they would welcome Health Informatics support from the CRN WM, and were keen to better utilise their clinical systems to facilitate research. However, there are many clinical systems in use, with no central, standardised approach to recording patient data in Secondary Care. The current landscape is too fragmented to use the same approach in Secondary Care that is currently used within Primary Care.
The Secondary Care staff who participated in the investigations said they would welcome Health Informatics support from the CRN WM, and were keen to better utilise their clinical systems to facilitate research. However, there are many clinical systems in use, with no central, standardised approach to recording patient data in Secondary Care. The current landscape is too fragmented to use the same approach in Secondary Care that is currently used within Primary Care.
Given that the findings of this report suggest that Trusts would welcome Health Informatics support from the Network, and were keen to better utilise their clinical systems to facilitate research, we feel a level of CRN WM support should be discussed, agreed and offered.
Given that the findings of this report suggest that Trusts would welcome Health Informatics support from the Network, and were keen to better utilise their clinical systems to facilitate research, we feel a level of CRN WM support should be discussed, agreed and offered.
