Informatics for quality
Technology is transforming delivery of care, and patient and professional relationships/ communication. This page ‘signposts’ informatics information and guidance available to healthcare professionals and outlines the work of the College’s Informatics for Quality Committee.
On this page:
- What is informatics?
- Guidance on informatics for quality
- Informatics tools
- Informatics for Quality Committee
- Working with the patient: for example consultations, surgical procedures, making an appointment.
- Recording the patient contact: this includes making record entries (demographic as well as clinical) and communications with colleagues about the patient.
- Reflection and learning: this includes personal learning, audit, research and use of information for service development, quality monitoring and planning. [ref]
These examples of everyday actions highlight the importance of informatics in the delivery of high quality, accurate and timely care to patients. The challenge for paediatricians is to engage in the informatics agenda and embrace the ‘information revolution’.
The RCPCH is dedicated to developing quality indicators to ensure that data collection, reporting systems, healthcare records and access reflect the needs of children.
Safeguarding children and improving their care in the UK
Thisrecently published in the Lancet emphasises the need for a consistent identifier to be used to share information between agencies for children in the same way as for adults.
Information Sharing Matters
Developed by the Royal College of Paediatrics and Child Health (RCPCH) and 4 Children, the ‘Information Sharing Matters' programme aims to improve knowledge, skills and understanding of the benefits of effectively sharing information between families and a range of professionals including paediatricians, health visitors, GPs, Therapists, child minders and pre-school and nursery teachers.
Output and information requirements specifications for the Child Health information service and systems - Public Health England
This document is an update of the Information Requirements Specification (IRS) and the Output Based Specification (OBS) for Child Health Information Systems that was published as two documents in 2012 by the Department of Health. It is intended to support the commissioning and delivery of services to help meet requirements within the Child Health Information System - NHS Service Specification Section 28.
(PDF, 2820KB, 178 pages)
CYPHOF - Information Sharing Theme Group
The Children and Young People’s Health Outcomes Forum (CYPHOF) annual report reviews progress on improving health outcomes for children and young people. The Forum’s second Annual Report looks at the Forum’s impact since it was established in January 2012, and looks ahead to what the Forum thinks the next Government should do to improve children and young people’s health outcomes.
(PDF, 390KB, 6 pages)
A free, invaluable resource for College members - the ‘Paediatrician’s Handbook’ brings together an enormous amount of information, guidance and advice on many important issues that govern a paediatrician’s working life. The handbook will empower paediatricians to improve working practices to raise the standard of paediatric medical care and to promote high quality, effective and efficient health services for children and young people.
(PDF, 190KB, 10 Pages)
A Vision for CCIOs and 12 Point Plan
Chief Clinical Information Officers (CCIOs) were established in response to the National Programme for I.T’s failure to be clinician-led. The CCIO network aims to be the driving force of IT development, informed by the interests and preferences of patients, reinforcing that the main aim of health informatics is to improve patient care. Following the Francis Inquiry and a renewed appreciation for quality regulation, thebased on regulation, commissioning, incentives, quality reporting as well as education and training.
Maternity and Children's Data Set - national approval
The Maternity and Children's Data Set has now been approved for implementation across all relevant NHS settings, with data collection planned to commence April 2013. A key driver to achieving better outcomes of care for mothers, babies and children, providers of maternity, child health and CAMHS services will need to take steps to comply with this standard.
Visit Health and Social Care information Centre for more information.
ChiMat: new tools and reports
The National Child and Maternal Health Observatory (ChiMat) has developed a number of new tools and reports to make it easier to access data for your local area:
- Outcome versus Expenditure Tool – Child Health allows you to pinpoint opportunities to improve the quality of outcomes and productivity for services in your local area by comparing expenditure within a fixed area with service performance in terms of health and wellbeing outcomes.
- Local Authority Child Health Profiles 2012 were published in March andprovide a snapshot of child health and well-being for each local authority in England using key health indicators, which enables comparison locally, regionally and nationally.
- Coming soon the QIPP Resource Pack – Child Health will show a range of data which will help you identify opportunities to improve the quality and value of local secondary care services for children while placing this in the context of wider issues such as child poverty.
Visit Chimat to find out more
NHS Atlas of Variation of Healthcare in Children and Young People (2012) - The 2012 Atlas examines, for the first time, variations in the quality of children's healthcare provision across geographical areas of England. The Atlas will aid clinicians, commissioners and service users to identify priority areas for improving outcome, quality and productivity.
The challenge of the information culture for the paediatrician (PDF, 164KB, 7 pages), D Low, A Spencer, 2011 -Published in the BMJ journal Archives of Disease in Childhood, this article explores the informatics agenda and the need for the paediatrician to ‘embrace the ‘Information revolution’
(PDF, 344KB, 17 pages), RCPCH, 2011 - Forming part of the RCPCH Strategy for Quality Improvement, this document provides children’s healthcare providers with guidance together with a proposed set of quality indicators for use at both local and regional level.
Discharge Summary (and Implementation Toolkit), Connecting for Health - This standardised electronic summary has been created for healthcare providers by Connecting for Health and the DH to enable the continuous care of patients once they have been discharged from hospital.
Summary Care Record - This electronic patient record system enables healthcare providers to view vital patient information regardless of the patient’s primary healthcare provider. This is currently being trialled in multiple regions across the country.
Embedding informatics in Clinical Education eICE - This e-learning project has been set up to promote and support the teaching of informatics to clinicians, including doctors, nurses, midwives and allied health professions, at both pre- and post-registration levels.
The RCPCH Informatics for Quality Committee comprises a group of paediatricians who are committed to improving the use of technology to the benefit of health professionals and, as a consequence, the patients they treat. The College is represented by these members on a significant number of national and regional committees including groups looking at the patient held record, child health systems and datasets, contact point, choose and book, and many others.
The current members of this committee are:
- Dr Andy Spencer (Chair)
- Dr David Low (Co-opted Member)
- Dr Yvonne Parks
- Dr Carol Ewing
- Dr Damian Roland
- Dr Jane WIlliams
- Dr Gabriel Whitlinghum
- Dr Helen Duncan
- Dr Karen Horridge
- Dr Raymond Nethercott
- Dr Mark Deakin
- Dr Robert Robinson
- Dr Fawzia Rahman
- Dr Tim Ferguson
If you would like to become involved in this committee’s work, or have a question for any member of the committee, please contact firstname.lastname@example.org
Below are some useful links for further paediatric informatics information:
- British Association for Community Child Health Informatics Committee
- Child and Maternity Health Observatory (ChiMat)
- Connecting for Health - this is part of the Department of Health Informatics