SCIMP AGM

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IT solutions for rural and remote Scotland
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SCIMP AGM

• There are only 10 types of people in the world.
  Those who understand binary and those who dont

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Thank you for asking me.
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Never be afraid to say what you feel
F off!
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BASTARD
BAG
BOMB
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Accepting uncertainty

• "It lacks now three minutes of the half-hour,"
  shouted the captain, as he gave me the longitude
  and the time. I admired the businesslike air of
  the Olympia but I have the feeling still that
  the captain was just a little too precise in his
  reckoning. That may be all well enough, however,
  where there is plenty of sea-room. But
  over-confidence, I believe, was the cause of the
  disaster to the liner Atlantic, and many more
  like her. The captain knew too well where he was.
  The captain was a young man, I observed, and had
  before him, I hope, a good record. Porpoises
  always prefer sailing-ships. There were no
  porpoises at all skipping along with the Olympia!

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The rural information superhighway
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Whooper swans
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How to water-ski in a paddy field?
There isnt always an electrical solution to
mechanical problems
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Look I can walk on water!
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Development of IT within healthcare systems -
aspirations
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Development of IT within healthcare systems -
aspirations

• Deliver management objectives
• Help professionals deliver better services
• Undergo proper risk/benefit analysis
• Improve patient care through measurable
  processes.
• Improve patient through measurable outcomes

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Development of IT within healthcare systems -
aspirations

• Improve patient care through measurable outcomes
• Improve patient care through measurable processes
• Undergo proper risk/benefit analysis
• Help professionals deliver better services
• Deliver management objectives

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Application of IT in clinical practice

• Information storage and retrieval
• Does it offer benefit?
• Information sharing
• With whom?
• Why?
• Risk benefit analysis.
• Research/Education/Networking
• Management
• Political

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Application of IT in clinical practice

• Information storage and retrieval
• (within a defined organisation e.g. practice)
• Generally safe
• Allows soft information
• Consent usually can be assumed
• Limited access ensures good audit trails

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Application of IT in clinical practice

• Information storage and retrieval
• GPASS/EMIS/Vision
• PACS
• Laboratory data
• Ovid/ Medline/ Embase
• BNF.org
• Evidence based sites
• Patient information

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Application of IT in clinical practiceAspirations

• Information storage and retrieval
• E-library
• Easier access to understanding
• Better lists of helpful sites
• E-mail prompts for issues of interest (like
  people who read this also read.......)
• Improved networking chats, blogs and twitters.

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Application of IT in clinical practiceCentrally
stored

• Information sharing
• SCI gateway
• ECS
• Centrally stored GP notes
• How many keys to the store?

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Application of IT in clinical practiceAspirations

• Information sharing
• Borrowing notes for t/r
• Dialogue with specialists e.g. Oncology
• Telemedicine (Thrombolysis for stroke, Trauma
  e.g. chest drains)
• Removal of geographical constraints about who
  offers clinical support

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Interventions for promoting information and
communication technologies adoption in healthcare
professionals. Cochrane Database of Systematic
Reviews. 3, 2009.

• Electronic Medical Records (including patient
  records, clinical administration systems, digital
  imaging archiving systems, e-prescribing,
  e-booking), telemedicine and telecare services
  health information networks, decision support
  tools for healthcare professionals,
  internet-based technologies and services found
  only 9 randomised controlled trials. The search
  generated a total of 47,979 references and
  selected 63 studies for detailed evaluation. The
  authors conclusion was

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Interventions for promoting information and
communication technologies adoption in healthcare
professionals. Cochrane Database of Systematic
Reviews. 3, 2009.

• Given the scarcity of available research in the
  field of ICT implementation, there is an urgent
  need to develop a knowledge base to support the
  design, implementation and evaluation of
  interventions aimed at promoting the optimal
  integration of ICT in all groups of healthcare
  professionals' practice.

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• There is hope in honest error
• None in the perfection of the mere stylist
• CR Mackintosh

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• We should take care not to make the intellect our
  god it has, of course, powerful muscles, but no
  personality. - Albert Einstein
• "When people think seriously, they think
  abstractly they conjure up simplified pictures
  of reality called concepts, theories, models,
  paradigms. Without such intellectual constructs,
  there is, William James said, only 'a bloomin'
  buzzin' confusion.Samuel Huntington

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• A wise man gets more use from his enemies than a
  fool from his friends. - Baltasar Gracian
• Where is the wisdom we have lost in knowledge?
  Where is the knowledge we have lost in
  information?      - TS Eliot, "Choruses from The
  Rock"
• The truth and the facts arent necessarily the
  same thing. Telling the truth is the object of
  all art facts are what the unimaginative have
  instead of ideas. - AA Gill, "The London Times"