Training Approaches in Secondary Care

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Training Approaches in Secondary Care

• Jo Oakes
• Training Consultant
• NHS CFH Data Standards Products

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What we will cover?

• Who needs training?
• Why do we need training?
• What training is available?
• When is it going to happen?

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Who needs training?
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SNOMED CTTraining Knowledge Model
IT Managers Doctors Clinical
Admin Pharmacists Nurses Allied Health
Professionals End Users indirectly using SNOMED
CT through clinical applications
Information Analysts Clinical
Coders/Auditors Information Managers Health
Record Managers Clinical Research
Groups Managers of Clinical Databases Using
information drawn from SNOMED CT for analysis
System Designers Cluster Analysts Subset
Developers Technical Architects Best Practice
Groups Domain Clinical Experts Designers
influencing changes to SNOMED CT
Terminology Developers Changing / adding Content
to SNOMED CT
Training Responsibility
CfH Tech Office
Experts
Designers/Builders
Trust Trainers
Power Users
End Users of IT applications
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Why do we need training?

• SNOMED CT is here to stay
• Incorporated into all applications
• Using a structured terminology is different to
  using free text on paper
• Coupled with fundamental changes in working
  practice in the acute setting

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SNOMED CT is here to stay!

• SNOMED CT is the nationally recognised clinical
  terminology for use within electronic records
• Increasing use internationally

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SNOMED CT in applications

• There is a vision that one day the end user will
  be able to use freetext to enter information into
  the record much as he or she would on paper
  records. The system will recognise local
  vernacular and match to the most appropriate
  concepts. We are not quite there yet!
• The systems currently being deployed will
  increase in sophistication. At present we have
• Pick lists
• Restricted fields for completion
• Check boxes
• Different search capabilities

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Using a structured terminology is different

• SNOMED CT is the nationally recognised clinical
  terminology for use within electronic records
• It is more than a vast dictionary
• Its complex structure contains the capacity to
  create a congruent language within and across
  electronic records
• A Language is more than just a collection of
  words
• A Language consists of structured rules or
  grammar that when applied allow the words to
  convey specific meanings

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Fundamental changes in working practice

• Changes in the workflow patterns
• Real time recording
• Mobile technology

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What training is available?

• Currently available
• Short term
• Long term

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Training currently available

• Workshops
• Seminars
• Training Courses
• Online courses
• Reading material
• E-learning material

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Short term

• Train the NHS Trainers
• Develop further e-learning modules
• Role based
• System specific
• Trust mandatory packages?

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Long term

• Training materials will continue to develop as
  systems evolve and progress
• It is anticipated that content on understanding
  the use of clinical terminology within an
  electronic record will be incorporated into
  relevant academic curricula.
• Clinical and non-clinical students within health
  and social care will then enter the workplace
  with a conceptual understanding of why we use a
  clinical terminology and more importantly how
  it works

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When is it going to happen?

• Currently
• E-learning module available in London and
  Southern cluster (Doctors.net)
• Southern Cluster have run several successful ETD
  events incorporating SNOMED CT into the day
• NHS Train the Trainers planned in the Southern
  Cluster

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How do you find out more?

• Training Consultant Jo Oakes
• Jo.Oakes_at_nhs.net
• SNOMED CT in electronic Records Programme
• SSERP_at_nhs.net
• www.snomed.org
• www.connectingforhealth.nhs.uk/terminology/snomed

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Any questions?