1. Delivering Knowledge for Health Knowledge Management: Supporting eHealth Strategy and Practice SCIMP Conference 6-7 November 2007 Dr Ann Wales Programme Director for Knowledge Management ann.wales@nes.scot.nhs.uk

2. Delivering Knowledge for Health Overview 1. What is Knowledge Management? 2. Why does it matter to eHealth? 3. How is it supported? Practical resources and tools: E-Library Shared Space Information Literacy Skills Strategic planning

3. Delivering Knowledge for Health What is knowledge management?

4. Delivering Knowledge for Health Winston Churchill ‘If you have knowledge, let others light their candles with it’

5. Delivering Knowledge for Health Knowledge…. “The facts, feelings or experiences known by a person or a group of people”. - Collins English Dictionary

6. Delivering Knowledge for Health Knowledge and Information “Knowledge has a different quality to information. Knowledge includes human experience and the ability to make complex judgments based on past experience. Information is more about mere data whereas knowledge is 'potential for action'." - Government of Australia, Information Management Office, Administrative Review Council

7. Delivering Knowledge for Health Knowledge, Information and Technology Information and data are embedded in computers Knowledge is embedded in people. "Information generated by a computer is not a very rich carrier of human interpretation for potential action……Computers are merely tools, however great their information-processing capabilities may be.“ - Yogesh Malhotra, quoted by Institute of Internal Auditors

8. Delivering Knowledge for Health Knowledge management The way an organisation can leverage the knowledge of its employees, partners and outside experts to support the business objectives of the organisation. Ackerman et al, 2003 The cultivation of an environment within which people are willing to share, learn and collaborate together leading to improvement. Care Services Improvement Programme, 2006

9. Delivering Knowledge for Health Keynotes of knowledge management People ~ Sharing ~Action ~ Technology as tool An organisation’s most valuable resource is the knowledge of its people.

10. Delivering Knowledge for Health Knowledge Management and eHealth “eHealth is about managing knowledge for the health service in order to deliver benefits to patient care.” “eHealth depends upon knowledge management: Communication of information – between professionals and between professionals and patients. Managing information to track the patient journey. Decision-making based on knowledge and evidence, involving professionals and patients in the decision- making process.” - Extracts from interviews to support development of National Strategy for Knowledge Management.

11. Delivering Knowledge for Health Supporting Knowledge Management Practical systems, tools and skills

12. Delivering Knowledge for Health Supporting Knowledge Management 1. Human networks (Managed Knowledge Networks and Communities): Human relations, conversation and eliciting tacit knowledge. 2. Technology networks Using technology tools to organise and share knowledge.

13. Delivering Knowledge for Health Managed Knowledge Networks (MKN’s) Networks of people Networks of practice Comprise multiple communities Access, share, evaluate, apply knowledge in common area of endeavour. Bring together explicit (published) and tacit (personal) knowledge. Transform knowledge into practice Drive innovation and culture change

14. Delivering Knowledge for Health Examples MKN’s  Cancer  Coronary Heart Disease  Mental Health  Stroke  Diabetes  Healthcare Associated Infections  Equality in Care  Information Governance  Remote and Rural Care  NMAHP eHealth Communities(c150)  Care Pathway and Guideline Groups  Oncology Pharmacists  Heart Failure Nurses  Community Mental Health Teams  Stroke Nurses Forum  Infection Control Managers  Community Health Partnership Managers  Community Hospitals and Intermediate Care Group  Patient / Public Involvement Groups  NMAHP eHealth Leads

15. Delivering Knowledge for Health Practical Support for MKN’s Resources and Tools: NHS Scotland e-Library Specialist e-Libraries Shared Space Social networking technologies

16. Delivering Knowledge for Health www.elib.scot.nhs.uk

17. Delivering Knowledge for Health E-Library as Technology Network Access across boundaries Disciplines Sectors Organisations Clinical / Non-clinical Professional/ Patient Published knowledge base 5000 journals 5000 eBooks Over 70 bibliographic databases Tens of thousands of evaluated guidelines, patient information, websites, etc. Keeping up to Date Training and Development Personalisation

18. Delivering Knowledge for Health Special e-Libraries www.elib.scot.nhs.uk

19. Delivering Knowledge for Health

20. Shared Space Collaborative workspace Virtual Learning Environment Community website Supports Knowledge Networks Facilitates sharing of resources and experience. Supports health and social care staff, patients and public, in working and learning together.

21. Delivering Knowledge for Health Menu of options always available – display depends on your role Resources – new -full list -search Discussions Contacts -browse -search Events and courses News Navigation Go back to e-Library

22. Delivering Knowledge for Health New Social Networking Technologies Implemented in NMAHP eHealth Portal “Tagging” people and resources My e-Library

23. Delivering Knowledge for Health New Features

24. Delivering Knowledge for Health

29. Find People

30. Delivering Knowledge for Health Enabling knowledge management Information Literacy Skills

31. Delivering Knowledge for Health Information Literacy “Information Literacy lies at the core of lifelong learning. It empowers people in all walks of life to seek, evaluate, use and create information effectively to achieve their personal, social, occupational and educational goals. It is a basic human right in a digital world and promotes social inclusion of all nations.” Alexandria Proclamation 2005

32. Delivering Knowledge for Health Information Literacy Cycle

33. Delivering Knowledge for Health Information Literacy Cycle Scottish Continence Nurses’ Specialist Advisory Group: Development of electronic templates for continence assessment

34. Delivering Knowledge for Health How can I build upon these skills? NHS Education for Scotland Knowledge Services offers a suite of online information literacy tutorials www.infoskills.scot.nhs.uk

35. Delivering Knowledge for Health Looking to the Future: Strategic Planning for Knowledge Management in NHSScotland

36. Delivering Knowledge for Health Terms of Reference Scottish Executive Commissioning Brief Coordinated National Strategy for Knowledge Services Integral part of eHealth Strategy Vision: “Knowledge support articulating with all stages of the patient journey.” Delivery: “Manage knowledge in a coherent, integrated way across boundaries of organisation and sector, in order to support integrated and continuous delivery of care.”

37. Delivering Knowledge for Health National Health Knowledge Network (NHKN) Networked Cross-boundary Technology Knowledge culture - skills and values Empowering Common vision and guiding principles Resources, systems and tools –to support self-directed action plans at local level.

38. Delivering Knowledge for Health Vision Patients, carers and professionals using knowledge to work and learn together. All partners connected by equal access to knowledge tailored to their needs. Support to develop skills and shared understanding. Knowledge management as an integral part of practice Bring together people, technology and knowledge services to work and learn together in a coordinated way across providers and healthcare settings.

39. Delivering Knowledge for Health Delivery vehicles Health Information Online –Clinical Decision Support National Helpline Network Network of Health Information Outreach and Support Services

40. Delivering Knowledge for Health Enabling infrastructure Culture – information literacy skills and values Governance and leadership Partnership Technology

41. Delivering Knowledge for Health Next steps November 2007- January 2008 Hope to consult on draft strategy / discussion framework

42. Delivering Knowledge for Health Summing up Knowledge management enables people to deliver eHealth Putting it into practice today: NHS Scotland e-Library Collaborative tools – Shared Space, Tagging, My e-Library Information literacy Evolving strategy for knowledge management Technology ~ People ~ Skills

43. Delivering Knowledge for Health The final word on knowledge management…. “A way of working …… a way of being” - Interviewee for NHSScotland Knowledge Services Strategy

44. Delivering Knowledge for Health Knowledge Management: Supporting eHealth Strategy and Practice SCIMP Conference 6-7 November 2007 Dr Ann Wales Programme Director for Knowledge Management ann.wales@nes.scot.nhs.uk