Improving the sharing of NICE content via syndication: what the future could hold Andrew Fenton CIO NICE 20 March 2014

Distribution strategy - yesterday Print (Phased out during 2011/12) Web Mobile Broadcast - a push approach One size fits all

Dissemination strategy – today Syndication Enablers Information standards Interoperability standards Technical standards Technical Services NICE Digital authoring /publishing Syndication with multiple third party products and services NICE mobile & web Push-pull approach Well defined and targeted users/ audiences

User centric Unified customer and brand experience across NICE products Information specialist I need to know when theres a new study available for diabetes in pregnancy Guidance author/editor I need to quickly update a part of the guidance on hypertension in pregnancy I need to put together a costing framework for my setting Im looking for the latest drug that NICE recommends to treat hypertension I need to be central to the decision- making process around my healthcare CommissionerHealth and social care professional Quality standards Journals and databases NICE Pathways NICE Guidance Prescribing information NHS Evidence BNFMedicines information …and channels Patient, carer, service user

Digital strategy Customer/ user centric focus Multi-channel Investment in enabling technologies and service architecture Investment in underpinning evidence resource management and guidance development/ production

Syndication strategy – tomorrow Syndication Enablers Information standards Interoperability standards Technical standards Understanding real-world audience needs Optimising NICE content structure, syntax and metadata to best meet audience needs

Themes... for improving interoperability and integration across services within health – primary care – secondary care – community services etc across domains – NHS, local government, social care, public health, voluntary sector Identity management Information standards – data and formats/ protocols Common terminology and definitions Open architecture and APIs Customer focus Identity management Information standards – data and formats/ protocols Common terminology and definitions Open architecture and APIs Customer focus

Demand = Opportunity?

Opportunity = Benefits?

Culture

What work is NICE doing to improve dissemination? NICE Medicines Formulary (BNF) – digital product and content re-design Guidance development (review of end-end guidance process and product design) Reviewing content structure, syntax and semantic syntax strategy – linking to existing ontology and taxonomy development – spiking approaches for SNOWMED CT classification

Design principle - ensuring interoperability & integration from inception Context 1 eg NICE website I only need to edit this text in one place – and publish once for multiple use cases and channels Alcohol-use disorders - preventing the development of hazardous and harmful drinking During this appraisal the regulatory health authorities have conducted reviews into the safety of erythropoietin analogues. This guidance was produced taking the conclusions of those reviews into consideration. * Item 1 * Item 2 [+ ADD] Alcohol-use disorders - preventing the development of hazardous and harmful drinking During this appraisal the regulatory health authorities have conducted reviews into the safety of erythropoietin analogues. This guidance was produced taking the conclusions of those reviews into consideration. * Item 1 * Item 2 [+ ADD] Context 3 eg Decsiion Support Context 2 eg Pathways

System-wide opportunities - example 1. Ontology Development 2. Auto- classification system 3. Advanced Resource Management System 4. Search capability 5. Syndication API NICE Information Management & Technology 1. Strategic investment across health and care to develop and implement wider Information Standards and architecture e.g. Content schemas and classification 2. Exploring programmatic classification of (e.g.) Snowmed CT 3. Federate resource management responsibility across the system using standard tools 4. Consider a syndicated indexing and search service across NHS, Public health and social care digital services 5. Integrate (syndicate) NICE guidance and content into decision support, data collections to enhance/ leverage research and analysis

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