Rather than hijacking the Nursing / Midwifery informatics topic, I thought that it might be better to start a new one based on this comment:
We do have a lot of silos in our clinical informatics lives, and here at the online community level they are causing us problems.
The key issues that I see are that:
our attentions are divided
our efforts are diluted
our email inboxes are out of control
We have an opportunity to break down these silo walls over the next year whilst preserving our need for smaller group private collaboration. It would mean that we can pool admin resources and make the whole thing more manageable.
There would be a lot of work involved in connecting things up, and it would likely meet resistance from various quarters. It is not a task to take on lightly.
How high a priority do you think that we should give to this?
Hi @NathanK. Youâre absolutely right in your observation. AndâŚI think that the âsilo problemâ is bigger than our community. Itâs something that bothers all of us (Iâm assuming this to be correct) in our jobs and our experiences as consumers. Iâve also seen that healthcare professionals all over are keen to address this âsilo problemâ.
It might be helpful first to find out more about the phenomenon and ask everyone what they want to do about it, form a plan from their perspective, and start acting on the plan.
So I guess the fact that the ministry has got some traction with treasury around the Hira project business case will give us some hope for a more connected future. In the interim HealthOne is looking to seeing just how hard it would be to establish a list of âstuff about meâ (AKA problem list, classifications, etc) using a âWIKIâ style list that hospital and GP could use from within their respective âPMSâsâ in a federated manor . If we can do that then the âholy grailâ of a single list of medicines could possibly follow.
@NathanK, I agree that we have clinical siloâs but I believe that we should be careful about what we mean here. Different clinical groups have different skill sets and purpose within healthcare. So they need information presented in different ways and may access information in different settings on different devices. User design is extremely important and requires specific groups to represent those needs in user led design. This is exactly the same for consumers. The problem is still availability of network, interoperability of systems , standardisation and visibility of data. Theses issues create system silos and exacerbates existing clinical silos. Understanding the whole of NZ health informatics as an eco system is extremely important in unravelling all of this.
Yup, that is why I popped it in here. I have lots of my own thoughts and ideas for all four of those elements, but would like to hear what others think.
Apologies to you three - I obviously wasnât clear. I was referring to silos between online informatics communities, for example CiLN, HFNZ, the various Yammer forums, various email groups, pseudo-communities on LinkedIn, Twitter, and Facebook, and the like.
While these mirror to some extent the awful siloâing that we see in clinical practice between disciplines and organisations, we have an opportunity to show everyone how it is done. Since we are clinical informatics experts and all!
Thanks for clarifying @NathanK. Agree this is a problem. I think it comes back to, what are we trying to do? Awareness of the ecosystem would be a great place to start. Like, what are our use cases in PHO land vs hospital?
I like your idea of exploring some use cases @melete. I think we spend a lot of time moaning about silos and not really doing anything about them. If we have some use cases to help us tease out the issues and whatâs in our power to act on, we might make a step or two in the right direction. We could use the Clinical Informatics Position Statement as a platform for developing the use cases.
Anyone else with some thoughts on a way forward with this?
As an HFNZ enthuisist . . . this seems a good solution Surely, just as tedious to learn how to use as Teams?!?!!
Itâs just Teams has paid people who walk people thru how to use it!! I think, though, as we have more and more Teams accounts itâs soon going to be complicated . . . at least it is for me already: personal Microsoft account, Uni account, DHB account . . . my laptop doesnât seem to be coping with all these Team accounts Already wasted too much time trying to resolve . . .
Could be next âposition statementâ?? Do we try to get consensus within CiLN about what we think is best option?? Maybe, start with listing all the places we are having to scan to keep track of the latest informatics-related work we are in??
For me, itâs HFNZ, here (digitalhealth.net - CiLN), Teams (University, DHB), Email, Yammer (sort of, though havenât been on for ages . . . was where MOH nHIP was going initially).
Iâm not sure if Teams can really be included as it is a small group collaboration tool rather than community management software - but there is a degree of overlap in the large group (10-100) area. This is true for Slack and even WhatsApp as well.
At least I can report that Microsoft Teams is working on a solution to this particular problem:
Surely, just as tedious to learn how to use as Teams?!?!!
Already wasted too much time trying to resolve . . .