Value proposition and action points

Discussions
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Value proposition

Clinical informaticians add value to the health sector by; bringing technical expertise, practical
experience, engaging widely in the design and introduction of clinical systems, championing
digital literacy and providing clinical leadership.

  1. Bring expertise
    We bring the value of our clinical experience, applying a clinical lens with understanding and insights, to the data, digital (informatics) space. This can be done at both operational and strategic levels. We enable effective problem definitions and requirements, improve prioritisation and facilitate effective change management. All of these enable better patient outcomes.
  2. Communicate
    We are able to act as translators and communicators between the disparate groups that comprise an informatics team. In doing so this reduces duplication, misunderstanding and disconnected work streams.
  3. Engage with stakeholders
    A clinical background facilitates effective engagement with colleagues, improving user uptake, ownership and participation. Systems thinking provides a breadth of perspective that supports integration, consolidation and cost effectiveness.
  4. Up-skilling
    Championing digital literacy and leading the up-skilling of the health and disability workforce to support digital transformation. Nurturing and developing future clinical informaticians to provide a sustainable workforce.
  5. Clinical leadership
    As clinical informatics roles become more strategic, clinical leadership becomes an important function for successful digital transformation.

This position statement is calling for:

  1. Investment in clinical informatics roles at all levels of health organisations to support digital transformation. This includes building multi-disciplinary clinical informatics teams.
  2. Clinical informatics roles to work in partnership with a range of other roles, e.g. other healthcare professions, health service support roles, management, technical, research and patients (individuals, whānau and groups).
  3. Clinical scopes of practice that include guidance on the use of digital tools and clinical information systems.
  4. Clinical education programmes to include informatics in their curriculum. The curriculum needs to be informed by appropriately qualified and experienced academics.
  5. A career pathway that recognises and encourages professional achievement and advancement, and encourages New Zealand focused research.

These steps will lead to a clinical informatics workforce of the future will be highly professional,
credible, and capable.

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Hi all I suggest one other value proposition statement:

  1. Equity lens.

Clinicians are ideally placed to advocate for their patients and identify gaps in healthcare delivery. They are also experts in recognising and responding to inequity. This expertise is vital in ensuring that any digital developments break down inequities and do not contribute to increasing the gap.

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Value Proposition within Position Statement (Table Chair Becky George) - CiLN - 19 Nov 2019

What is the value of a clinical informatician?

  1. Bring expertise (clinical expertise)
    a. Does this need defining more? What does this mean?
    1. Consumer / Patient / Clinical interface / experience
    2. Solution focus ā€“ Link/Bridge
    3. Knowledge
    4. Strategy

  2. Communicate
    a. Empowerment
    b. Interpret
    c. Translate (empathy for everyone)
    d. Diversity / Holistic / Inclusive (MDT)
    e. Be able to speak/interpret different ā€˜languagesā€™ (health, political, education)

  3. Engage with stakeholders
    a. Network
    b. Health System wide thinking
    c. Able to manage complex relationships
    d. Mana

  4. Up-skilling
    a. Disseminate knowledge
    b. Educator ā€“ straddle the line between clinical and technology

  5. Clinical leadership
    a. Diversity / Holistic / Inclusive (MDT)
    b. Facilitate Collaboration
    c. Disruptive Leadership
    d. Lateral/Agile Thinking
    e. Change leadership
    f. Governance
    g. Build a team (real or virtual)

What is the value of a clinical informatician?

  1. Investment
    a. Create roles (CCIO on ELT)
    b. Formalise capacity ā€“ acknowledge the unnamed roles that currently exist
    c. Visibility / Transparency
    d. Securing investments

  2. Partnership
    a. CCIO Forum
    b. MOH / C-Suite / Alliance / Industry / Consumers / Funders

  3. Undergraduate Education
    a. Embed in undergrad
    b. Donā€™t forget those that enter from a post grad pathway
    c. Vocational education

  4. Workforce Upskilling

  5. Digital Maturity

  • Note for rationale - Hard gains and soft gains!
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Can I suggest we add that the clinical informatician along with experience of designing and implementing digital solutions, also brings technical knowledge and expertise to help solve the inequity and other challenges that confront the health sector in general.

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The transcript of the report back to the whole group:

Iā€™m a radiologist working at North Shore hospital. So we looked at two areas, what was the question what is a help inform addition. And then the second thing that we looked at was action points we only got sort of a little way down the action points, but what we did is we looked at sort of five sort of key areas and then we just produced a lot of thoughts and jotted down a lot of words which linked to some of these areas. So, there were five main areas that we highlighted the five main banners. First of all, bring clinical expertise. The next was communicate. Third was engaged with stakeholders. Fourth was upscaling. And the fifth was clinical leadership. Do you, so do you want me to just sort of mentioned the words that we came up with so under bring clinical expertise. Really. One of the key things that we thought was important, is the word clinical and, you know, thatā€™s the whole basis. So we understand really patient care. Itā€™s that clinical experience. Consumers another word I personally donā€™t like that word but. And then we also thought about the word under clinical expertise. We, the word solution came up, we are sort of a link, and a bridge, if you like, some of the terms by the way will cross a number of areas so just bear that in mind. The other word came up, knowledge, again and strategy as well because you know having that clinical knowledge does give you the domain knowledge does give you a key insight into strategy. And then moving on to communication, really, we are ideally interpreters, we translate another word was, empathy, again, understanding that aspect, different languages is another word that came up, diversity, holistic inclusive multidisciplinary, what are the words under communication. Number three, relates to engagement with stakeholders recognition that clinician, the word condition relates to a very broad group of people,

Manage complex manager of complex relationships manner. The person should have some manner, in order to engage with stakeholders. Number four is upscalingā€¦disseminate knowledge educator.

Number five, clinical leadership, facilitate collaboration awareness of governance disruptor lateral thinker. Design thinker. Change Manager team build up. And then moving on to action points we only got a couple of points down. The main categories were investment partnership. Undergraduate Education workforce upscaling and digital maturity and investment. Create the role of cc IO across all. district health boards, that ccio should ideally be very closely linked to the executive leadership team. Thereā€™s a need to recognize formalization of the digital role of health delivers an action point would be to secure investment for that, obviously. And then thereā€™s again related to the visibility, transparency, recognition of value of that role. And then point number two was partnership. Who do who should the health implement says, ideally partner with and there are many, many groups we didnā€™t get to the bottom of them, but some of the first groups that came up were the Ministry of Health C suite alliances Industry funders, and also patients, which probably should go right at the front of that list. And then we, we didnā€™t go into that we couldnā€™t get to the details of the last three groups. But just to highlight that a distinction was made, again, for discussion, whether undergraduate education was separate or separate to workforce upscaling recognizing that there may be different sort of types of work needed for these different groups.

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