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Similar to Geraint Lewis: The use of decision technologies in health
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Geraint Lewis: The use of decision technologies in health
- 1. An introduction to the use of decision
technologies in health care
Dr Geraint Lewis
Senior Fellow
21 November 2011 © Nuffield Trust
- 2. Decision technology
Question
Information Preferences
Decision
Technology
Answer
© Nuffield Trust
- 3. Satellite navigation as an example of decision technology
How do I get to the
Millennium
Stadium in Cardiff? Question
• Avoid motorways?
• Avoid toll roads?
• Current position • Speed or fuel
• Destination efficiency?
• Route map UK • Car share lanes?
• Average journey
times at different
times of day, and
different days of
the week
• Current time
• Live feed of traffic
conditions
Turn right at the
roundabout, third
exit
Answer © Nuffield Trust
- 4. Questions
Patients Clinicians
Managers Commissioners
© Nuffield Trust
- 5. Questions
How should I
Should I be manage this patient
screened for with suspected
prostate cancer? appendicitis?
Patients Clinicians
Which patients What proportion
should I of my budget
schedule for should I spend
next Tuesday’s Managers Commissioners on mental health
operating list? services?
© Nuffield Trust
- 6. Moving from intuition to analysis
Evidence
Expertise Values
© Nuffield Trust
Source: Professor Jack Dowie, London
School of Hygiene and Tropical Medicine
- 8. Minimising early starts, turnaround times and late finishes
AM PM
Early start Turnaround Early finish Late start Late finish
All Day List
© Nuffield Trust
Source: Perran Pengelly, Newton Europe Ltd.
- 9. Effect on operating theatre utilisation
© Nuffield Trust
Source: Perran Pengelly, Newton Europe Ltd.
- 11. Community-based anticoagulant and stroke prevention
services in North London
* Derived automatically from the EHR
* Each site can run its own report at any time
* All reports include anonymous service-wide comparisons
* Reviewed at quarterly Clinical Governance Board meetings © Nuffield Trust
Source: Professor David Patterson, University College London
- 12. www.nuffieldtrust.org.uk
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21 November 2011 © Nuffield Trust
