2.
Topic Menu
Some things about ALISS:
• Where did the idea come from? (a.k.a. policy context)
• What’s the general approach?
• Some key technical concepts
• Technical ‘architecture’
• Quality-assured information
• Accessing ALISS data across the web
• What’s it like in practice?
• Workshops and asset-mapping
• GPs and local community resources
The Local Context:
• What do you want to do?
• When do you want to do it/them?
3.
2 million
in Scotland living with a long term health condition
40%
of Scotland’s population
4.
15 min per month
= 3 hours per year
Copyright 2004 FreePhotosBank.com
5. ALISS
resources for self-management of long term conditions
S c o tG o v ‘B e tte r H e alth , B e tte r
C are ’:
i d e n ti fy & m ap e x i s ti n g lo c al
•
s u p p o rt s ys te m s
fo r s taff & p u b li c
•
I m p ro vi n g q u ali ty
C re ati ve , i n n o vati ve , c o n n e c ti n g
•
5
6. what’s the problem?
• Massive amount of information – all
disconnected
• hard to find – no matter how useful
• hard to collate and publish
• public and staff not able to easily share their
useful information
• Useful support is local, hard to capture, often
informal, no web presence
7.
8. What to do? - ALISS Vision
designing the engine
• improve existing processes
• designed by people who are going to use it
• local control
• sustainable
• distributed control, not centrally managed
• easy to use, think of health literacy
15. ALISS engine
Improving access to support for self-management of
long term conditions
• a national-local directory
• a big (glorified) index
• a ‘curation engine’
16. In the ALISS engine, the 3 key information-service
tasks are devolved
ALISS engine
collect it sort it publish it
16
17. So a wide
variety of
info can be …managed
contributed
to the
ALISS engine (curated)
info flows
Engine, out to
and… intermediary
information
services
Centre
17
19. what kind of information?
• what is diabetes?
quality assured
• what are the treatments?
• what do I do now?
• who can I talk to? local & personal
• what will it be like?
• will I cope?
19
20. the range of health information
Centre
spam experience resources quality assured
21. the range of providers
Centre
spam experience resources quality assured
22. ALISS focus is self management
Centre
ALISS
spam experience resources quality assured
23. ALISS and quality-assured info
a local walking group
Partick Walking Group Index
Whether you are an experienced walker or haven’t
walked in a while, our walks are a great way to keep fit,
get to know your local area and meet new people.
All walks are free - and there is no need to book - just
turn up!However, if you are attending for the first time,
t
title: Partick Walking Group
please arrive 10 or 15 minutes before the walk is due to
begin to fill in a registration form with the walk leader. text: Whether you are an
Don’t worry, this only needs to be done once.
Each walk lasts an hour and begins and ends at the
experienced walker or...
locations listed below.
Partick Annexe Healthy Living CentreWalks leave from locations: G11 5PE
9A Stewartville StreetMondays, 11am-12pm (gentle
health walk). Walk leader: JaneThursdays, 2-3pm. Walk tags: walking, exercise
leaders: Jane and Angie
locations: G11 5PE
tags: walking, exercise
23
24. Search
second-guessing user interests in the Partick Walking Group
“I w an t e x e rc i s e ”
P arti c k + e x e rc i s e ✔
“I ’m g e tti n g o ve r a h e art p ro b le m ”
h e art p ro b le m ✘
“I w an t to g e t o u t w i th m y
p artn e r w h o ’s i n a w h e e lc h ai r”
w h e e lc h ai r ac c e s s ✘
24
25. How curation helps
ALISS adds curations from people with particular interests
R e s o u rc e Ind ex
P arti c k W alk i n g
W h e th e r yo u are an e x p e ri e n c e d w alk e r o r h ave n ’t
ti tle : P arti c k W alk i n g G ro u p
G ro u p
w alk e d i n a w h i le , o u r w alk s are a g re at w ay to
k e e p fi t, g e t to k n o w yo u r lo c al are a an d m e e t n e w te x t: W h e th e r yo u are an
p e o p le .
All w alk s are fre e - an d th e re i s n o n e e d to b o o k -
e x p e ri e n c e d w alk e r
ju s t tu rn u p ! H o w e ve r, i f yo u are atte n d i n g fo r th e o r...
fi rs t ti m e , p le as e arri ve 1 0 o r 1 5 m i n u te s b e fo re th e
T h e g ro u p o ffe rs a
Ctu o n t
w alk i s d u e to b e g i n to fi ll i n a re g i s trati o n fo rm
CC u rai o ra i o n
i ran g e o f w alk s ...
w i th th e w alk le ad e r. D o n ’t w o rry, th i s o n ly n e e d s
u ra t n
to b e d o n e o n c e .
E ac h w alk las ts an h o u r an d b e g i n s an d e n d s at th e S o m e w alk s are
lo c ati o n s li s te d b e lo w . w h e e lc h ai r ac c e s s i b le ...
P arti c k An n e x e H e alth y L i vi n g C e n tre W alk s le ave
fro m 9A S te w artvi lle S tre e tM o n d ays , 1 1 am -1 2 p m
lo c ati o n s : G 1 1 5 P E
(g e n tle h e alth w alk ). W alk le ad e r: Jan e T h u rs d ays ,
lo c ati o n s : G 1 1 5 P E
2 -3p m . W alk le ad e rs : Jan e an d An g i e tag s : w alk i n g , e x e rc i s e ,
c ard i ac , re h ab i li tati o n ,
tag s : w alk i n g , w h e e lc h ai r ac c e s s ,
m e n tal h e alth
e x e rc i s e ac c o u n ts : 83d 5 f, 2 847 f, 02 d 4j, ...
ac c o u n ts : 83d 5 fe , 2 847 fg ,
02 d 4j, ...
25
26. Distributed collaborative curation
the sum is greater than the parts
C u ra
ti o n
↑ q u ali ty:
m o d e rati o n & ac c o u n t fi lte ri n g
Cu ra ti o n
↓ c e n tral c o s t
d e vo lve d ad m i n
C u ra t
↑ s u s tai n ab i li ty ion
26
27. Filtering outputs from ALISS: search
A Practice example: just our own resources
local group
library
Our practice local group
Local community
p rac ti c e p rac ti c e
Local practices
Local NHS
Citizens Advice
p rac ti c e
local group
p le - c li e n t s i d e to o ls c an s e arc h AL I S S h o w e ve r th e y li k e
27
28. Filtering outputs from ALISS: search
A Practice example: trusted local community resources
local group
library
Our practice local group
Local community
p rac ti c e p rac ti c e
Local practices
Local NHS
Citizens Advice
p rac ti c e
local group
28
29. Filtering outputs from ALISS: search
A Practice example: search accounts with NHS flag
GGC
local group
NHS service
library
Our practice local group
Local community
p rac ti c e p rac ti c e
Local practices
Local NHS
Citizens Advice
p rac ti c e
local group
29
30. ALISS technology status
two development phases, implementation now starting
d e ve lo p m e n t o f arc h i te c tu re an d
•
p ro to typ e
- S e p 09-M ar 1 0
w o rk i n g m o d e l
• - N o v 1 0-M ar 1 1
i m p le m e n tati o n n o w h o s te d b y L T C AS
• - e n g i n e ti c k i n g o ve r s i n c e p h as e 1
- b as i c s 80% c o m p le te
- to o ls 1 0%
30
33. Aliss across the web
A range of ways to access ALISS data:
• ‘Gapp’: social prescribing support for Glasgow
GPs
• Living well @ the Library: below the radar local
community collaboration
• A ‘powered by ALISS’ search box
• Latest screencast re tech
Notes de l'éditeur
We know we have a problem with Long Term Conditions- there are around 2 million people with one or more LTCs in Scotland, around 40% of the population.
We know from public feedback that managing alone without proper information or support is a difficult struggle. This picture shows how little time is spent with health professionals. A person with, for instance diabetes, or asthma or epilepsy will see a health professional for about 15 – 20 minutes per month, and actually - this would be pretty generous in some surgeries. This adds up to just 3 hours per year of professional contact.
The project has taken a novel approach- it could have encouraged people to do their own thing locally, ...
... or gone for one national database.
We might call ALISS a national local directory, because it lets people collect and manage their own local information resources, but as part of a national collection. And sometimes we just call it a 'big index' because, technically, that's what it boils down to. But I'm going to call ALISS a 'curation engine', and explain what I mean by that.
ALISS supports a similar process. The ALISS engine collects short descriptions and links to useful resources, either by people submitting things, or by getting them electronically from other systems in various ways. Once a resource is in the ALISS index, people with accounts can add keywords or more information, like sticking a post-it note on. We call that curation, meaning collecting information and labelling it in ways that make it more useful and easier to find. This means devolving control over content, which is not only in line with the ethic of self management but also more sustainable as it means no resources going to centralised administration. But, it’s not a free-for-all. All content is moderated, and you can filter it so you only get information from sources you trust. ALISS data can be published and searched by any other computer systems- the data is open and accessible across the web.
This means useful resources which might be scattered across lots of different systems, or not online at all, can now be indexed in one place which we call the ALISS Engine. The Engine can then be accessed by any system across the web. So it can feed other web sites, practice systems, libraries, advice centres, right across Scotland.
ALISS aims to make useful information easier and quicker to find- but what kind of information are we talking about?Questions like ‘what is diabetes’ or ‘what are the treatments for diabetes’ need quality assured information, provided by NHS Inform and other reputable sources.But other questions, like ‘what do I do now’, ‘who can I talk to’, ‘what will it be like’, or ‘how will I cope’ are local and personal.
We know people access all this information ...
... from a huge range of sources.
ALISS focusses on this middle section, helping people identify what is useful.
to fix this sort of problem, typically someone has to go back to the original resource, and add in all the possible tags they can think of. ALISS uses a different approach.
This strange looking beast was once a lion, gifted to the King of Sweden in 1731, and when it died, the skin and bones were given to a local taxidermist. But like most people in 18th century Sweden, he’d never seen a lion. So he did his best, and this is the result. And that’s our problem here, that we’re presenting something which is innovative and not been done before. Our vision is that it will lead to huge improvement in participation, and promoting localism, using emerging technologies to tackle our changing demography. We’re describing the ALISS Engine, but we don’t know what it looks like – it will link data but you won’t see it.