HC 2002

Healthcare Computing Conference

Harrogate 18-20 March 2002

A personal review by Rod Ward



These reports are written on the fly during the conference and posted on the web on a daily(ish) basis.

The first session I attended was Storytelling : igniting action in knowledge-era organisations by Stephen Denning - however he was not present but provided a video and dealt with the question and answer session by telephone. He described how his use of a story about a worker in Zambia accessed the CDC web site for information on Malaria & how this story influenced the World Bank to become a knowledge management organisation. This included a plug for his book "The Springboard". Further information from www.stevedenning.com

The second paper was from Prof Trisha Greenhalgh, UCL entitled The ten minute consultation and the illness epic - is technology the problem or the solution. She talked about narrative competence and went through a transcript of an interaction between a GP and a family analysing the social, rhetorical and permformative aspects and then illustrated those areas which needed to be included in the patient record. Pref Trisha Greenhalg
Rod Ward The next paper was mine on behalf of Lisa Gray & Alison Cooke from BIOME about The evaluation of Internet Healthcare resources.
The next paper was by Christine Urquart from the University of Wales, Aberystwyth who presented with her colleague Alison Yoeman and their preliminary evaluation of NeLH both in terms of clinical benefit and cost analysis. There had used a survey of 3338 users from varied staff groups. They described mission creep and issues around access to IT. Other issues involved tensions between local and national procument of knowledge bases and the support and training of users. The fact that the NeLH exists made users "more likely to enquire". The cost benefit analysis showed savings per user. Christine Urquart
The next 2 papers by Derek Felton and Dr Heather Heathfield discussed their evaluation of the South Staffordshire ERDIP project both in terms of methodology and lessons learnt, which included the advantage of both formative and summative evaluation, and clarifying the views of all users and stake holders. Further information from: http://www.nhsia.nhs.uk/erdip/pages/publication.asp
Derek Felton Dr Heather Heathfield
The first paper I attended after lunch was by Ian Pearson, BT futurologist who looked at possible future scenarios for the use of IT in healthcare. He considered the use of Artificial Intelligence for simple things like appointment booking etc & argued that the human side would be come more important than knowledge skills i.e. the nurse becoming more valuable than the medical consultant, who could be replaced - arguing for the more to a "care economy". He discussed access to knowledge and the varied channels which can be used & the development of non-geographical communities. He ranged from 3G to interactive television and pets to ego badges and moved towards wearable computing and augmented reality delivered via your contact lens. The also discussed the use of avatars to represent the patient and health professional in interactions, and video conferencing for discussions. The miniturisation of chips so they are so small they can't been seen and insertion of chips into bodies to analyse blood chemistry & sent results automatically to the hospital & the possibility of active skin with electronic circuits printed onto your skin. Ian Pearson
I missed the next paper to get a break & write this report & prepare for the next session 
The final session I attended was about the NeLH and included my paper on the integration of NMAP into the professional portals. The session was chaired by Muir Gray and included Peter Bladen, NeLH programme manager and Nick Rosen Portal Manager.  

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To discuss any of my comments please mail: Rod.Ward@Sheffield.ac.uk

Page Created: 15.3.02

Last Updated: 19.3.02