Optimizing clinical decision support alerts in electronic medical records

Optimizing clinical decision support alerts in electronic medical records: a systematic review of reported strategies adopted by hospitals.
J Am Med Inform Assoc. 2021 Jan 15;28(1):177-183. doi: 10.1093/jamia/ocaa279.

• A literature review to identify and summarize the current internal governance processes adopted by hospitals for selecting, optimizing, and evaluating clinical decision support (CDS) alerts identified eight papers, seven of which focussed on medication related CDS alerts. A multidisciplinary committee, often in combination with other approaches (eg use of clinician feedback, alert data, literature and drug references, and a visual dashboard) was the most frequent strategy reported by hospitals to optimize their CDS alerts.

AI Governance Map

AI Governance Map v.2.0
NESTA 4 February 2020

• Updated map and database covering global activities related to the governance of artificial intelligence.

How population health management will deliver a sustainable NHS

How population health management will deliver a sustainable NHS
Good Governance Institute, February 2018

• This report explores the potential of population health management to deliver a more sustainable version of the NHS by looking at what it takes to develop an integrated healthcare model, evaluating system maturity to embrace PHM, and drawing on case studies from both the UK and the US.
• The report has compiled a population health management maturity matrix built around Governance and decision making, Technical preparedness, Clinical transformation and Funding, incentives  & risk.

Communication as part of the DHSC and HEE framework agreement

The DHSC and HEE framework agreement: 2018 to 2021
DHSC, HEE 26 February 2019

• The framework agreement defines how the Department of Health and Social Care and Health Education England will work together to serve patients, the public and the taxpayer. It sets out roles, responsibilities, governance and accountability arrangements.
• Annex C: Communications - "sets out the basic principles guiding co-operation and collaborative working between the DH and ALB across all aspects of communication and marketing activities to deliver impactful and cost-effective communications"

Effective clinical governance for the medical profession - updated handbook

Effective clinical governance for the medical profession
General Medical Council revised 1 November 2018

• This handbook acts as a resource to support organisations in evaluating the effectiveness of their local arrangements for doctors, including clinical governance, revalidation, concerns about doctors and pre-employment checks.

CCGs in revolt over STP running costs

CCGs in revolt over STP running costs
HSJ 25 July 2018

• Example of a CCG (Ashford CCG) not putting money into an STP citing concerns about scrutiny and accountability. The decision has been overturned.

Matt Hancock Health Select Committee 24 July 2018

Highlights from the oral evidence given to the Health Select Committee by Matt Hancock, Secretary for State for Health and Social Care, 24 July 2018

Highlights by Anne Gray, Knowledge Officer.

Watch the oral session here

• Matt Hancock (Secretary of State for Health and Social Care (SOS))has already outlined his three priorities; workforce, IT and prevention, in a speech on 20 July (ref1). He emphasised that these priorities cut across many of the existing target areas eg mental health and childhood obesity. 
• Many of Mr Hanckck’s answers referred to the Long Term Plan (LTP) scheduled for autumn 2018, and forthcoming Spending Review which will identify finance available for non-NHS aspects of the LTP (including prevention, social care and transformation). Funding for the NHS and technology transformation has already been announced. There is no firm date for the Spending Review. The health inequalities agenda will be a core part of the LTP. 
• NHS England has developed a skeleton outline of the LTP. In Sept/October an engagement exercise will be held with stakeholders on the three priorities which will then feed into development of the LTP due for publication in November 2018. 
• The available funding will not cover all current target areas, and these will be reviewed in light of the new priorities “The [Long Term] Plan has to be realistic and deliverable”. 
• Themes which the Secretary of State (SoS) repeated during the session: 
• 1. Mr Hancock is not interested in top down reorganisation but looking to integration and interoperability. Improvement is about better ways of working around competencies, empowering staff, technology, culture, fewer barriers, faster uptake and spread of good practice. Removing "old school" practices.
• 2. When responding to questions relating legislation to make collaboration easier, the SOS said he was “open minded” and repeated that he wanted "consensual change not legislative shake up". “Over interpretation” of the legislation may be the issue. 
• 3. Prevention is about more than public health (PH). Workforce development is not just HEE. 
• 4. There are ways of delivering better outcomes within a tight financial envelope. There is enormous variance in delivery – the best can be working to tight budgets. The improvements are not only in relation to transformation, it can be around leadership, improved ways of working. 

The changing nature of regulation in the NHS - a survey

The changing nature of regulation in the NHS
NHS Providers 9 April 2018

• This report is based on responses from 86 NHS trusts on experiences of regulation in 2017/18 and their views on the future of regulation. 
• The survey finds that trusts are concerned that the regulatory framework is not keeping pace with developments taking place on the ground. 
• Trusts highlighted that the oversight of sustainability and transformation partnerships (STPs) and integrated care systems (ICSs) risks becoming an extra layer of performance management. 
• Respondents also questioned whether STPs and ICSs can take on oversight and assurance roles for local systems without a statutory footing.

Data Security and Protection Toolkit

Data Security and Protection Toolkit
NHS Digital 15 May 2018

• The Data Security and Protection Toolkit is an online self-assessment tool that enables organisations to measure and publish their performance against the National Data Guardian's ten data security standards.
• All organisations that have access to NHS patient data and systems must use this toolkit to provide assurance that they are practising good data security and that personal information is handled correctly.

The surprising benefits to performance that mechanising assurance can bring

The surprising benefits to performance that mechanising assurance can bring
Good Governance Institute for Allocate, May 2018

• This White Paper examines the benefits that mechanising assurance, and the use of integrated assurance software, can bring to NHS organisations and wider systems. This is particularly relevant as the environment of health and social becomes more complex and collaborative.