Need to develop an understanding that what is recorded could be used many times in many different ways that could influence the care given to others. Ability to see data as a potential source of knowledge Interaction with the system.Ability to input information into the system for future use.A set of softer skills will be required that are difficult to model when assessing workforce requirements.ĭo we need more of the same competencies, or do we need a new set of competencies for the LHS, such as: There will be a need for an understanding of the potential benefits for practice. Skills and competencies are important, but organisations have to want to be a learning organisation and have to have an inclination and disposition to achieve this. Some models may bring in new teams to deal with this, others may develop the skillsets of its existing workforce to account for this need. There will be a growing role for informatics and analytics in the health system. In the LHS, the author doesn’t know how that data will be used by the system and they need to input it with that understanding. Currently a clinician writes in the notes, it is used by whoever reads this in the care of that patient and it ends there. There will be a need for clinicians to record data accurately and understand the consequences and potential impact of erroneous or poorly recorded data. It is important that clinicians understand what the purpose of the system is, what the data is used for and the impact that it can have on improving healthcare. ![]() In particular, understanding the data that needs to be recorded for the system to be able to provide insight. Skillsets that traditionally lie within academia may need to be much closer to the clinician. There will be a blurring of the divide between academia/research and clinical fields. In the US, health care systems like Geisinger are already investing heavily in this and they offer expertise to other providers. They have also employed people from the finance industry to bring their skills to health care problems. Investing in these skills allows them to go down to the level of identifying doctors with abnormal prescribing behaviour so that they step in and provide targeted training. University Hospitals Birmingham has a 50 strong data analytics team. Organisations will need a strategy that brings in new people but also upskills existing staff. Some but not all of these skills could be outsourced. These skills would allow a greater understanding of the “fuzzy” answers returned to the user by the system. ![]() As this result will be based upon probabilities there is a required skill set around numeracy and the understanding of potential bias. These include developing an understanding of the system itself, so that a user may be able to ask a question of the system, receive a result and interpret this. However, there may be some underlying generic skill sets and competencies that would enable the LHS. There will be varying scales to the LHS and different user groups will have different needs within a LHS. ![]() In essence, it would remain an evidence based system but it would be using broader evidence with different sources to what we have traditionally used. The learning health system would be a significant change from the current health system. Professor Alan Cribb, Professor of Bioethics and Education KCLĭr Fergus Fairmichael Synopsis Change in approach to healthcare Participantsĭr Graham Willis, Head of Research and Development, Centre for Workforce Intelligenceĭr Wai Keong Wong, Consultant Haematologist UCL
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