Changing the system, not the person: Increasing time to care in Dermatology

Just like most ‘wonder drugs’, many solutions don’t help day-to-day healthcare needs or improve the ability of the healthcare professional to do their job better. We need to ensure that informatics is used as a force multiplier – allowing a single person to be made more effective by using a more efficient system.

My project will concentrate on understanding and improving the new ‘Paperlite’ E-Health Record within Dermatology outpatients, specifically using the basal cell carcinoma (BCC) clinic as a model of a high-throughput and selective outpatient clinic. I will attempt to identify key performance indicators (KPIs) to show efficiency and effectiveness, and take regularly-used KPIs being shown in the background Business Intelligence (BI), using the management tool of BI to help improve clinical processes.

I hope to then modify the system to create a reproduceable model of high-throughput outpatient clinic blueprints in order to replicate improvements over the rest of the trust.

We also have the opportunity to validate the use of a proprietary App called ‘MySkinSelfie’ to understand whether it can be used as a novel patient self-referral teledermatology tool. We hope that it will reduce un-needed reviews if patients are well, and expedite review if not.

What will help to make digital transformation a reality in the NHS?

I feel the enabler of widespread digital transformation will be the trust from the workforce. Without this trust, from changes benefitting patients and those who deliver the healthcare, there can be no meaningful progress towards a more precise and safer model of medical care.

About me

I am an ST4 in Dermatology training in the North East of England.

Over the last 3 years I have created a part-time Clinical Informatics post during training;  I have helped to create the North East Faculty of Clinical Informatics, and I have found ways to exploit technology in new ways in order to save clinicians’ time and effort, allowing them to care for patients better whilst getting better information and income for management.