I have seen the difference it makes in the successful uptake of new technologies to bring in the end users early and involving them with the implementation of new technology, starting with an understanding of their own individual, professional needs and the role they play in transforming delivery of care.


ADOPTION To return to my previous metaphor, if you have a vehicle for change, even with the best fuel, you will still need to have someone driving, and they will, justifiably, need training before they get behind the wheel.

Therefore, the key to successful digital transformation will not solely be the technology, but also the education, training and support for end users during the implementation process, and beyond. A key driver to success is the ability to share and promote best practice, ensuring this is effectively communicated.

to keep up to date. By 2020, it’s been projected that the volume of all medical knowledge will double every 73 days. Over 10 years ago, a study concluded that, in order to read all of the literature relevant for primary care, it would take clinicians about 627.5 hours each month! How much longer would it take now?


THE SOLUTION? Those who have experience working within the NHS can no doubt recall numerous examples where a new piece of technology has been introduced with the mandate for clinicians to make use of it without proper guidance on how or why this will help. This stalls adoption, frustrates users and does little to help delivery of quality healthcare.

The answer is simple in theory, but requires investment in practice. When it comes to digital transformation, engagement is key; those who use the tools, need to be involved in the process. In my professional experience,

As a system, the ideal is for the wholesale adoption of tools to aid record-keeping, decision-making, provide consistent care protocols and reduce unwarranted variations in care across the NHS. This has been set out as part of the vision for the Global Digital Exemplars (GDEs) and the fast followers. However, the NHS needs to get better at learning from success, seeing how it can apply that elsewhere, and then ensuring that staff are properly involved during the implementation process.

As we move to a world where value- based care seeks to measure the efficacy of healthcare interventions, being able to map impact of digital technologies is key to helping people see their value. When delivering training on a new clinical decision support system or reference solution, at Elsevier, we recognise the importance of linking back to the wider picture, demonstrating how and where these solutions can help to deliver value.


MEAN FOR THE NHS? Of course, whilst value can mean different things to different stakeholders across the healthcare landscape,

one essential interpretation is understanding value as delivering the best health outcomes for patients.

For clinicians, value is helping to delivering best-practice care and feeling supported by having easy access to credible, evidence-based guidelines, protocols and pathways. Enabling a junior doctor quick access to the information they want at the point of care, in the way that best serves their needs, is one way that CDS delivers this value.

Value can also mean cost-efficiency, a subject at the heart of discussions around care delivery in the NHS. For hospital managers, of equal importance is the ability for CDS to help deliver a measurable change in readmission rates, or reduce length of stay which in turn positively impacts the cost of care. By shiſting the focus to value based care and implementing the technology which supports its delivery, clinicians and hospital managers can have better informed and data lead discussions.

Approaching implementation in this way, to take into account these measurements of value, communicating not only the how, but the why of digital adoption, is key to successful and effective uptake of digital solutions.

At Elsevier, we recognise that as a vendor we cannot shy away from the challenges we all face in implementing digital transformation. In our work with healthcare organisations across the UK, we work in partnership to deliver digital transformation and adoption, applying our global experience and cross-market knowledge to ensure that we are part of a sustainable, intelligent, integrated solution at every point on the journey.

Of course, we, as providers to the NHS, also have to be pragmatic in how we deliver products, ensuring that it works with institutions such as the GDEs, as well as those beginning their transformation journey. It has to fit seamlessly with how organisations operate, and in the training and education provided to support the adoption of CDS solutions, has to speak to the ‘value’ most important to whoever is driving the vehicle. - 37 -

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