1. An introduction to the use of decision technologies in health care Dr Geraint Lewis Senior Fellow21 November 2011 Nuffield Trust

2. Decision technologyQuestion Information Preferences DecisionTechnology Answer Nuffield Trust 3. Satellite navigation as an example of decision technology How do I get to the Millennium Stadium in Cardiff? Question Avoid motorways? Avoid toll roads? Current position Speed or fuel Destination efficiency? Route map UK Car share lanes? Average journeytimes at differenttimes of day, anddifferent days ofthe week Current time Live feed of trafficconditionsTurn right at the roundabout, third exitAnswer Nuffield Trust 4. QuestionsPatients CliniciansManagers Commissioners Nuffield Trust 5. QuestionsHow should IShould I be manage this patient screened forwith suspected prostate cancer? appendicitis?Patients Clinicians Which patients What proportionshould Iof my budgetschedule for should I spend next Tuesdays Managers Commissionerson mental health operating list?services? Nuffield Trust 6. Moving from intuition to analysis EvidenceExpertise Values Nuffield TrustSource: Professor Jack Dowie, LondonSchool of Hygiene and Tropical Medicine 7. Annalisa decision technology Nuffield TrustSource: Professor Jack Dowie, London School of Hygiene and Tropical Medicine 8. Minimising early starts, turnaround times and late finishes AM PMEarly start Turnaround Early finishLate start Late finishAll Day List Nuffield TrustSource: Perran Pengelly, Newton Europe Ltd. 9. Effect on operating theatre utilisation Nuffield TrustSource: Perran Pengelly, Newton Europe Ltd. 10. Anticoagulation decision support Nuffield TrustSource: Professor David Patterson, University College London 11. Community-based anticoagulant and stroke prevention services in North London * Derived automatically from the EHR * Each site can run its own report at any time * All reports include anonymous service-wide comparisons * Reviewed at quarterly Clinical Governance Board meetings Nuffield TrustSource: Professor David Patterson, University College London 12. www.nuffieldtrust.org.ukSign-up for our newsletterwww.nuffieldtrust.org.uk/newsletterFollow us on Twitterhttp://twitter.com/NuffieldTrustgeraint.lewis@nuffieldtrust.org.uk21 November 2011 Nuffield Trust