Facilitator of the Future

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PRIMIS. Facilitator of the Future. Jeannette Murphy (University College London). Fifth Annual Conference 11 – 12 May 2005 Pieci ng Together the Future. THE FACILITATOR OF THE FUTURE. Jeannette Murphy, CHIME Graduate Tutor Royal Free & University College London Medical School.
PRIMISFacilitator of the FutureJeannette Murphy(University College London)Fifth Annual Conference 11 – 12 May 2005Piecing Together the FutureTHE FACILITATOR OF THE FUTUREJeannette Murphy, CHIME Graduate TutorRoyal Free & University College LondonMedical SchoolPurpose of this Session
  • Stimulate you to think about your role as facilitators
  • Reflect on what the future holds for you
  • Facilitation
  • What is it?
  • Does it have a future?
  • What’s shaping the future?
  • Looking to the Future
  • In 5 years time will there be a need for PRIMIS?
  • In 5 years time will you be employed in your current role?
  • Will problems of data quality, information be sorted out, making you redundant?
  • Changes in Healthcare DeliveryBig changes in last 70 years1935 200519352005193520051935200519352005WHERE ARE WE NOW?AcknowledgementPhotos from talk given by W. Ed Hammond (Duke University, USA); President, AMIAChallengeHealthcare providers must migrate from paper to electronic recordsIndividuals, teams, and organisations need help / support as they make this journeyPRIMIS Philosophy and MissionImprove patient care through the effective use of clinical computer systems
  • Provide training and assistance to information facilitators
  • Facilitators "cascade" their knowledge and skills to GPs and practice staff in their local health communities
  • VOCABULARYteachertrainerfacilitatormentorinstructorchangeagentcoachWhat is Facilitation?
  • “The process of making things easier for individuals, teams, groups and organisations”
  • Helping individuals, teams and organisation to change
  • Paradigm Shifts
  • Nature of Teaching and Learning
  • ● Knowing About(didactic model)
  • ● Knowing How (skills model)
  • ● Knowing Where (evidence model)
  • Teacher-centredSelf-directedGroup workHistory of FacilitationRole of facilitators in primary health care established nearly 20 years ago (1982)First facilitator employed to help GPs implement guidelines on the prevention of arterial disease (Astrop 1988)Rapid growth in number of facilitators 61 in 1988 456 in 1994Skills and Knowledge
  • Understanding of how groups work and how to manage them
  • Awareness of relevant statistics
  • Research knowledge of health needs
  • Understanding of multidisciplinary audit
  • (Hooker 1994)
  • BenefitsFacilitators working in primary care have been identified as the most suitable group to provide relevant information and training for practice staff (Armstrong 1994b, Bower et al 1997)Where does future come in?PRIMIS has a good track record …..5 year partnership with NHS IASuggests facilitators doing a good jobBut, will information facilitators be needed in 5 years time??The NHS Needs You!“With massive NHS investment in information technology, need find ways to improve quality of electronic health records in general practice and derive maximum benefit from the data they contain”Professor Azeem Majeed, Professor of primary care at Imperial College London (2004)Reasons Need Facilitators
  • Impact of Connecting for Health – long term
  • Staff leave, new staff take up post
  • Practices need updating, refreshing, reminding
  • New initiatives will create need demands for information
  • Once achieve basic mastery, control of local data, staff will perceive new opportunities
  • Present Situation
  • Quality and completeness of electronic health record varies enormously
  • Variability in completeness and accuracy of coding
  • Practices are at very different starting points
  • WarningAmount of effort needed to improve data quality should not be under-estimatedRequires ongoing support and monitoringVisions of the FutureSo how might the future be different?Does future have to do with gadgets (IT and all that??)Does future have to do with new insights, new theories?Is there anything new to learn about learning or is it just a matter of putting what we already know into practice?Facilitators of the Future
  • New Career Pathways – e.g.
  • Research
  • Consultancy
  • Migrate to other sectors
  • Use technology to support change
  • FUTURE - some predictions
  • All facilitators will be accredited
  • Some will move from PRIMIS to other areas
  • within health, outside health – e.g. education, social services, community development, corporate world
  • Possess generic, transferable skills
  • Consultancy with software companies, Local Service Providers
  • Facilitators might use their knowledge and skills to work directly with software companies to help design better systems which reflect needs of users
  • Think about ergonomics, human-computer interface problems
  • Scope for Change, Innovation?Facilitation: a people intensive businessCannot easily be turned into distance learning, elearning, ementoringBut perhaps in future facilitators will find novel ways to use technology to support their role Using Technology to Support FacilitationCreate and sustain virtual communitiesProvide help after practice has achieved some basic goals and needs time to embed, reflect, growOn-line FacilitationCanadians have been experimentingwith online facilitationWays of Supporting Practices from a DistanceUse emerging tools for facilitating communication, cooperative working within practices
  • Weblogs (Blogs)
  • Online support groups
  • Text messaging
  • Videoconferencing
  • Local intranets
  • N3
  • CPD for FacilitatorsSame tools can be used to support facilitatorsDeliver Continuing Professional Development, accredited learning opportunitiesFuture of Facilitation
  • IMAGINE - a world where …..
  • The value of human capital is recognised (not just machines, technology, premises)
  • Society appreciates the need to invest in people
  • Skills of facilitators, trainers, developers, educators are recognised
  • Understood that technology does not deliver benefit - people do
  • Imagine a World where …
  • Ring fenced budgets for education, training, development are established
  • Invest in research into ETD - to know what does and does not work
  • Realise importance of engaging workforce - preparing them for change
  • Listen to what people at the bottom have to say
  • How do you see the future?
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