In summer 2011, E-Health Insider luanched the Chief Clinical Information Officer (CCIO) Campaign. It called for NHS organisations to consider appointing a CCIO to champion Information Communication Technology (ICT) projects and the use of information to improve healthcare.
On the first of September 2013, I took off my cloak of clinical manager to don a new set of responsibilities under the title of CCIO. I have crossed the chasm and decided to explore relatively unchartered territory in my organisation. In my first month in the new role, I have noted that the role of CCIO is still shrouded in a veil of mystery due to its infancy in UK healthcare.
I have therefore created the below infographic to hopefully give a flavour of what I am tasked to achieve:
I have also spent my first month in the job trying to get an understanding of what people inside and outside my organisation understand of the role. There is a large range of expectations, which is somewhat assuring as it signifies the thirst to have someone connecting the various functions of the organisation, with the role of information technology. I have found the clinical workforce to be most excited and full of wish lists for what information technology can do for their practice.
I met one clinician who left a real impression on me. He more or less beamed throughout our conversation. Despite having no 3G in his work area and having to work around regular network downtimes, he told me he is absolutely committed to making his service more digitally enabled so that he can provide the best possible care to people he and his team serve. In turn, I am going to be spending at least 5 days a year with his team to ensure that the IT problems are resolved and that he and his team can realise their ambitions.
Unfortunately, his is not an exceptional case. Throughout my visits, I have met staff who problem solve every minute of every hour of every day, often with very little resource and little time to understand the wider context of healthcare IT. I have met some deeply dedicated and creative people who have many ideas that would make a real difference to people who access services. Some of their ideas relate to measuring the experience of services, improving clinical efficiency and clinical outcomes. Information Technologies remain an elusive lynchpin in their plans for more efficient working. So one of my biggest tasks, as the infographic suggests, is to keep curious and keep asking questions about the current state of play and how we can move things to a better place.
My visits have highlighted several different mindsets when it comes to IT, innovation and change in general:
- Fix and maintain: “If it ain’t broke, don’t fix it” The individuals who I have met with this attitude are generally waiting for something to be broken before they can fix it.
- Build and develop: These folk are open to innovation but only if it’s gradually introduced and implemented.
- Transitional: These guys want to stay current. They are willing to try new things although they still remain very loyal to tradition and what is familiar.
- Transformative: This group is willing and often very eager to try something totally different to what they have always done. They crave a radical shift from incremental to radical change.
I will have to design and adapt my approach to the four different mindsets as illustrated very broadly above. I will try to update this blog monthly to keep you posted.