Congratulations Tony,

Like you I am a silent member of the mailing list must be an "Irish" thing. 
Good luck with the post.

Mary Sharp

At 23:41 02/09/2008 +0100, you wrote:
>Dear All,
>
>I am very honoured to be invited to take up this important role as Chair
>of the Clinical Review Board within the openEHR Foundation.
>
>Please allow me to introduce myself and my interest in openEHRs mission.
>I would welcome your feedback and views as I explain below.
>
>-
>
>I qualified as a doctor in Dublin and now work as a Consultant in
>Emergency Medicine based in Leeds, spending half of my week working with
>NHS Connecting for Health which is delivering the National Programme for
>IT here in England.
>
>For many years I have been well aware that we as clinicians are very
>dependent on effective information management. Indeed we must address
>this challenge to firstly survive and then hopefully thrive as 21st
>century healthcare pressures increase..
>As my work in Informatics has grown over the last years, I have
>increasingly understood that these challenges are only a part of a wider
>international struggle to change many health care systems in very
>fundamental ways.
>Much of my work within NHS Connecting for Health has been centred around
>what I call a "Healthcare Change Challenge"  involving people, process
>and technology change. Indeed it was research in that area and the
>potential offered by standards to support that change that helped me
>come across openEHR.
>
>When I first came across openEHR I must admit it took me some time to
>understand what it offered. Over a little time it became much clearer
>and a "lightbulb" came on, as it appeared to offer a potential solution
>to several of the "wicked problems" I had been struggling with for some
>years.
>It is a credit to the initial minds behind this work that openEHR has
>provided, to me at least, a way to tackle the complex challenge that
>informatics provides. The openEHR archetypes and templates offer many
>obvious advantages and indeed I find the openEHR reference model with
>its simple but clear relationship with key generic clinical processes a
>key strength of openEHRs approach, which no other standard does so well..
>
>We have been quietly using openEHR to develop clinical content models
>(archetypes and templates) within the NHS for some time now, building up
>a Clinical Content Service. This service aims to develop (for the first
>time in the NHS) clinically driven, open standards based, reusable,
>shareable, clinical content models.
>In doing so we are trying to reduce duplication of effort, encourage
>consistencies and standardisation of clinical records where appropriate,
>though we have some way to go to see them used in action within vendor
>EHR systems..something we continue to pursue...
>
>While it is a quiet start, I feel that it is only the beginning, as I
>expect that vendors will increasingly appreciate the enormous potential
>on offer, by providing more native support for openEHR than they
>currently offer. In due course I also believe that, given the right
>tools, that more ownership and control of health ICT development will
>quite naturally end up in the hands of those who need it most, i.e. the
>clinicians.
>
>-
>
>I must admit I have stayed silent on this mailing list until now,
>watching the varied email exchanges on many parts of the openEHR work
>that continue to develop, trying to learn more all the time.
>
>With that in mind I would like to ask this clinical group a single
>question that I hope might provoke some useful feedback..
>
>
>Can I ask you (wherever you are and whatever your clinical challenges
>are) what are the *top 5* things you would like to see the openEHR
>foundation tackle to move us all in the right direction over the next
>year/18months and better support your own challenges as a clinician?
>That might be better communication, better means to get involved, better
>tools etc etc...whatever you happen to think..
>
>
>I would like to collate your views, feed them back to the group and then
>   present them to the openEHR CRB and into the emerging openEHR
>Foundation discussions on strategic direction, which as Professor Ingram
>has outlined, have recently begun..
>
>This is an important time for openEHR, as increasingly light is being
>shone on it. I think it is also an exciting time, which we need to take
>advantage of.
>
>I look forward to hearing from you either via this mailing list/
>directly to me if you prefer at tony.shannon at nhs.net
>
>
>With kind regards,
>
>
>Tony
>
>
>Dr. Tony Shannon
>Consultant in Emergency Medicine, Leeds Teaching Hospitals
>Clinical Lead, Clinical Content Service, NHS Connecting for Health
>Senior Research Fellow, University College London
>+44.789.988 5068            tony.shannon at nhs.net
>
>Thomas Beale wrote:
> > [this is a repost of an announcement made a week ago, for those on the 
> clinical list but not on the announce list]
> >
> > from Prof David Ingram, CHIME department, University College London:
> >
> > I am delighted to announce that Dr Tony Shannon has accepted an
> > invitation, on behalf of the openEHR Foundation Board, to take over the
> > chair of the Clinical Review Board. Tony has long experience and
> > interest in clinical information management, as Clinical Lead for the
> > Clinical Content Service of NHS Connecting for Health and as Consultant
> > in Emergency Medicine at Leeds Teaching Hospitals.
> >
> > My UCL colleague, Dr Dipak Kalra, has been the founding chair of the CRB
> > but felt it the right time to step down and make way for a new
> > appointment, recognising, as we all do, that openEHR governance needs to
> > spread beyond the founding members at UCL and Ocean Informatics. Dipak,
> > Sam Heard and I remain as the active directors of the Foundation, but
> > this, too, may well change quickly, in the period ahead, as we work to
> > broaden the governance of the Foundation. Ideally, we feel that the
> > Foundation needs to remain agile and inclusive in its work, while
> > consolidating its relationships and accountability to users and
> > international stakeholder organisations, keen to capitalise on its work.
> > In this transition, we must try to avoid exchanging a crucible of
> > innovation for a tanker full of treacle.
> >
> > Tony Shannon has an honorary appointment as senior research fellow at
> > UCL and has been active clinically in building wider awareness of and
> > engagement with the mission of openEHR, for several years. Along with
> > Tim Cook, a member of the ARB, he has joined Sam, Dipak, Tom Beale and
> > me in crucial new discussions about how to take the Foundation into its
> > next stage of development and governance, as its work grows rapidly in
> > international focus and importance. We have received a number of
> > approaches for new partnerships and we will be taking these very
> > seriously and opening discussions more widely within the international
> > community, including at a session of the WoHIT conference in November,
> > under the auspices of our collaborating partners in EuroRec.
> >
> > openEHR exists to champion the clinical ownership of the fundamental
> > requirements for effective and useful electronic health records and to
> > support the discipline, engagement and trust required to help them
> > succeed. Central to its approach is shared and collaborative research,
> > development and iterative evaluation, though real world implementations.
> >
> >
> >
> > *
> > *
> >
> > _______________________________________________
> > openEHR-clinical mailing list
> > openEHR-clinical at openehr.org
> > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical
>
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=====================================
Mary Sharp, B.Sc(Comp), M.A., CEng MIEI, F.I.C.S. Chartered Engineer
Lecturer/Tutor
Course Director - B.Sc Computer Science
Dept. Computer Science
School Computer Science and Statistics
Room G34
O'Reilly Institute
Trinity College
Dublin 2
URL: http://www.cs.tcd.ie/
Telephone +353-1-896-2732
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