assessing capabilities for informatics enabled change: the lisa toolset informatics capability...

Assessing Capabilities for Informatics Enabled Change:

The LISA Toolset

Informatics Capability Development

LISA – Local Health Community Informatics Strategic Assessment Tool

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Policy Context

• World Class Commissioning

• NHS Operating Framework

• Informatics Planning Guidance

• Next Stage Review: High Quality Care for All


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World Class Commissioning


“World class commissioners also display visionary leadership”

Commissioning is essentially transformational, and not just transactional. It incorporates “contracting” and “procurement” but only as mechanisms for achieving the higher commissioning objectives…

World class commissioners draw legitimacy from being engaged with communities, with service providers and with partner agencies drawing complementary views into a credible and coherent plan to which all sign up – putting the “mission” into commissioning

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NHS Operating Framework 2010/11Informatics Planning Guidance

• Clinical and executive leaders’ responsibility to ensure that informatics is positioned to enable effective policy, planning, change and delivery of healthcare, and informatics professionals’ responsibility to ensure they support the NHS core agenda.

• PCTs, supported by SHAs, will continue to lead the local health informatics agenda.

• Those leading informatics planning should ensure that: planning is business-led, not systems-led; regional and local health community governance for informatics is robustly integrated with mainstream governance; and capability and capacity development of the workforce is effectively promoted.


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Informatics Planning Guidance:Commissioning

• PCT Commissioners will provide leadership through LHC-wide governance arrangements for the co-ordination of informatics planning that includes the participation of provider organisations.

• The PCT CEO will continue to provide overall leadership to ensure that informatics planning is aligned as an enabler of service transformation.


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Informatics Planning Guidance: Integrated Planning

• PCTs will want to ensure that LHC informatics planning:– Fits with local strategic commissioning agendas

– Adopts an approach that is inclusive of all key organisations

– Sets out how national expectations will be achieved

– Establishes a commitment to the funding and resources required

– Ensure that plans identify, appropriately measure and report the costs and benefits.

• There should be clear plans for ongoing development of the informatics capability of the general and management workforce and strengthening of the capacity of the specialist informatics workforce.


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Informatics Planning Guidance: Strategic Health Authorities

• SHAs have an assurance role in respect of LHC informatics planning.

• SHA’s will assure themselves that LHC informatics planning demonstrates the capability and resources to deliver informatics developments and solutions required to underpin service plans


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• NHS organisations and LHC’s collectively should: – Assess their capability to deliver local health informatics programmes,

using the Local Informatics Strategic Assessment (LISA) or an alternative appropriate evidence-based tool, and put in place timely arrangements to address risks.

– Ensure that governance of their change programmes are integrated, with functioning boards and senior responsible owners (SROs), supported by sound transformation skills and programme and project management disciplines.

– Identify internal and external learning and sharing opportunities within an over-arching knowledge management approach, focussing on where informatics can make a contribution to local QIPP initiatives.


Informatics Planning Guidance: Leadership and Capability Development

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• NHS organisations and LHC’s collectively should: – Have in place workforce and people development plans that cover both

specialist informatics staff and informatics development of clinical and managerial leaders and frontline staff. These plans should be integrated into the local health communities’ development and talent management plans.

– Review pre-and post-registration educational programmes for clinicians for appropriate informatics content.

• NHS organisations will be able to access specialist support from the DH Informatics Directorate in the form of guidance, tools and training.


Informatics Planning Guidance: Leadership and Capability Development continued

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LHC Informatics Strategic Assessment Tool LISA

• Addresses capabilities for PCT’s to lead LHC wide informatics

enabled service transformation.

• Helps decision making to identify improvement actions.

• A service improvement tool, not a compliance tool

• Evidence-based from leading Maturity Models and taken through

ISIP. Is adapted for LHC-wide Informatics Enabled Change.

• Part of an “Informatics Capability Development” suite of tools.


HIS Benchmarking Information Pack (BIP)Provides Health Informatics Service providers and Commissioners with a range of standards and metrics to assess service delivery, management and planning around strategic and operational activities. The BIP identifies leadership, governance, strategic development planning and long term resource frameworks as critical success factors.The sharing of best practice, collaboration and comparison is provided through the Benchmarking Club. This scheme is designed to ensure the delivery of effective high quality and value for money services which support service transformation and better patient care.

Informatics Planning Guidance

NHS Operating Framework

LHC Strategic Plan and Vision

Local issues, drivers, goals and

enablers

ORAG – Organisational Readiness Assurance

Guide

•Assists managers to assess organisational readiness to implement IT enabled change programmes.•Focuses on governance, planning and delivery of programmes and projects.•Reviews milestones in project lifecycle.•Supports stop-start decisions along project lifecycle.

LISA – Local Health Community Informatics Strategic Assessment

•Provides SRO and LHC Leaders with a structured approach to assess their capability and partnership maturity to deliver informatics enabled change across the LHC. •Adopts a LHC perspective to assess ability to align informatics strategy with transformation goals.•Focuses on capabilities around:

•leadership and change governance•change and benefits management•Engagement and communication•Portfolio, programme & project management•Information management•Education, training and development

•Leads to prioritised development plan for capability building which can be tracked.

Informatics Planning Checklist

•Used by Programme Managers and Boards to self assess informatics plans.•Can apply to both organisational and LHC level.•Suggests criteria to assess informatics plans and guidelines for best practice.•Provides references to supporting material.

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Midshires Care Community

Strategic Assessment Summary Profile

A1 Board Leadership for Change 1.8

A2 Programme and Project Governance 1.2

A3 LHC Board Sponsor 2.2

A4 Informatics Sponsorship 1.6

A5 Alignment of Plans 1.4

A6 LHC Change Portfolio Resourcing 0.8

B1 Vision for healthcare 2.6

B2 Change management 1.8

B3 Benefits-led change 0.8

B4 Experience of change delivery 2.2

C1 Communication Plan for Informatics 2.0

C2 Communication Methods 1.8

C3 Stakeholder management 2.0

C4 Clinical engagement 1.0

C5 Patient and Public engagement 0.8

D1 Information Management Strategy 2.2

D2 Information management processes 1.6

D3 Information supporting commissioning 0.6

D4 Information audits 1.0

D5 Information management with other organisations 0.6

E1 Programme and Project management 1.8

E2 Business Case management 2.0

E3 Risk, issues & dependency management 1.8

E4 Quality management & assurance 1.0

E5 Tracking & reporting 1.6

E6 Resource planning 1.4

F1 Education, Training and Development strategy 2.2

F2 Basic IT/information user standards 2.0

F3 Scoping training needs 2.2

F4 Specialist training needs 1.6

F5 Learning opportunities 0.8

D. Information Management

E. Programme and Project Disciplines

F. Education, Training and Development

StatusLevel 1

StatusLevel 2

StatusLevel 3

C. Engagement and Communication

B. Change and Benefits Management

A. Leadership & Change Governance

LISA V4.0 Domains and Assessment Profile

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Levels of Assessed Capability

Level 1: Local organisations have the essentials in place but systematic integration and consistency across the local health community is missing

Level 2: Health community focus. Cross-community standards of good practice are defined, but the level of compliance with these standards may not be consistent. Some effective clinical engagement but not consistent leadership

Level 3: Health and Social care community focus: Consistent standards and processes are agreed across the care community and are being used in a relevant and useful way. There is clinical leadership in the planning and delivery of informatics-enabled change.

Potential sources of evidence are suggested by the tool, to aid consistency of response and objectivity


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How is the assessment conducted and recorded ?

• A senior cross-community team is invited by the SRO

• Individuals reflect on questions, talking through their views,

experience and evidence

• Scores are agreed for the profile, and on completion priorities are set

• A briefing and recommendations go to the LHC Board

• The tool can be used to track progress


• Free training for facilitators within Local Health Communities.• May be performing roles in service improvement, leadership

development, change management, or project and programme management; but is not the key determinant.

• Comfortable working in a constructively challenging way with executives and senior managers with communication and enquiry skills necessary to engage a group in useful dialogue

• Those trained or who have facilitated assessments before can be accessed via PCT or appropriate SHA contact leading on this.

• Facilitators need not be restricted to their own community• “Training” can also be acquired through direct joint-facilitation• Contact your SHA Lead or [email protected], Executive

Leadership Support Consultant.

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Facilitation Support and Training


mailto:[email protected]

Informatics Capability Development Programme

DH – Informatics Directorate

http://www.connectingforhealth.nhs.uk/systemsandservices/capability/lisa

Executive Leadership Support Consultants

Karen Hillier-Smith [email protected]

Peter Rogers: [email protected]

David Laszlow: [email protected]

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Contact Details


http://www.connectingforhealth.nhs.uk/systemsandservices/capability/lisa




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