Envisioning the future of clinical analytics: a modified Delphi process in New South Wales, Australia
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(2020) 20:210
RESEARCH ARTICLE
Open Access
Envisioning the future of clinical analytics: a modified Delphi process in New South Wales, Australia Kim Sutherland1* , Wilson Yeung2, Yoke Mak2, Jean-Frederic Levesque1,3 and the NSW Health Clinical Analytics Working Group
Abstract Background: Clinical analytics is a rapidly developing area of informatics and knowledge mobilisation which has huge potential to improve healthcare in the future. It is widely acknowledged to be a powerful mediator of clinical decision making, patient-centred care and organisational learning. As a result, healthcare systems require a strategic foundation for clinical analytics that is sufficiently directional to support meaningful change while flexible enough to allow for iteration and responsiveness to context as change occurs. Methods: In New South Wales, the most populous state in Australia, the Clinical Analytics Working Group was charged with developing a five-year vision for the public health system. A modified Delphi process was undertaken to elicit expert views and to reach a consensus. The process included a combination of face-to-face workshops, traditional Delphi voting via email, and innovative, real-time iteration between text re-formulation and voting until consensus was reached. The six stage process engaged 35 experts — practising clinicians, patients and consumers, managers, policymakers, data scientists and academics. Results: The process resulted in the production of 135 ideas that were subsequently synthesised into 23 agreed statements and encapsulated in a single page (456 word) narrative. Conclusion: The visioning process highlighted three key perspectives (clinicians, patients and managers) and the need for synchronous (during the clinical encounter) and asynchronous (outside the clinical encounter) clinical decision support and reflective practice tools; the use of new and multiple data sources and communication formats; and the role of research and education. Keywords: Clinical analytics, Visioning, Consensus, Delphi
Background New approaches to clinical analytics have the potential to transform healthcare delivery by reshaping clinical decision-making practices, influencing patient-provider interactions, altering patient trajectories and outcomes, and driving improvements in quality of care [1–3]. Realising this potential is not straightforward however, and * Correspondence: [email protected] 1 NSW Agency for Clinical Innovation, Chatswood, NSW, Australia Full list of author information is available at the end of the article
requires strategic decisions about feasibility; preferred approaches to clinical and organisational transformation; and appropriate investment in information collection, digital technology and change management processes. In complex adaptive systems such as health where there is a vast array of options, priorities and perspectives, these types of strategic decisions are best guided by a shared and well informed vision of the future [4]. Many developed healthcare systems are s
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