Authors: Dr Rachel Knight, Dr Alexander Henzing, Mrs Pamela Brankin, Dr Catherine Kelly, Mrs Karen O Hanlon, Dr Deborah Wake,

Dr Nicholas Thomas Conway

PROBLEM Healthcare data collection has been increasing over the last two decades. The patient experience is one of fragmentation where data does not easily flow between primary and secondary care. Technology solutions to unite patient data exist to reduce this fragmentation, which can deliver major benefits by linking clinical and patient data. Embedding clinical analytics can monitor and accurately assess improvements in delivery of care in real-time, predict future risk on a patient and organisational level, automate national reporting requirements and importantly provide a link between real-time clinical data with de-identification intelligence to protect patient identity in a research environment where big data can be utilised.

ASSESSMENT There is a significant cross NHS spend on data collection, curation, storage and analysis. Predictions regarding the impact of proposed service changes upon patient care and cost are complex and tend to be made on old data. Concordance with gold standards and assessments of quality performance is rarely, if ever, completed in real-time. As healthcare professionals attempt to deliver higher quality care with reduced resources, access to real-time, insightful and predictive analytics of service and care delivery is an increasingly pertinent requirement. A move toward intelligent integrated healthcare analytics with automated national reporting and research links provides a timely solution to a problem which is only going to increase in its impact if not addressed.

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Lorem ipsum dolor sit amet, consectetur adipiscing elit. Pellentesque dolor turpis, ultricies sed ultrices nec, varius id velit. Morbi aliquam lorem quis mauris vehicula varius. Curabitur in orci <wp:category><wp:term_id>1</wp:term_id><wp:category_nicename>uncategorized</wp:category_nicename><wp:category_parent></wp:category_parent><wp:cat_name><![CDATA[Uncategorized]]></wp:cat_name></wp:category> non quam commodo lobortis at imperdiet orci. Curabitur condimentum dignissim lobortis. Fusce vitae mi quis nibh tempor scelerisque in a velit. Donec luctus tellus eget elit lobortis eu ultricies quam aliquam. Morbi velit mi, varius vitae tristique ut, varius sit amet mi. Maecenas nisi nisl, interdum sed tristique nec, tempus vitae sem. In orci dolor, suscipit et pulvinar eu, <generator>http:/ /wordpress.org/?v=3.1.1</generator> porttitor et sapien. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Cras eleifend risus nec enim tempor porta. Duis ullamcorper mollis varius. Nunc fermentum interdum augue sed volutpat. Quisque pellentesque fringilla vestibulum. Nunc tellus felis, congue ac consequat id, tincidunt sit amet ipsum. Donec <item> turpis enim convallis orci, a aliquet ante lectus eu neque. Mauris est orci, malesuada sit amet condimentum vel, suscipit at nibh. pulvinar, nunc fermentum pretium gravida, <title>Holding</title> Suspendisse suscipit diam et turpis feugiat quis dictum enim tempor. Aenean venenatis ultrices orci, at sagittis lorem semper adipiscing. Class aptent taciti sociosqu ad <link>http:/ /www.amuse-bouche.co.uk/?page_id=2</link> litora torquent per conubia nostra, per inceptos himenaeos. Pellentesque mollis dictum venenatis. Sed tristique convallis egestas. 25 Apr 2011 12:20:00 +0000</pubDate> Praesent quam libero, auctor sit amet tincidunt eu, sodales ac erat. Nam<pubDate>Mon, placerat, dui eget fringilla dictum, nulla dolor tempor metus, eget aliquam ipsum turpis et <dc:creator>admin</dc:creator> quam. In hac habitasse platea dictumst. Nunc imperdiet mollis ultrices. Nam lorem velit, molestie sed congue sit amet, tempor eget odio. <guid isPermaLink="false">http:/ Etiam tellus dolor, rhoncus eu semper vel, laoreet tincidunt diam. Mauris sed sodales urna. Sed at augue /www.amuse-bouche.co.uk/?page_id=2</guid> id tellus sagittis feugiat. Suspendisse in sapien <description></description> risus, id vestibulum felis. In vehicula tincidunt nunc, a semper eros luctus vitae. In ut porta ante. <content:encoded><![CDATA[]]></content:encoded> Maecenas quis turpis nulla, at semper massa. Curabitur ut sem ligula. Curabitur convallis, arcu vel interdum euismod, mi erat fringilla risus, <excerpt:encoded><![CDATA[]]></excerpt:encoded> tempus congue arcu mauris sed felis. Nam ut est nec diam vestibulum tempor. Vivamus ultricies mattis mattis. Praesent tempor vestibulum <wp:post_id>2</wp:post_id> ipsum et commodo. Curabitur ultrices, nibh et tempus pulvinar, mi erat auctor magna, nec elementum neque elit non magna. Nam non venenatis velit. Praesent nec ipsum urna. <wp:post_date>2011-04-25 12:20:00</wp:post_date>

<wp:postmeta> <wp:meta_key>_edit_last</wp:meta_key> <wp:meta_value><![CDATA[1]]></wp:meta_value> </wp:postmeta> <wp:postmeta> <wp:meta_key>_wp_page_template</wp:meta_key> <wp:meta_value><![CDATA[default]]></wp:meta_value> </wp:postmeta> <item> <title>Holding</title> <link>http:/ /www.amuse-bouche.co.uk/?page_id=2</link> <pubDate>Mon, 25 Apr 2011 12:20:00 +0000</pubDate> <dc:creator>admin</dc:creator> <title>About</title> <link>http:/ /www.amuse-bouche.co.uk/about</link> <pubDate>Mon, 25 Apr 2011 16:50:28 +0000</pubDate> <dc:creator>admin</dc:creator> <guid isPermaLink="false">http:/ /www.amuse-bouche.co.uk/?page_id=13</guid> <description></description> <content:encoded><![CDATA[A small, handmade label, Amuse-Bouche specialises in luxurious and unique lingerie designs featuring carefully-sourced vintage treasures, beautiful fabrics and unexpected flourishes. Each piece is designed and created by hand in Glasgow, Scotland using vintage lace and trims, jewels, charms and embellishments, making each piece unique or very limited edition. <guid isPermaLink="false">http:/ /www.amuse-bouche.co.uk/?page_id=2</guid> <description></description> <content:encoded><![CDATA[]]></content:encoded> <excerpt:encoded><![CDATA[]]></excerpt:encoded> <wp:post_id>2</wp:post_id> <wp:post_date>2011-04-25 12:20:00</wp:post_date> <wp:post_date_gmt>2011-04-25 12:20:00</wp:post_date_gmt> <wp:comment_status>closed</wp:comment_status> <wp:ping_status>closed</wp:ping_status> <wp:post_name>sample-page</wp:post_name> <wp:status>draft</wp:status> <img class="alignright" src="http:/ /www.amuse-bouche.co.uk/pics/about.jpg" alt="Jardin Des Fleurs" /> <wp:post_parent>0</wp:post_parent> <wp:menu_order>0</wp:menu_order> <wp:post_type>page</wp:post_type> <wp:post_password></wp:post_password> Taking inspiration from the Art Nouveau era or 'la Belle Epoque', the pieces are designed in celebration of the gloriously feminine, curvaceous and organic forms that characterised the period. <wp:is_sticky>0</wp:is_sticky> <wp:postmeta> <wp:meta_key>_wp_page_template</wp:meta_key> <wp:meta_value><![CDATA[xhome.php]]></wp:meta_value> At the heart of the collection is a romantic modern Art Nouveau style, however the designs also take inspiration from the glamour, creativity and cheekiness of burlesque, old and new. </wp:postmeta> <wp:postmeta> <wp:meta_key>_edit_last</wp:meta_key> <wp:meta_value><![CDATA[1]]></wp:meta_value> Amuse-Bouche began out of a love for lingerie and all things vintage, feminine and beautiful. With a background in theatre design, Marie started making lingerie for friends in response to a need for impossibly glamorous, fully customised and personal bridal lingerie. In keeping with a bride's unique style and personality Marie can create bridal or honeymoon undergarments to match or complement the wedding gown or corset, creating wearable, flattering bespoke boudoir outfits for brides to treasure and enjoy long after the wedding day. Amuse-Bouche pieces are created using genuine vintage trims, embellishments and appliques throughout the designs, taking care of the 'something old' tradition as well as the new. </item> <item> <title>Home</title> <link>http:/ /www.amuse-bouche.co.uk/</link> <pubDate>Mon, 25 Apr 2011 15:15:03 +0000</pubDate> Burlesque beauties can set off those beautiful corsets and pasties with imaginative, extravagant and cheeky bespoke creations that are a step beyond the ubiquitous frilled burlesque knickers. Shake that tail feather with ethically-sourced feather trims, shimmy and sparkle with sumptuous hand-beading, sequins, tassels and oversized bows, and surprise with custom cut-outs across the derriere for a naughty reveal. <dc:creator>admin</dc:creator> <guid isPermaLink="false">http:/ /www.amuse-bouche.co.uk/?page_id=9</guid> <description></description> <content:encoded><![CDATA[<div id="front"> </wp:postmeta> </item> <item> <generator>http:/ /wordpress.org/?v=3.1.1</generator> <wp:category><wp:term_id>1</wp:term_id><wp:category_nicename>uncategorized</wp:category_nicename><wp:category_parent></wp:category_parent><wp:cat_name><![CDATA[Uncategorized]]></wp:cat_name></wp:category>

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<title>About</title> <link>http:/ /www.amuse-bouche.co.uk/about</link> <pubDate>Mon, 25 Apr 2011 16:50:28 +0000</pubDate> <dc:creator>admin</dc:creator> <guid isPermaLink="false">http:/ /www.amuse-bouche.co.uk/?page_id=13</guid> <description></description> <content:encoded><![CDATA[A small, handmade label, Amuse-Bouche specialises in luxurious and unique lingerie designs featuring carefully-sourced vintage treasures, beautiful fabrics and unexpected flourishes. Each piece is designed and created by hand in Glasgow, Scotland using vintage lace and trims, jewels, charms and embellishments, making each piece unique or very limited edition.

<content:encoded><![CDATA[]]></content:encoded> Suspendisse suscipit diam et turpis feugiat quis dictum enim tempor. Aenean venenatis ultrices orci, at sagittis lorem semper adipiscing. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Pellentesque mollis dictum venenatis. Sed tristique convallis egestas. Praesent quam libero, auctor sit amet tincidunt eu, sodales ac erat. Nam<excerpt:encoded><![CDATA[]]></excerpt:encoded> placerat, dui eget fringilla dictum, nulla dolor tempor metus, eget aliquam ipsum turpis et quam. In hac habitasse platea dictumst. Nunc imperdiet mollis ultrices. Nam lorem velit, molestie sed congue sit amet, tempor eget odio. <wp:post_id>2</wp:post_id> Etiam tellus dolor, rhoncus eu semper vel, laoreet tincidunt diam. Mauris sed sodales urna. Sed at augue id tellus sagittis feugiat. Suspendisse in sapien risus, id vestibulum felis. In vehicula tincidunt nunc, a semper eros luctus vitae. In ut porta ante.
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</item> Lorem ipsum dolor sit amet, consectetur adipiscing elit. Pellentesque dolor turpis, ultricies sed ultrices nec, varius id velit. Morbi aliquam lorem quis mauris vehicula varius. Curabitur in orci non quam commodo lobortis at imperdiet orci. Curabitur condimentum dignissim lobortis. Fusce vitaeunique mi quis nibhand personality Marie can create bridal or honeymoon undergarments to match or complement the wedding gown or corset, creating wearable, flattering bespoke boudoir outfits personal bridal lingerie. In keeping with a bride's style
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tempor scelerisque in a velit. Donec <item> luctus tellus eget elit lobortis eu ultricies quam aliquam. Morbi velit mi, varius vitae tristique ut, varius sit amet mi. Maecenas nisi nisl, interdum sed tristique nec, tempus vitae sem. In orci dolor, suscipit et pulvinar eu, to porttitor et sapien. Pellentesque habitant morbi for brides treasure and enjoy long after the wedding day. Amuse-Bouche pieces are created using genuine vintage trims, embellishments and appliques throughout the designs, taking care of the 'something old' tradition as well as the new. <title>Home</title> tristique senectus et netus et malesuada fames ac turpis egestas. Cras eleifend risus nec enim tempor porta. Duis ullamcorper mollis varius. Nunc fermentum interdum augue sed volutpat. Quisque pellentesque fringilla vestibulum. Nunc tellus felis, congue ac consequat id, tincidunt sit amet ipsum. <link>http:/ /www.amuse-bouche.co.uk/</link> Donec pulvinar, nunc fermentum pretium gravida, turpis enim convallis orci, a aliquet ante lectus eu neque. Mauris est orci, malesuada sit amet condimentum vel, suscipit at nibh.
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<content:encoded><![CDATA[A small, handmade label, Amuse-Bouche specialises in luxurious and unique lingerie designs featuring carefully-sourced vintage treasures,

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Taking inspiration from the Art Nouveau era or 'la Belle Epoque', the pieces are designed in celebration of the gloriously feminine, curvaceous and organic forms that characterised the period.

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At the heart of the collection is a romantic modern Art Nouveau style, however the designs also take inspiration from the glamour, creativity and cheekiness of burlesque, old and new.

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Amuse-Bouche began out of a love for lingerie and all things vintage, feminine and beautiful. With a background in theatre design, Marie started making lingerie for friends in response to a need for impossibly glamorous, fully customised and

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Amuse-Bouche began out of a love for lingerie and all things vintage, feminine and beautiful. With a background in theatre design, Marie started making lingerie for friends in response to a need for impossibly glamorous, fully customised and personal bridal lingerie. In keeping with a bride's unique style and personality Marie can create bridal or honeymoon undergarments to match or complement the wedding gown or corset, creating wearable, flattering bespoke boudoir outfits for brides to treasure and enjoy long after the wedding day. Amuse-Bouche pieces are created using genuine vintage trims, embellishments and appliques throughout the designs, taking care of the 'something old' tradition as well as the new.

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Burlesque beauties can set off those beautiful corsets and pasties with imaginative, extravagant and cheeky bespoke creations that are a step beyond the ubiquitous frilled burlesque knickers. Shake that tail feather with ethically-sourced

Burlesque beauties can set off those beautiful corsets and pasties with imaginative, extravagant and cheeky bespoke creations that are a step beyond the ubiquitous frilled burlesque knickers. Shake that tail feather with ethically-sourced feather trims, shimmy and sparkle with sumptuous hand-beading, sequins, tassels and oversized bows, and surprise with custom cut-outs across the derriere for a naughty reveal.

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<img id="1" src="http:/ /www.amuse-bouche.co.uk/img/frame1.png" usemap="#1" border="0" width="608" height="252" /><map id="1" name="1"><area shape="rect" coords="18,0,154,204" href="jolieschoses" alt="JOLIES CHOSES" luctus. title="JOLIES CHOSES" Vestibulum mi justo, /><area shape="rect" coords="175,0,373,247" href="joues-rouges" alt="JOUES ROUGES" title="JOUES ROUGES" /><area shape="rect" coords="390,2,564,228" href="lys-dorees" alt="LYS DORES" title="LYS DORES" /></map><img id="2" src="http:/ /www.amuse-bouche.co.uk/img/frames2.png" usemap="#2" border="0" width="608" height="444" /><map id="2" name="2"><area shape="rect" coords="27,8,204,214" href="amulette" alt="AMULETTE" egestas et title="AMULETTE" scelerisque quis, /><area shape="rect" coords="222,19,396,194" href="jardin-des-fleurs" alt="JARDIN DES FLEURS" title="JARDIN DES FLEURS" /><area shape="rect" coords="414,0,591,154" href="perles-mariee" alt="PERLES DE MARIE" title="PERLES DE MARIE" /><area shape="rect" coords="20,240,197,439" href="la-cage-aux-folles" alt="LA CAGE AUX FOLLES" title="LA CAGE AUX FOLLES" /><area shape="rect" coords="226,221,403,398" href="ruban-esque" rhoncus alt="RUBANESQUE" title="RUBANESQUE" /><area shape="rect" coords="426,170,596,367" href="pivoine-japonaise" alt="PIVOINE JAPONAISE" title="PIVOINE JAPONAISE" /></map> tincidunt

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Garments are mostly handmade to order, and this website showcases a small collection of work however new pieces will occasionally be introduced and samples will be available to buy via my Etsy store. To receive updates and keep in touch please join our mailing list or you can contact us directly for more information. We would be delighted to hear from you!]]></content:encoded> <excerpt:encoded><![CDATA[]]></excerpt:encoded> <wp:post_id>13</wp:post_id> <wp:post_date>2011-04-25 16:50:28</wp:post_date> <wp:post_date_gmt>2011-04-25 16:50:28</wp:post_date_gmt> <wp:comment_status>closed</wp:comment_status> <wp:ping_status>closed</wp:ping_status>

<img id="1" src="http:/ /www.amuse-bouche.co.uk/img/frame1.png" usemap="#1" border="0" width="608" height="252" /><map id="1" name="1"><area shape="rect" coords="18,0,154,204" href="jolieschoses" alt="JOLIES CHOSES" title="JOLIES CHOSES" /><area shape="rect" coords="175,0,373,247" href="joues-rouges" alt="JOUES ROUGES" title="JOUES ROUGES" /><area shape="rect" coords="390,2,564,228" href="lys-dorees" alt="LYS DORES" title="LYS DORES" /></map><img id="2" src="http:/ /www.amuse-bouche.co.uk/img/frames2.png" usemap="#2" border="0" width="608" height="444" /><map id="2" name="2"><area shape="rect" coords="27,8,204,214" href="amulette" alt="AMULETTE" title="AMULETTE" /><area shape="rect" coords="222,19,396,194" href="jardin-des-fleurs" alt="JARDIN DES FLEURS" title="JARDIN DES FLEURS" /><area shape="rect" coords="414,0,591,154" href="perles-mariee" alt="PERLES DE MARIE" title="PERLES DE MARIE" /><area shape="rect" coords="20,240,197,439" href="la-cage-aux-folles" alt="LA CAGE AUX FOLLES" title="LA CAGE AUX FOLLES" /><area shape="rect" coords="226,221,403,398" href="ruban-esque" alt="RUBANESQUE" title="RUBANESQUE" /><area shape="rect" coords="426,170,596,367" href="pivoine-japonaise" alt="PIVOINE JAPONAISE" title="PIVOINE JAPONAISE" /></map>

Garments are mostly handmade to order, and this website showcases a small collection of work however new pieces will occasionally be introduced and samples will be available to buy via my Etsy store. To receive updates and keep in touch please join our mailing list or you can contact us directly for more information. We would be delighted to hear from you!]]></content:encoded> <excerpt:encoded><![CDATA[]]></excerpt:encoded> <wp:post_id>13</wp:post_id> <wp:post_date>2011-04-25 16:50:28</wp:post_date> <wp:post_date_gmt>2011-04-25 16:50:28</wp:post_date_gmt> <wp:comment_status>closed</wp:comment_status>

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STRATEGY Aridhia is currently undertaking a number of projects with healthcare providers internationally, approaching their existing information systems in an agnostic manner. This includes integrating data to a big data platform which provides storage and analytical capabilities far beyond those currently possible for the healthcare organisations themselves to provide and support. A current project, DECIPHER Health, has a developed over the past 19 months to deliver a functioning Research Analytics service where clinical cancer data from the various relevant IT systems within two major health boards NHS Tayside and NHS Lothian is integrated, linked to individual patients, anonymised and placed within the platform for researchers to collaborate and analyse large and increasingly complex datasets, including genomic and imaging data. A fundamental link is harnessed between this Research Analytics service and a Clinical Analytics application where analysis of linked, real-time data is made available at an MDT level to support clinical decision making and outcome analysis. The clinical application is configurable to local and national quality performance indicators, displaying clinically defined outcome metrics and patient flow within a configurable pathway view.

OUTCOMES The aim of integrating analysis is to assist accurate, relevant and insightful measurements that can assist and track improvement changes. By ensuring that Aridhias Clinical Analytics service is agnostic of clinical systems, integration of a variety of sources can render a true and accurate insight of patient and population-level care and care delivery. Once the system has been implemented, it will be possible to derive measurable improvements. The collaborative nature of the dataset work enables the aggregation of data assets for research within the secure Research Analytics platform on a local, national and international level, which many organisations cannot currently undertake due to a lack of suitable computing infrastructure. This collaboration can facilitate the analysis of large, complex de-identified datasets, including linked clinical, patient, genomic, imaging and treatment data, and provide a mechanism to increase the rate of implementation of research findings into clinical practice, reducing the current seventeen year average. The data analysis integration work will also enable commissioners and trust-level management to determine how to deliver higher quality care and value for money in a service which, by necessity, must aim to provide improved levels of personalised care to an increasing number of complex patients.

Partners:
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Loth an
www nhs o h an sco nhs uk www dundee ac uk www ed ac uk www nhs a s de sco nhs uk

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