1. No category

How to innovate in healthcare through
digital technologies and informatics
Krish Nirantharakumar, MBBS, MPH, MD, MFPH, MRCP
Senior Research Fellow & Honorary Consultant in Public Health (PHE)
Institute of Digital Healthcare, WMG, University of Warwick
Central Locality Spoke Stakeholder Event
05/12/2013
Slide 1
Digital Healthcare
•
•
Digital healthcare is the application of
appropriate digital technologies to:
– the promotion of wellbeing &
prevention;
– the management of disease;
– deliver health services that are
effective, efficient and of high
quality
Challenges
– Healthcare is the slowest adopter
of digital technology
– Big Data is coming – West Mids.
population 5.6m
– Fragmented landscape: many
standalone digital applications
from academia, industry, NHS
– Need for translation and adoption
Central Locality Spoke Stakeholder Event
05/12/2013
Slide 2
Digital theme as an enabler
• Establish regional clinical trials platforms - support for acceleration,
reducing bureaucracy, improving efficiency and cost effectiveness,
alignment with CLRNs
• To promote and accelerate innovation, evaluation and adoption
• To drive and develop patient-centric integrated care pathways bridging primary, secondary & social care
• Focus on education & training - delivering a fit for purpose workforce
in partnership with Health Education WM
• To create wealth - proactive support for regional medical technology
industry engagement
Central Locality Spoke Stakeholder Event
05/12/2013
Digital theme as an enabler
3 clinical priorities
• Chronic disease
– Diabetes & obesity
– Musculoskeletal disease
• Drug safety
– From hospital to primary care
– Abolishing prescribing errors across the region
• Mental health
– In the young
– Dementia
Central Locality Spoke Stakeholder Event
05/12/2013
Chronic Disease Management
• Good comprehensive management strategies
improves outcomes
– Improve prevention of occurrence of diseases
– Improve detection rates of diseases
– Improve treatment rates
– Improve control of disease
• Improve compliance with treatment
• Adequate and appropriate treatment
Reduce complications
Reduce mortality
Central Locality Spoke Stakeholder Event
05/12/2013
Prevention
Media
Social Media
Central Locality Spoke Stakeholder Event
05/12/2013
Apps and Devices
Detection
Principles Of Comprehensive Management of Chronic Diseases
• Use information systems
• Identify patients with chronic disease
• Stratify patients by risk
– High risk: more intensive management
– Low risk: less intensive management
• Co-ordinate care
– Using multidisciplinary teams
– Integrate across primary and secondary care
• Provide care in the least intensive setting
– Involving patients in their own care
– Minimise unnecessary clinic visits and admissions
Central Locality Spoke Stakeholder Event
05/12/2013
Detection
HIS
Population
Intelligence
Stratified Healthcare
Dashboard
Stratified Medicine
Central Locality Spoke Stakeholder Event
05/12/2013
Treatment
Treatment Devices
Clinical Decision Support Systems
Retinal Screening
Optimising Medications
Central Locality Spoke Stakeholder Event
05/12/2013
Control
Pill Dispensers & Reminders
Educational Programmes
Central Locality Spoke Stakeholder Event
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Self Management Tools
Inpatient care for diabetes
Prediction models and CDSS
0.50
0.00
0.25
Sensitivity
0.75
1.00
eRx & Medication Errors
0.00
0.25
0.50
1-Specificity
0.75
Ideal Model ROC area: 0.810
Pragmatic model ROC area: 0.802
Test Model ROC area: 0.784
Reference
1.00
Quality Indicators
Integrated Glucose
Management System &
Glucometrics
Central Locality Spoke Stakeholder Event
05/12/2013
Apps in Acute Care
Central Locality Spoke Stakeholder Event
05/12/2013
Outpatient clinics for diabetes
Video Consultation
Electronic Medical Record
Telehealth
Central Locality Spoke Stakeholder Event
05/12/2013
Enabling integrated care in diabetes
Central Locality Spoke Stakeholder Event
05/12/2013
Enabling Education & Training
Central Locality Spoke Stakeholder Event
05/12/2013
Enabling Adoption
Central Locality Spoke Stakeholder Event
05/12/2013
Enabling Research
Central Locality Spoke Stakeholder Event
05/12/2013
The Institute of Digital Healthcare
• A world-class £4M 5-year funded partnership
between the NHS, WMG, WMS and other
relevant organisations
• Aims: to improve people’s health and wellbeing
through the use of innovative digital
technologies and methodologies
• We do this through high quality research,
education and training capabilities
Central Locality Spoke Stakeholder Event
05/12/2013
Our USP
WMG:
Industry
engagement
NHS:
Reality
check &
‘needs’
Central Locality Spoke Stakeholder Event
05/12/2013
WMS:
Clinical
need and
relevance
IDH – innovation and research I
Biomedical Informatics
Clinical & Public
Health
Knowledge
Clinical Trial
Systems
Patient &
Population Data
Deriving New
Knowledge &
Measure
Performance
Central Locality Spoke Stakeholder Event
05/12/2013
Clinical
Guidance &
Decision
Support
Systems
IDH – innovation and research II
Brain imaging
Clinical
Imaging
methodology
and trials
In vivo
metabolomics &
Functional
Imaging
(childhood cancer,
metabolic
disease)
Central Locality Spoke Stakeholder Event
05/12/2013
Neuro-imaging
statistics
Neuro-degenerative
disease
(epilepsy,
sleep disorders)
Modelling
Meta-analysis
fMRI clinical trials
Human Brain
Connectome
IDH – innovation and research III
Healthcare
Technologies
Biomedical
Signal
Processing
Central Locality Spoke Stakeholder Event
05/12/2013
Visualisation,
Modelling and
simulation
Brain
Electrophysiology
(EEG) & BCI
Physiological
Monitoring –
Healthcare
Sensors
IDH – innovation and research IV
eHealth
Innovation
Apps & Social
Media
Telehealth
Evaluation
Central Locality Spoke Stakeholder Event
05/12/2013
Implementation
IDH – innovation and research V
Health
Systems
Engineering &
Modelling
Care Quality
Impact of Pathway
Variation Analysis
on Quality
Threshold
Central Locality Spoke Stakeholder Event
05/12/2013
Service Delivery
Improvements
Impact of Pathway
Variation Analysis
on Patient Care
Impact of Pathway
Variation Analysis
on cost: Hospital
Operation
Digital Healthcare
research and innovation
Define/identify
healthcare problem
Research/innovation
Design & develop
solution
Evaluate & generate
evidence
Support innovation
Central Locality Spoke Stakeholder Event
05/12/2013
realising our imagination: facing challenges
Central Locality Spoke Stakeholder Event
05/12/2013
Thank you
Institute of Digital Healthcare Contact:
Theodoros N. Arvanitis, RT, DPhil, CEng, MIET, MIEEE, AMIA, FSIM, FRSM
Professor of e-Health Innovation
Institute of Digital Healthcare, WMG and WMS, University of Warwick
Birmingham Children’s Hospital NHS Foundation Trust
[email protected]
Central Locality Spoke Stakeholder Event
05/12/2013