covid19 roundtablebrisbanediamantina.com/wp-content/uploads/bdhp-covid-19... · 2020. 4. 24. ·...

COVID19 Roundtable 16 April 2020

Exploring opportunities to accelerate COVID19 translation

1

Agenda for Today

Confidential

10 mins Opening and welcome

● Acknowledgement of Traditional Owners

● Principles for today’s conversation

● How the meeting will work today

● Who’s on the call – What role do you play?

● What would you like to get from today?

David Bunker

Peter Burow

Interactive Session

35 mins Feature COVID-19 Activities

1. Overview of BDHP Roundtable Discussion #1 – 30 March

2. Ageing Theme and CV-19 – Impact on the Aged

3. RCT of a Social App connecting people with carers using gaming theory –

Quick development and deployment

4. Data and innovation in hospitals

● What’s most interesting / most captured your attention?

David Bunker

Nancy Pachana

Paul Barnett

Clair Sullivan

Interactive / Chat

15 mins Interactive Feedback and Discussion

● What would you like to hear more about in upcoming events?

● What did you find valuable today?

● Thanks/acknowledgements

Peter Burow

Interactive Session

David Bunker

Section 1

Introduction

Section 2

Feature Activities

Section 3

Discussion

Confidential 3

Section 1: Roundtable Discussion Purpose

To enable the integration of innovative research

with education, training, clinical care and the

highest quality healthcare for our local and

extended communities

Improved population health outcomes through

collaborative partnerships that translate

discoveries and knowledge into practice

BDHP’s role is to connect the efforts of individuals, organisations and

communities in Queensland for better health.

Our partners are health, research and education leaders who combine their

strengths in state-of-the-art facilities to solve major health challenges.

Confidential 4

Principles for today’s Roundtable Discussion:

1. Do everything we can, but don’t get in the way

2. The healthcare delivery system is focused on coordinating the response, we

are working to support translational research coordination and collaboration

3. Today we will work to identify what we can collectively do to support the

response

4. Today we will work to achieve our mission:

To enable the integration of innovative research with education, training, clinical

care and the highest quality healthcare for our local and extended communities

Section 1: Roundtable Discussion Purpose

Making

best use

of our

time

today

5

Fostering high-value discussion

• We will invite questions/comments regularly –

when we do, feel free to jump in and start by stating your name

• You can use the chat channel at any time to share short written

comments/questions – we may invite you to follow up

• We’ll also use an online polling tool at specific points

Section 1: Roundtable Discussion Management

Zoom management• We are managing Zoom within the current constraints

• Please connect with the Zoom client/app, not by telephone dial in

• Please mute your audio when you’re not talking

• Please switch off your video

• Please use the Chat Window to ask questions and make comments

• Please be ready for the interactive parts of the discussion

Confidential 6

Group

contribution tool

• On your web browser

(phone, tablet or

desktop)

• Go to:

pollev.com/npgroup

pollev.com/npgroup

Section 1: Roundtable Discussion Management

Confidential 9

Agenda for Today

Confidential







David Bunker

Peter Burow

Interactive Session

35 mins Feature COVID-19 Response Activities & Research







David Bunker

Nancy Pachana

Paul Barnett

Clair Sullivan

Interactive / Chat





Peter Burow

Interactive Session

David Bunker

Section 1

Introduction

Section 2

Feature Activities

Section 3

Discussion

Confidential 11

Section 2: Overview of Roundtable 1 research activities

Initiative 2

Local interventions trial

for drug candidates

David Paterson

• Local multi-arm interventional trial

for drug candidates – Funding

update – Hospital based trial with

Royal Brisbane Foundation (Aus.-

wide funding)

David Paterson /

Paul Barnett

• Behavioural programs to avoid

preventable mass healthcare

worker sick leave – $2M funding

Apprise providing a $250K

allocation for partnership with

behavioural psychologists on

gamification of hygiene

behaviours

Paul Young

• Vaccine development – CEPI

funded platform to progress

development of subunit vaccines

already underway

Initiative 1

Vaccine development –

is there more that can

be done to support?

Initiative 3

Behavioural programs

to avoid mass health

worker sick leave

Recapping our last Roundtable

Confidential 12

Scott Beatson

• Tools to aid infection control and public health – Scott

Beatson (Queensland Genomics) time/place virtual

‘YouTube video’ of outbreak patterns being adapted for

nursing home setting to track staff and resident

movements for hygiene control

Janet Davies

• COVID19 Biobanking – building on statewide

biobanking initiative

Initiative 4

Tools to aid infection control and

public health

Initiative 5

COVID19 Biobanking

Section 2: Overview of Roundtable 1 research activities

Recapping our last Roundtable (cont.)

Confidential 13

Section 2: What we learnt from Roundtable Discussion #1

We asked the question of participants

Confidential 14


Confidential 15


brisbanediamantina.com/

covid-19

Confidential 16

Section 2: Ageing Theme and CV-19 – Impact on the Aged

Professor Nancy PachanaProfessor of Clinical Geropsychology, School of Psychology

The University of Queensland

BDHP Ageing Theme AimsThis theme aims to improve the health care of older persons by:

• Developing a clear understanding of the needs and optimal treatments of an emerging

population of older frail individuals with high prevalence of chronic disease and functional loss.

• Devising strategies at an organisational and care delivery level to ensure the implementation

of best practice within and beyond the partnership.

• Creating and improving educational strategies and programs that underpin excellent practice.

Confidential 17

Initiative 1

COVID-19 Impact on the Aged Please share

your comments

in the Zoom

chat

● What else is

going on/should

we be aware

of?

● What’s most

interesting /

most captured

your attention?


COVID-19 and Older Adults

Professor Nancy A. Pachana

Chair, Ageing Theme, BDHP

School of Psychology, University of Queensland


COVID-19 and Older Adults

• Issues of note

• Risks

• Social isolation and anxiety

• Ageism

• Nursing homes, palliative care settings

• Next steps


Risks

• Current evidence suggests that older adults are no more likely to contract COVID-19 than younger

adults. Among those who do contract COVID-19, those over the age of 60 (or age 50 if of Aboriginal or

Torres Strait Islander descent) are at greater risk of serious or life-threatening health complications that

may require medical intervention. However, even with this increased risk, the large majority of older

adults who contract this illness will recover.

• Having respectful and open conversations with older patients, their families, and their caregivers about

health concerns is vital. Ask about what precautions they are taking to reduce health risks, and make

decisions together about ways to mitigate risk.

• Quarantine itself comes with risks; lack of information, isolation and financial concerns, for example,

can influence both psychological well-being as well as risk-taking behaviour.

• Much has been written about domestic violence, but elder abuse, which is more insidious, may also be

on the rise in communities.


Social isolation and anxiety

• Practicing social distancing as a way to prevent or slow the spread of COVID-19 can result in reduced social contact, which can be especially problematic for older persons who are already socially isolated or feeling lonely.

• According to the Australian Institute of Health and Welfare, 39 per cent of people aged 65 and over live alone. Research has shown that social isolation and loneliness increase the risk of physical and mental health problems.

• Engaging in social activities is still possible - and older adults can use many technologies to facilitate this. Telephone calls, texts, emails and using video-conferencing technology (e.g. FaceTime, Skype) can help maintain social connections. It is a MYTH that older adults are not open to or capable of using these technologies - eSafety’s Be Connected website has great resources designed to help older Australians develop digital and online skills.

• If you think they are not coping, or are overly isolated, suggest they seek help from their GPs, or encourage them to speak with a mental health professional.


https://beconnected.esafety.gov.au/

Ageism

• We often overlook ageism in health care and health care research. For example, in the U.S. the National Institute of Health mandated the inclusion of women and people of colour in medical research in 1986, but it didn’t issue a similar mandate for older adults until 33 years later, in 2019.

• Here in Australia, COVID-19 response plans have included older populations but in many settings, the voices of older adults and their preferences may not be heard and adequately addressed. This is important at a time when human resources are particularly stretched.

• Age itself is an unreliable predictor of responses to treatments, yet chronological age still dictates resource allocation. In the COVID-19 environment it is important not to let ageist stereotypes and assumptions get in the way of best treatment practice.


Age-specific treatment settings

• Aged care homes and settings such as palliative care with large numbers of older persons have adopted restrictions on visitors etc. But this poses difficulties with families not being able to provide routine care (e.g. feeding), and also being with a loved one who is dying.

• For people living with dementia or some form of cognitive impairment, the ability to follow instruction or to alert others about potential symptoms may be a challenge. This is especially so when there is a limited capacity to communicate verbally or express pain and discomfort. In this situation, observation by someone who knows the person with dementia may assist in identifying changes in their health.

• Remote communities provide unique challenges in care – the National Aboriginal Community Controlled Health Organisation (NACCHO) website has excellent resources.


Summary

• Older adults vary in their needs, their risks, and their ability to engage in active coping during the crisis.

• Ageism and stereotyping of older persons can affect best practice treatment and cause unnecessary distress.

• Social isolation is necessary, but ways to keep vulnerable older adults engaged in their social networks should be a priority.

• For those in aged care, consideration of the individual patient and their family’s wishes, particularly in the face of dementia or palliative care concerns, should be sensitively addressed.


Confidential 25

Paul BarnettCofounder and Managing Director, Asymmetric Innovation

Section 2: Social Apps – Connecting people with carers

Behavioural programs to avoid mass health worker sick leave

Behavioural programs to avoid preventable mass healthcare worker sick leave – $2M funding

Apprise providing a $250K allocation for partnership with behavioural psychologists on

gamification of hygiene behaviours

Confidential 26


Initiative 2

Social App connecting people with carers using

gaming theory – In a nutshellPlease share

your comments

in the Zoom

chat

● What else is

going on/should

we be aware

of?

● What’s most

interesting /

most captured

your attention?

• COVID-19 has been particularly devastating in aged care facilities worldwide – generally already

spread rapidly at time of first identified positive case.

• Aged care workers concerned about transmitting virus between residents and their own families

and loved ones. The serious consequences are well understood with wellbeing a major concern as

the outbreak worsens

• Partners Asymmetric Innovation, PentaQuest and University of Queensland have formed a

partnership of expertise in behavioural science, gamification and infectious disease to tackle

coronavirus spread in residential aged care facilities.

• App developed for aged care workers aimed at incentivising behaviours through gamifying tasks

and activities that contribute to; being informed, regular safe and hygienic practices, wellbeing and

supporting others - thereby reducing the spread of the disease

• Preparing for first-known randomised controlled trial for the use of gamification in health care

• Aimed for rapid scalability into hospitals and the public for increased impact of the technology to

incentivise desirable measures and behaviours that limit worst-case impacts of covid19

LIKE A FITNESS APP

FOR CARING

WITH TEAM MOTIVATION

& INFORMATION

BUILT IN

IN TALKS WITH FACILITIES TO

RELEASE TO

9000 USERS

Confidential 33

Please share

your comments

in the Zoom

chat

● What else is

going on/should

we be aware

of?

● What’s most

interesting /

most captured

your attention?

Context -

• Team of behavioural

science and gamification

experts

• Current project is three

weeks old (!)

• 40% of deaths are occurring

in age care homes

• Critical role for age care

workers to minimise spread

o Notable stressors

– work vs home

o Opportunity for

consistency

Purpose of the app

• Identified 100+ behaviours

• Create an incentive/motivational approach to engage in safer behaviours

• Create habits

• Focus on health and confidence – managing stress/switching brain off

Some of the key features include:

• Identified 100+ behaviours

• Team scores and benchmarking at State and National levels

• Ability to thank others for reminders

• Highly curated articles

Randomised control trial (9000 users) in commencement/progress

Next steps

• Hospital roll-outs (cleaners, healthcare workers)

• Broader general public

Initiative 2 – continued

Themes captured during Paul’s presentation


Confidential 34

Assoc. Professor Clair SullivanChief Digital Health Officer

Metro North Hospital and Health Service

Section 2: Data, Digital Hospitals and Innovation in Clinical Practice

Data, Digital Hospitals and Innovation in Clinical PracticeMedical Research Future Fund’s Rapid Applied Research Translation initiative:

• Enhancing electronic medical records to improve patient outcomes, integrate health workforce

and generate efficient research (EMPOWER).

• Associate Professor Clair Sullivan leads this research project into data collection system

inefficiencies that limit healthcare delivery and research.

Confidential 35Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.

https://brisbanediamantina.com/covid-19/roundtable-discussions/

Confidential 54

Section 2: Status update on current SEQ research and activities

Initiative 3

Data and innovation in hospitals Please share

your comments

in the Zoom

chat

● What else is

going on/should

we be aware

of?

● What’s most

interesting /

most captured

your attention?

• Metro North is our largest ‘cluster’ in Queensland

• Participatory action research project

• Two papers already submitted for publication

Innovation areas

• Virtual working – nurses, doctors, allied health staff

(e.g. speech therapy); thousands of staff have

moved in the last month

• The traditional outpatient appointment has

been re-imagined

• Virtual care (rather than telehealth) – not just

exchange of images; exchange of information

and data + internet of things

• 10 – 20% of appointments have shifted

to virtual care in recent weeks

• Very conscious of digital divide – not all staff have

equipment

• Using a variety of platforms to deliver care

• Privacy implications have been extensive but the

door has been opened

• “Virtual visits” – allowing patients to have contact

with families and friends

• Feedback has been that while they’d prefer

to be in the room, given the circumstances

this has been a positive step to maintain

social connections

• Virtual family meetings

• Virtual training hub

Agenda for Today

Confidential







David Bunker

Peter Burow

Interactive Session

35 mins Feature COVID-19 Response Activities & Research







David Bunker

Nancy Pachana

Paul Barnett

Clair Sullivan

Interactive / Chat





Peter Burow

Interactive Session

David Bunker

Section 1

Introduction

Section 2

Feature Activities

Section 3

Discussion

What would you like to hear more about in upcoming events ?

What did you find valuable today ?

Due to a technical issue the final Poll didn’t appear on the screen.

Please provide us feedback on this form, we’d love to hear from you.

https://forms.gle/m8zyuzuuBVvHnMCp8

https://forms.gle/m8zyuzuuBVvHnMCp8

Acknowledgements

and next steps

brisbanediamantina.com/covid-19/

57

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