digital innovation for covid 19
TRANSCRIPT
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Digital Innovation for Covid 19
Martin Curley, Ross Cullen, Lorraine SmythHSE Digital Transformation
@martingcurley1
HSE Digital Transformation
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About HSE Digital Transformation
• Established Q3 2019
• Division of the Office of the Chief Information Officer (OoCIO)
• Establishment of Digital Solutions Review Board Q1 2020 to ensure a robust process in place to trial, demonstrate and adoption of innovative digital healthcare solution
4th Sep. 2019 - Pictured at the Digital Academy forum are• Ross Cullen, Digital Innovation Manager HSE• Paul Reid, CEO HSE• Lorraine Smyth, Communications and Innovation Lead HSE• Martin Curley, Director of Digital Transformation HSE
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Build a roadmap for ambition, implementation and success
DigitalBudget
DigitalCapability
DigitalValue
Digital Business
Model
Digital Health Macro Capabilities
SustainableEconomic
Model
FundingAmplification
ManagedSpending
Low Spending
European Leader
Mediocre
Average
Managed Yield and Portfolio
ValueMeasurement
EstablishBenchmark
ServiceCentre
Cost Centre
InvestmentCentre
Beginning
OptimizedValue
World Class
Initial
Basic
Advanced
Intermediate
MaturityLevels
Optimizing
3.
2.
4.
5.
1.
Value Centre
2019
2027
2030
Timeline
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HealthReactiveAnalog Business Transformation
Dig
ital
izat
ion
Digital
StartingPoint
The Transformation of the Business of Healthcare
From Repair care to Health
Bend the Cost Curve
Real-Time Health System
Citizen Centred
Data Driven Innovation
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Digital Transformation
Dig
ital
Aca
de
my
Op
en In
no
vati
on
Dig
ital
Lab
s (I
nn
ova
tio
n P
ort
folio
)
Dig
ital
Aca
de
my
Foru
m
Dig
itis
atio
n
Our Five Pillars of Digital TransformationImproving digital capability, competence, coherence and capacity
• Digital Transformation Strategy developed
• New Masters in Digital Health Transformation designed and commenced
- 44 HSE multi-disciplinary staff as students- 20 Digital Change Projects initiated
• Digital Innovation Portfolio/Pipeline of >40 digital innovations being managed
- Prioritizing several innovations for broad demonstration and adoption- Digital Innovation Governance process developed
• ‘Stay Left, Shift Left’ Innovation Strategy aligning the digital health ecosystem
•Two Digital Academy Fora held in 2019 -sharing and shaping Digital Health solutions and strategy
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Digital Transformation
Dig
ital
Aca
de
my
Op
en In
no
vati
on
Dig
ital
Lab
s (I
nn
ova
tio
n P
ort
folio
)
Dig
ital
Aca
de
my
Foru
m
Dig
itis
atio
n
Pillar 2: Open Innovation
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Sláintecare: Stay Left, Shift Left
The Continuum of Care
“Shift Left !”Independent
Healthy Living
Assisted LivingChronic Disease
Management
Integrated Care & Home Support
Home Care
Primary/Community Care
Specialist Nurses
GP Practice
Acute Care
Acute Hospital
High Dependency
Speciality Clinic
Life Style Nutrition
ScreeningMonitoring/
Scanning
Genetics Environment
Primary Care Centre
Immunisation
€ € € € € € € € € €
Community Unit
Cost of CareShift Left – Highest Quality of Life at the
highest possible cost avoidance
Qu
ality of C
are
Clin
ician Exp
erience
Qu
ality of Life
Emergency / ElectivePreventative/Proactive Healthcare
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Open Innovation 2.0: The new mode for Digital Innovation;
Source: M Curley/B Salmelin
Leveraging Collective
Intelligence and
Energy;Multiplicative, Synergy and network effects
Hospital
Start-up
University
PrimaryCare Centre
Nascent Start-up
Patients
Co-innovator
CreativeCommons
GovernmentEcosystemsupport
Students
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Covid as a big bang disruptor
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AssessmentGate
Proof of ConceptGate
Demonstrator Broad Adoption
Ideas
Ideas
Ideas
Ideas
Ideas
Digital Transformation pre-Covid 19
Vital Signs Automation
HealthBeacon - PCRS
Red Zinc
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AssessmentGate
Proof of ConceptGate
Demonstrator Broad Adoption
Ideas
Ideas
Ideas
Ideas
Ideas
Digital Transformation Covid 19 funnel
PatientMPower
Red Zinc
Wellola GP Video conferencing
Nua Solutions GP Video conferencing
Healthmail electronic presciption transfer
Trimedika non contactless
Acorrd
Vital Signs Automation
TUH echo pilotIntegrated Mobile Vital Signs for
NAS
Mater RPA
Respirasense
Thermal Kiosk
Violet
HealthBeacon - PCRS
eSMART (Sligo Mental Health) ()
TUH RPA
Closed Loop Medicine + Drone (MC)
Salaso
Siilo (Connolly)
Red Zinc TUH - ICU to nurse station
TempTraq (TUH)
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Solutions Portal
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Remote Management of Covid 19
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How it works1. Patient registered by clinical team & receives email or SMS to set-up account2. Patient completes registration & consents to sharing data with clinical team3. Patient supplied devices to monitor oxygen saturation & temperature which are ‘paired’ to their account via Bluetooth. Alternatively patients can enter measurements from existing device they have (e.g. thermometer)4. Patient receives reminders to record objective measures (e.g. SPO2, temp) & subjective measures (dyspnea, & cough severity)5. Data sent to secure portal automatically for clinical review
patientMpower - Overview• Deploy home monitoring for those likely to be mild / moderate or
recovering from COVID-19• Gather robust objective (oxygen saturation, temp.) & subjective (cough,
dyspnea) that will track disease progression• Escalate where patient trending towards severe disease
patientMpower has an ongoing clinical trial (NCT03744598) in respiratory disease
Remote Monitoring of COVID-19 Patients
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GP Telemedicine
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Medicinal Products (Prescription and Control of Supply) (Amendment) Regulations 2020
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ACORRD Assessment of Covid-19 Risk of Respiratory Deterioration
Copyright © All rights reserved 2009 - 2020 19
– Clinical tool for respiratory care of
COVID-19 patients
– A web application accessible via
mobile phone
– Defines a novel measure of patient
status called the COVID Critical Care
Index (CCCI)
– Triages patients based on CCCI and
offers clinical recommendation
when CCCI changes
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Automated Respiration Rate Measurement
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Thermo Kiosks
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Mobile X-Ray for Nursing Homes and Private Homes
• Licensed by EPA• Digital technology, remote
connectivity and reporting• Patient-centered care• Timely diagnosis in familiar
surroundings • Proven hospital avoidance
mechanism
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Ultra Violet Cleaning
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Drone Deliveries of Medication
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Barriers to Innovation
• A Risk Adverse Culture
• The complexity of the NHS/HSE
• A lack of funding
Necessity is the mother of invention!
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• “In an unstable complex system, small islands of coherence have the potential to
change the whole system.”
Ilya PrigogineRussian/Belgian physical chemist and
The Nobel Prize winner in Chemistry 1977
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Thanks!
@martingcurley1
www.hsedigitaltransfrormation.ie