Telehealthcare

An informatics perspective

George Mac Ginnis

NHS Technology Office

NHS CFHEP Masterclass

Imperial College, London 15 Sep 2009

The Patient

Better safer patient care

An open architecture based on messaging and standards

Telehealthcare – some questions

- What will ‘mainstream’ services look like?

- Where is the technology going

- Will we see convergence with telecare?

- How do we meet the choice agenda?

- Interactivity – how important is it?

- Mobility – do we need to follow the patient?

- What wider eHealth infrastructure is required?

- What are the information policy gaps?

Personal health –

a connected care ecosystem

Communication

device

QuestionnaireQuestions

• Are you well

•How many

pillows

•Medication

Telehealth service models

LTC Patient

care

profs

Monitoring Service

care

profs

Clinical Provider

Self Care

Biometric

devices

Telecare

sensors

Supported Care

Where is the technology going?

Lifestyle

monitoring

Community

alarmsTracking

Biometric

monitoring

and from static to a smart, distributed environment

From reactive to preventative…

1990 2010 2030?

Wearable

monitors

Intelligent

therapies?

Communication

device

QuestionnaireQuestions

• Are you well

•How many

pillows

•Medication

Telehealth / telecare convergence?

LTC Patient

Monitoring/ coaching

care

profs

Clinical Provider

Telecare

Biometric

devices

Telecare

sensors

Telehealth

Monitoring Service

Responder

8

Choice: The Continua Health Alliance

“Our Mission is to

establish an eco-system

of interoperable

personal health systems

that empower people &

organizations to better

manage their health and

wellness”

Over 210 members

9

PC

Personal

Health

System

Mobile

Phone

Set Top Box

Aggregator

Version One Device Connectivity Standards

Weight

Scale

Pulse

Oximeter

Independent

Living Activity

CV and Strength

Fitness Monitor

Medication

Monitor

Glucose

Meter

Pulse /

Blood Pressure

Interactivity –

linked to intervention models

Wellness

Time

High

turnover

Engaging

content

Technology choices will influence the

nature of the interventions

Lifestyle fit

Complex,

multiple conditions

Cost & RoI

Case finding

Mobility – linked to targeting

Scale will demand greater integration

Engaging content

and services

Better Case Finding,

Commissioning and

Research

Smarter

Working

Interoperability and

patient choice

Information policy gaps

Some key health information

standards issues remain:

• Identity management for

citizens

• Consent and confidentiality

• Trust, truth and provenance

• Safety and reliability