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TRANSCRIPT
Major General Professor
Dato’ Dr Mohd Zin Bidin (Ret’d)
Innovation in Digital Health Care
Dean, Faculty of Medicine Cyberjaya University College of Medical Science (CUCMS)
Innovations in Digital Healthcare Maj. Gen. Dato’ Prof. Dr. Mohd Zin Bidin (Rtd) Dean, Faculty of Medicine Dr. Azli Shahril Othman Head of Division, Basic Medical Sciences
Overview 1. Introduction
– Definition – Types – Stakeholders – Conceptual Framework – Process – Dimension
2. Digital innovations transforming healthcare 3. Key elements of digital healthcare 4. Drivers for healthcare innovation 5. Factors affecting healthcare innovation 6. Questions for further research and discussion 7. Conclusion
INTRODUCTION
INNOVATION Innovation is the implementation of a new or significantly improved product (good or service), or process, a new marketing method, or a new organizational method in business practices, workplace organization or external relations
[UNESCO Institute for Statistics, 2005]
Types of Innovation • Improvement in technical specifications, components and
materials, incorporated software, user friendliness or other functional characteristics.
Product innovation
• Improved production or delivery method Process
innovation
• Changes in product design or packaging, product placement, product promotion or pricing.
Marketing innovation
• Implementation of a new organizational method in the firm’s business practices, workplace organization or external relations.
Organizational innovation
Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.
Healthcare Innovation Healthcare innovation can be defined as the introduction of a new concept, idea, service, process, or product aimed at improving treatment, diagnosis, education, outreach, prevention and research, and with the long term goals of improving quality, safety, outcomes, efficiency and costs.
Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.
How Will IT Revolutionize Healthcare?
• Outsourcing of diagnostic services e.g. telemedicine, teleradiology.
More offshore services
• Medical records that can ‘travel’ with the patient
Integration of health information systems
• Medwatch, MedAware Drug safety monitoring
on a global scale
• WebMD, Medscape etc More high quality
information to doctors and patients
Reference: Gupta, A., 2008. Prescription for Change. The Wall Street Journal, October 20, p. R6.
Key Stakeholders Of The Healthcare Innovation Process
Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.
Conceptual Framework For Innovation In Healthcare
Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.
The Process Of Healthcare Innovation
Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.
Service Organizations Innovation Model
Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.
Dimensions Of Healthcare Innovation
Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.
Innovations in
healthcare
Improve quality of
life
Enhance access
Lower cost
Eliminate waste
Reduce harm
Increase efficiency
DIGITAL
INNOVATION TRANSFORMING
HEALTHCARE
Digital Innovations Transforming Healthcare
GENOMICS 3D PRINTING
ELECTRONIC HEALTH
RECORDS
ARTIFICIAL INTELLIGENCE
HEALTH WEARABLES
TELEHEALTH MOBILE TECHNOLOGY
3D Printing Source: https://www.thestar.com.my/tech/tech-news/2018/04/23/changing-lives-with-printed-prosthetics/
DIGITAL HEALTHCARE UTILIZES TECHNOLOGIES TO PROVIDE SPORTS, FITNESS, AND WELLNESS SOLUTIONS THAT EMPOWER PATIENTS.
Source: https://www.healthcaretechnologies.com/health-tech-what-is-digital-mental-health-digital-healthcare-0
Digital healthcare, which is expected to be worth USD 500 billion by the year 2025, can empower patients, making healthcare more personalised and precise
Key Elements of Digital Healthcare
Artificial Intelligence
Connected Care
mHealth
Telemedicine
Source: https://www.healthcaretechnologies.com/health-tech-what-is-digital-mental-health-digital-healthcare-0
Healthcare has become more patient-centric instead of hospital-centric or physician-centric
This change in approach is fueled by the exponential development of the key elements of digital healthcare for the past few years
Source: https://medium.com/faces-of-digital-health/f013-what-to-expect-from-artificial-intelligence-in-healthcare-in-the-next-10-years-fdaf2edf32f8
Source: https://hbr.org/2018/05/10-promising-ai-applications-in-health-care
Artificial Intelligence
Artificial intelligence plays an important role not only on the software side of things but also in the improvement of the hardware
Robot Assisted Surgery Early trials have
demonstrated that robot-assisted surgery can help reduce variations in procedures and improve patient outcomes
Source: https://www.tue.nl/en/news/news-overview/02-10-2017-worlds-first-super-microsurgery-operation-with-robot-hands/#top
Pacing lead placement and myocardial
injections
Source: https://www.cs.cmu.edu/~heartlander/index.html
Virtual Assistants
Dosage Error Reduction
Automated Image Diagnosis
Connected Machines
Source: https://www.rdmag.com/article/2017/09/wearable-iot-device-predicts-asthma-attack-it-happens
Source: https://econsultancy.com/internet-of-things-healthcare/
Source: https://bocaratonconciergedoctor.files.wordpress.com/2015/02/ingestible-sensors.jpg
Source: http://www.coaguchek.com/coaguchek_patient/en/home/products/inrange.html
Source: https://www.who.int/goe/publications/goe_mhealth_web.pdf
mHealth The majority of UN member states (83%) reported offering at least one type of mHealth service. However, many countries offered four to six programmes. The four most frequently reported mHealth initiatives were: health call centres (59%), emergency toll-free telephone services (55%), managing emergencies and disasters (54%), and mobile telemedicine (49%).
Source: https://www.who.int/goe/publications/goe_mhealth_web.pdf
The National Business Group on Health last year surveyed 133 large companies employing 15 million Americans about their benefit practices: An astounding 90% said they expect to make at least some telemedicine services available to their workers this year. By 2019, nearly all of them will. Source: https://in.finance.yahoo.com/news/prepare-digital-health-revolution-103015260.html
Telemedicine
Source: https://www.tractica.com/newsroom/press-releases/telehealth-video-consultation-sessions-to-reach-158-million-annually-by-2020/
DRIVERS FOR HEALTHCARE INNOVATION
Drivers For Healthcare Innovation
Growth in demand Aging population and increased prevalence
of chronic diseases
Shortage of healthcare providers
Rising healthcare costs Improvement in communication
technology
Rapid adoption of the smartphone
Growth In
Demand
Source: https://www.futuretimeline.net/subject/society-demographics.htm
Aging Population
Increased Prevalence Of Chronic Diseases
Source: https://www.businessinsider.com/electric-health-records-causing-doctor-burnout-2018-12/?IR=T
Rising Healthcare
Costs
Source: https://www.ifs.org.uk/publications/9186
Improvement In Communication Technology And
Rapid Adoption Of The Smartphone
Source: http://saudigazette.com.sa/article/535659/SAUDI-ARABIA/Al-Khobar-becomes-first-city-in-MENA-to-get-5G-network
FACTORS AFFECTING HEALTHCARE INNOVATION
Factors Affecting
Innovation
1.Competing interests between players and
stakeholders
1.Funding and investment
1.Policy and regulatory hindrance
1.How and when to invest/adapt technology
1.Customers – patients’ families,
interest groups
1.Accountability – safety, cost
effectiveness, efficacy
Source: https://hbr.org/2006/05/why-innovation-in-health-care-is-so-hard
Critical Success
Factors For Healthcare Innovation
Formal mechanisms to find sound innovations that should be disseminated
Find and support innovators
Invest in early adopters
Make early adopter activity observable
Trust and enable reinvention
Create slack (including resources) for change
Lead by example
Reference: Berwick, D.M. 2003. Disseminating Innovations in Health Care, JAMA. 289: 1969-1975.
QUESTIONS FOR FURTHER RESEARCH
AND DISCUSSION
Questions For Further Research And Discussion… How would innovation affect the key stakeholders?
What are the implications of a particular healthcare innovation on treatment, diagnosis, prevention, education, research and outreach? What steps are taken in
adapting an existing technology for their purposes?
What are the principal catalysts for healthcare innovations – the patients, physicians, costs, safety, quality, profitability, productivity, etc.?
How do physicians learn about the latest innovations in their fields? What are the barriers to disseminating healthcare innovation?
To what degree do regulatory
compliance issues drive
the necessity for
healthcare innovation?
How much does
healthcare innovation depend on
information technology?
What is the nature of the
interaction between new and existing technology
and new and existing
services?
How much ‘cross
pollination’ occurs within the various professions represented
in healthcare?
How should the healthcare
industry address the
issues of maintainability, sustainability and usability
with regards to healthcare
innovation?
Questions For Further Research And Discussion (Cont.)
CONCLUSION