Transcript Digital Health - Enterprise Ireland UK

Digital Healthcare
UK Landscape
Dr Bryan Griffiths
DIGITAL HEALTHCARE MAY 2016
Scope
•
•
•
•
•
•
Introduction
Digital Review
Personalised Healthcare 2020
Digital Primary Care
Apps
Events
BRYANGRIFFITHS.COM
DIGITAL HEALTHCARE APRIL 2016
BRYANGRIFFITHS.COM
Wachter Review
The review will have a particular focus on clinical engagement
with implementation. Professor Wachter and the advisory board
will:
• Review and articulate the barriers to the implementation of
IT in the health and care service, drawing on relevant
comparison with the US experience.
• Make high level recommendations about IT implementation.
• Make recommendations on how best to engage clinicians.
Digital Healthcare UK Landscape
Wachter Review
In making recommendations, the board will consider the following points:
Experiences of clinicians and Trust leadership teams in the planning, implementation and
adoption of digital systems and standards.
Current capacity and capability of Trusts in understanding and commissioning of health
IT systems and workflow/process changes.
Current experiences of a number of Trusts using different systems and at different points
in the adoption lifecycle.
Impact and potential of digital systems on clinical workflows and on the relationship
between patients and their clinicians and carers.
Professor Wachter will report his recommendations to the Secretary of State for Health
and the National Information Board in June 2016.
Digital Healthcare UK Landscape
Digital Healthcare UK Landscape
Scope
Tele healthcare
mHealth
Health
analytics
Digitised
health systems
Digital Healthcare UK Landscape
Personalised Healthcare 2020
• Framework for action
• Developed by the National Information Board (NIB)
• Develop the strategic priorities for data and technology in
health and care
• NIB will report annually on progress
Digital Healthcare UK Landscape
Personalised Healthcare 2020
• providing patients and the public with digital access to
health and care information and transactions
• providing citizens with access to an accredited set of NHS
and social care ‘apps’
• setting the commissioning and regulatory roadmap for
implementation of digital data standards
• roadmap for comprehensive data on outcomes and value of
services – ensuring the business intelligence requirements
of health and care are met
• roadmap for publication of comparative data
Digital Healthcare UK Landscape
Personalised Healthcare 2020
• deliver roadmap to consent based information sharing and
assurance of safeguards in the interim
•
bring forward life-saving treatments and support innovation and
growth
•
support care professionals to make the best use of data and
technology
•
assure best value for taxpayers from existing programmes
•
technical standards work stream
Digital Healthcare UK Landscape
Personalised Healthcare 2020
Within the Roadmaps, Commissioners will be asked to
document their digital capabilities and plans against a
predefined set of pathways. For the 2016 roadmap they are:
• end of Life Care
• management of multiple co-morbidities
• urgent and Emergency Care
• mental Health Care
Digital Healthcare UK Landscape
Personalised Healthcare 2020
Digital Healthcare UK Landscape
Digital Maturity Index
Self assessment tool to explore if organisations are currently
using technology to operate paper-free at the point of care.
Data collected form 239 organisations. The index is scored on:
•
Readiness: an assessment of the organisation’s ability to plan,
deliver and optimise the digital systems it needs to operate paperfree at the point of care.
•
Capabilities: an assessment of the digital capabilities available to
that organisation and the extent to which those capabilities are
available and being optimised across the organisation as a whole.
•
Enabling infrastructure: an assessment of the extent to which the
underpinning infrastructure is in place to support delivery of these
capabilities
Digital Healthcare UK Landscape
Digital Maturity Index
NHS Trust
Readiness
Capabilities
Enabling
infrastructure
Total score across
Average score
all three areas
Salford Royal
Hospitals
Foundation Trust
99
83
98
280
93.3
University
Hospitals
Birmingham
Foundation Trust
95
75
98
268
89.3
Liverpool
Womens Hospital 99
Foundation Trust
62
100
261
87
Wirral University
Teaching Hospital 87
Foundation Trust
79
89
255
85
South Essex
Partnership
University
Foundation Trust
69
89
254
84.7
96
Digital Healthcare UK Landscape
Core Digital Delivery Targets
Access for all care professionals to GP held information on GP
prescribed medications, patient allergies and adverse reactions.
Access of key GP held information for patients identified by GPs as most
likely to present in urgent and emergency care for professionals in that
setting.
Patients can access their GP record.
GPs can refer electronically to secondary care.
GPs receive timely electronic discharge summaries from secondary
care.
Digital Healthcare UK Landscape
Core Digital Delivery Targets
Social care receive timely electronic assessment, discharge and
withdrawal notices from acute care.
Clinicians in unscheduled care settings can access child protection
information with social care professionals notified accordingly.
Professionals across care settings made aware of end of life preference
information.
GPs and community pharmacists can utilise electronic prescriptions.
Patients can book appointments and order repeat prescriptions from
their GP practice.
Digital Healthcare UK Landscape
Digital Primary Care Services
Patient Online
• Designed to support GP practices
• Promote online services to patients
Digital Healthcare UK Landscape
Digital Primary Care Services
•
Online Repeat Prescriptions - Offering a ‘click and collect’ or ‘click
and deliver’ service to order repeat prescriptions online.
•
Online Appointment Booking - Patients are able to book
appointments online.
•
Patient Records - Patients are able to view their full coded medical
records, including the option for them to download records into
third party applications, where required.
The ambition is that by 2018 every person will be able to access their
full health records at the click of a button.
Digital Healthcare UK Landscape
Digital Primary Care Services
The following four capabilities are also being tested to provide systematic digital
primary care services:
Practice Infrastructure - Installing Wi-Fi and other enabling infrastructures in practices.
Pre-referral Diagnosis - Patients will be able to provide information prior to seeing the
GP to aid pre-referral diagnosis and maximise efficiency of Patient-GP face time.
Consultation Access - Patients will have improved options for GP access, for example,
consultations with a GP via a telephone, using email, webcam or instant messaging
where this is deemed to be appropriate and clinically safe.
Telehealth, Telecare and Health Apps - Telehealth devices are made available to
patients to test and undertake diagnostics then upload to GP for consideration.
Telecare and health living apps will enable patients to monitor and manage their
health, or live independently, without having to visit their GP surgery as frequently.
Digital Healthcare UK Landscape
Core Digital Delivery Targets
Digital Healthcare UK Landscape
Healthcare Apps
• PAS277 – Health and Wellness
Apps
Gives recommendations for quality criteria of
health and wellness apps, intended to meet the
needs of healthcare professionals, patients,
carers and the wider public
Covers the full app project life cycle, including
development, testing, releasing and updating of
an app, including clinical, native, hybrid and webbased apps. It addresses fitness for purpose and
the monitoring of usage
Digital Healthcare UK Landscape
My Health Apps
My Health Apps is a free web portal created and maintained by
PatientView to provide independent advice to patients, carers and
anyone seeking to support and manage their health and wellbeing. This
portal has essentially become the ‘TripAdvisor’ for health apps. Its
global recommendations are from:
• Empowered consumers
• Patients
• Carers
• Patient groups
• Charities and other not-for-profit organisations
Digital Healthcare UK Landscape
My Health Apps
This network :
• highlight best practice in health app development
• highlight the unmet needs of public, patients and carers to
app developers
• bridge the gap between public, patients and carers with app
developers to improve the relevance, quality and health
impact of apps
• classify apps to make it easier for users to find ones relevant
to them
Digital Healthcare UK Landscape
ORCHA
ORCHA, the Organisation for the Review
of Care and Health Applications, offers a
platform of validated apps so the public
and professionals have the confidence to
use and recommend apps to revolutionise
wellbeing and resources
• Review
• Rate
• Disseminate
Digital Healthcare UK Landscape
ORCHA
ORCHA aims to:
• Improve app quality and visibility
• Reduce patient care costs in the NHS
• Improve uptake of apps to help support
in the prevention and treatment of
conditions
• Extend patient care by the NHS to
include valuable app support
• Improve data on the usage and benefits
of app technology
Digital Healthcare UK Landscape
Healthcare Apps
• This white paper synthesises
the input and feedback from
patients’ organisations,
healthcare professionals,
app developers, healthcare
policymakers and regulators,
the pharma, medtech and
mobile technology
industries, and academia to
identify and help address
patients’ unmet needs in
health apps.
Digital Healthcare UK Landscape
Healthcare Apps
Amongst the recommendations are:
Involve patients: establish a transparent, fair and sustainable
way to involve patients, patient groups and carers in app
development
Address unmet needs: identify and address truly unmet
patient and public needs, and switch the balance from
information-giving and trackers to tools that help patients put
this knowledge and data into action, enabling them to selfmanage
Share best practice: identify, develop and communicate models
of best practice, for example in involving patients and carers in
identifying unmet needs
Find the business model: identify sustainable business models
for apps, and make this funding transparent to browsing
consumers
Digital Healthcare UK Landscape
Events
eHealth Week
8-10 June 2016
Amsterdam
Health + Care
29-30 June 2016
Excel, London
NHS Innovation Expo
7-8 September 2016
Manchester Central
EHI Live 2016
1-2 November 2016
NEC , Birmingham
Digital Healthcare UK Landscape
DIGITAL HEALTHCARE MAY 2016
Thank you
BRYANGRIFFITHS.COM
DIGITAL HEALTHCARE MAY 2016
Thank you
Email:
[email protected]
Website:
www.bryangriffiths.com
Twitter:
@brygriffiths
BRYANGRIFFITHS.COM