Technology for Preventative Healthcare David Carty, Product Owner, - PowerPoint PPT Presentation

Technology for Preventative Healthcare • David Carty, Product Owner, CM2000 • Adrian Smales, PhD Researcher, Edinburgh Napier University

Technological Changes

The journey so far …. • Introductions with Interface as the conduit organisation to various Universities, Edinburgh Napier was selected and relationships commenced with their School of Computing • Digital Health & Care Institute (DHI) e-Frailty project across 2016 researching risk prediction & early intervention through the use of wearables • Continuation of DHI funding for e-Frailty research supporting medical view of non-medical device data

What we are using … MEASUREMENTS: • Weight • Segmental body fat % • Segmental muscle mass • Body fat % (age 5 – 99 years) • Healthy body fat indicator • Total body water % • Muscle mass in kg • Bone mineral mass • Visceral fat indicator • Daily Calorie Intake • Metabolic age • BMI

Edinburgh Napier University Adrian Smales, BEng(Hons), MBA PhD Research Student #technologytoprevent

Demographics Image: https://d2v4zi8pl64nxt.cloudfront.net/1334098615_034ecf98fb8442224372017246526c9b.gif

Population Demographics Projected change in proportion of population aged 75 and over from 2010 to 2035 taken from National Records for Scotland inquiry submission to the Scottish Parliament Finance Committee, 2013. 2nd Report, 2013 (Session 4): Demographic change and an ageing population , The Scottish Parliament.

Demographic and Societal Challenges

Homeostatic Stasis New “Dynamic” Diagram Old (simple) diagram

Risk Stratification Abstraction Wellness/ Frailty High Level Physical Condition Activity Level Performance Metrics Metrics Body Composition Grip Strength Daytime Activity Sleep Pattern Mobility Mood Cardiac Activities of Daily Living Device Tanita Scales Grip strength meter Polar loop Question H7 CM2000 InForms How is Body Daily Grip Grip Grip IoRN v2 Body service R-R IoRN v2 Body Fat Muscle Bone Mass Calorie Metaboli Visceral Strength Strength Strength Total restfull Restless inactivity Distance Steps Heart score IoRN v2 Water Weight Date Resting Sitting Low medium high user Interval score (%) Mass Mass Index Intake c Age Fat Reading Reading Reading sleep sleep sleep stamps walked taken rate BPM Beginnin score End (%) feeling (ms) Middle (BMI) (DCI) 1 2 3 g Data today Trust Level • Tier 1 – Mandatory Public Sector Data Stores • Tier 2 – Personal Data store (Devices, IoT, Non-Medical equipment) • Tier 3 – Personal Data store (Subjective information, how do you feel?)

Wellness/Frailty Scale - Physical Condition High Level Physical Condition Metrics Metrics Body Composition Grip Strength Device Tanita Scales Grip strength meter Body Daily Grip Grip Grip Body Body Fat Muscle Bone Mass Calorie Metaboli Visceral Strength Strength Strength Water Weight Date (%) Mass Mass Index Intake c Age Fat Reading Reading Reading (%) (BMI) (DCI) 1 2 3 Data

Wellness/Frailty Scale - Activity Level Wellness/ Frailty Activity Level Daytime Activity Sleep Pattern Mobility Mo Polar loop Qu H se th Total restfull Restless inactivity Distance Steps Date Resting Sitting Low medium high ng sleep sleep sleep stamps walked taken f

Wellness/Frailty Scale - Performance Performance y Mood Cardiac Activities of Daily Living Question H7 CM2000 InForms How is IoRN v2 service R-R IoRN v2 Steps Heart score IoRN v2 user Interval score taken rate BPM Beginnin score End feeling (ms) Middle g today

E-Frailty Research Analysis – Identifying Risk The Story of Person 10 #technologytoprevent

InForm Assessment Builder / CMBI • Assessment developed to capture Tanita scale information • Assessment developed to capture Strength Grip information • IoRN 2 information captured directly via an InForm assessment • Data extracted and presented within CMBI for Provider and Service User/Family members

E-Frailty Results

Using Quantitative Monitoring Data – person 10 l n t u a a t i o A c u a l u r A c t a l d c t u A d n n e d P l a a r t e n e S t m l a n n e d d t i P a n e n p l n t i o u r a e r t d t i m s t a m e d t i i t e n 4 v i s 2 e o f a t D e 6 m 8 : 1 t i 7 : 4 1 : 3 5 1 0 : 2 4 1 7 3 0 9 : 5 0 0 : 0 0 8 : 5 7 : 3 0 1 0 7 1 8 0 0 4 9 : 0 0 : 0 8 : 1 7 : 0 6 3 2 0 1 3 / 3 1 1 / 0 0 0 2 8 : 0 3 0 : 1 0 : 0 9 : 2 1 6 0 0 : 2 0 : 0 0 : 1 0 9 : 0 1 3 0 0 1 6 3 / 2 1 2 / 0 0 0 3 1 : 0 2 3 0 : 1 7 : 0 9 : 7 3 0 5 : 1 1 0 : 0 7 : 1 9 : 0 1 0 3 0 1 6 / 2 0 6 / 0 3 0 4 : 5 0 3 0 : 0 7 : 1 7 : 3 1 1 : 2 7 1 8 : 0 0 : 0 1 : 0 0 1 7 1 7 0 6 3 2 0 1 0 3 / : 1 6 0 4 / : 0 0 9 : 4 4 7 : 3 0 0 1 5 7 1 6 0 0 1 8 : 0 0 : 0 9 : 1 7 : 0 6 3 0 1 3 / 2 0 7 5 / 0 0 0 2 6 : 0 3 0 : 0 9 : 0 9 : 7 1 7 0 0 : 1 0 : 0 9 : 1 9 : 0 0 0 3 0 0 1 6 3 / 2 1 3 / 0 0 0 1 2 : 0 6 3 0 : 1 8 : 0 9 : 8 8 0 5 : 2 1 0 : 0 7 : 5 9 : 0 1 0 3 0 1 6 / 2 0 9 / 0 3 0 8 : 5 0 7 0 : 0 0 : 4 7 : 3 1 1 2 7 1 9 : 0 0 : 3 0 : : 0 0 1 0 1 7 0 6 3 2 0 1 0 3 / : 3 5 0 8 / : 0 0 9 : 3 4 9 : 3 0 0 0 0 6 3 3 0 0 1 5 : 0 0 : 0 9 : 0 9 : 0 6 3 0 1 3 / 2 2 3 9 / 0 0 0 2 0 : 0 3 0 : 1 8 : 0 9 : 0 8 0 7 : 4 2 0 : 0 7 : 4 9 : 0 1 0 3 0 0 1 6 3 / 2 2 8 / 0 0 0 4 2 : 1 0 3 0 : 1 0 : 1 7 : 7 2 0 4 : 3 3 0 : 0 0 : 1 7 : 0 1 1 3 0 1 6 / 2 0 1 / 0 3 0 9 : 4 1 1 0 : 0 9 : 3 9 : 3 0 0 : 2 4 1 5 0 0 : 0 7 : 0 0 : 0 9 0 9 0 6 3 2 0 1 0 3 / : 0 1 1 2 / : 0 0 9 : 0 1 9 : 3 0 1 0 0 0 3 5 0 0 4 6 : 0 0 : 1 8 : 0 9 : 0 6 3 0 1 3 / 2 0 7 3 / 0 0 0 3 4 : 1 3 0 : 1 0 : 1 7 : 2 6 0 9 : 2 1 0 : 0 9 : 5 7 : 0 0 1 3 0 0 1 6 3 / 2 1 3 / 0 0 0 5 5 : 1 4 3 0 : 0 9 : 0 9 : 3 3 0 9 : 5 1 0 : 0 9 : 3 9 : 0 0 0 3 0 1 6 / 2 0 5 / 0 3 0 5 : 4 1 5 0 : 0 8 : 1 9 : 3 1 0 : 3 9 1 4 : 0 0 : 0 2 : 0 0 1 8 0 9 0 6 3 2 0 1 0 3 / : 0 4 1 6 / : 0 0 8 : 4 8 7 : 3 0 0 1 1 3 2 8 0 0 3 4 : 0 0 : 0 8 : 1 7 : 0 6 3 0 1 3 / 2 2 3 7 / 0 0 0 2 7 : 1 3 0 : 1 0 : 0 9 : 7 1 0 9 : 2 2 0 : 0 9 : 5 9 : 0 0 0 3 0 0 1 6 3 / 2 1 4 / 0 0 0 3 6 : 1 8 3 0 : 1 0 : 0 9 : 2 0 0 5 : 3 3 0 : 0 0 : 1 9 : 0 1 0 3 0 1 6 / 2 0 4 / 0 3 0 8 : 1 1 9 0 : 0 9 : 5 9 : 3 0 0 5 5 2 3 0 0 : 2 8 : : 0 0 : 0 9 0 9 0 6 3 2 0 1 0 3 / : 2 0 2 0 / : 0 0 9 : 5 6 9 : 3 0 0 0 5 1 1 2 0 0 3 3 : 0 0 : 0 9 : 0 9 : 0 6 3 0 1 3 / 2 5 0 1 / 0 0 0 1 4 : 2 3 0 : 1 7 : 0 9 : 3 6 0 2 : 3 2 0 : 0 7 : 0 9 : 0 1 0 3 0 0 1 6 3 / 2 2 9 / 0 0 0 3 6 : 2 2 3 0 : 0 9 : 1 7 : 3 9 0 0 : 1 2 0 : 0 9 : 1 7 : 0 0 1 3 0 1 6 / 2 0 3 0 3 0 2 : 4 2 3 / 0 : 0 0 : 1 9 : 3 1 0 4 9 1 6 0 0 : 4 3 : : 0 0 : 0 9 0 9 0 6 3 2 0 1 0 3 / : 1 1 2 4 / : 0 0 8 : 4 7 9 : 3 0 1 0 1 1 2 4 0 0 3 1 : 0 0 : 1 8 : 0 9 : 0 6 3 0 1 3 / 2 1 7 5 / 0 0 0 5 4 : 2 3 0 : 0 9 : 1 7 : 6 0 0 : 0 0 : 0 9 : 3 7 : 0 0 1 3 0 0 1 6 3 / 2 / 0 0 0 2 6 3 0 : 0 9 : 0 0 : 0 9 : 0 0 1 6 / 2 0 0 3 2 7 /

Risk Identification • Identification of client who was significantly de-hydrated • Identification of risk trends through client weight loss • Identification of client restlessness at night therefore ongoing risk during the day • Reduction in muscle mass • Reduction in strength grip • Increasing risk identified by the client themselves

Target Patient Groups - Where Risk Identified • Known fallers • Patients going through a reablement process • Patients on the periphery with some low level telecare equipment e.g. community alarm • Younger adults with mental health /memory problems • Learning Disability/ Supported Living where the challenge has been in a person expressing how well / unwell they are feeling

Technology to Support David Carty, CM2000 #technologytoprevent

Advanced Risk Modelling for Early Detection Working in partnership with: • East Dunbarton Health & Social Care Partnership • Inverclyde Health & Social Care Partnership • West Lothian Health & Social Care Partnership • Dumfries & Galloway Health & Social Care Partnership • NHS Highland • HRM Home Care • Loreburn Housing Association (Dumfries & Galloway)

CM2000’s Analytical Platform

CMBI Flags Recipient Reports Service User Practitioner InForm Builder Citizen Family Member Smart Devices Polar Loop Service User / Citizen Tanita Scales & Grip Strength Smart Devices