WELCOME Connected Health Ecosystem event
Prof Ben Bridgewater Chief Executive, Health Innovation Manchester
Guy Lucchi Digital Innovation Director
Digital is disrupting all business, healthcare is special but no different Healthcare Challenges What we need to do Do things Do different Ageing Unacceptable differently things populations variation Technology Can Help Commission things differently Empowered Escalating customers costs
Digital is disrupting all business, healthcare is special but no different CUSTOMER OPERATING MODEL BUSINESS MODEL Digital Disruption OLD WORLD INTIMATE OFFERING TRANSFORMATION TRANSFORMATION Fleet of taxis Old fashioned Taxis with The customer is already digital On shared Uber Taxis an app and will define the next moves platform Digital platforms disrupt existing Hotel chain value chains* Hotel with with Hotel Air BnB a website centralised Platform effects create winners and booking losers GP consortium GP with *source leading edge forum GP and Babylon a website OHH service 5
Digital transformation: Excellence Product leadership How technology is changing the Threshold way in which products and services are provided to keep people well and detect and treat disease. https://www.executestrategy.net/blog/value-disciplines/ Customer Operational intimacy efficiency Digital transformation across industries suggests that greater focus on a specific value optimises chances of success. Re-imagining services 6
GM digital operating model Design Method Platform Engage Studio Problem driven Maximising existing Bringing together A vibrant place for co- pathway redesign and data and platform talent to develop the creating new pathways data science. assets. approach Delivered using agile Targeted investment to Patients, professionals, techniques and cross- enhance. academics, functional teams. stakeholders and industry 7
A digital transformation Problem methodology Statement The ability of a system to derive benefits from technology is far more dependent on the people, processes and culture than it is KPI’s on the technology People Process Culture Tools and technology 8
Use case: re-imagining A&E PROBLEM STATEMENT SCENARIO We have observed that A&E is supporting patients A 13 year old boy who falls through a that other services are better placed to provide green house and cuts his leg. and the unscheduled nature of A&E means waiting times can be extensive, this results in a poor experience for patients and sub optimal utilisation of clinical expertise and real estate which in turn is results in poor patient satisfaction, wasted clinical time and increased costs to the health system. 9
Traditional world Drive to A&E Call 111, 999 Up to 4hour or attend and struggle wait A&E Incident to park A&E in A&E admission 10
“Re - imagined” Digital first world Book GP Appointment Non- urgent, direct to alternative • Receives a notification Number recognition Mobile app gives when to leave based on automatically opens step by step Multi Digitally books Presents several traffic and estimated barrier and informs instructions to Channel time slot and locations based on travel time Incident the ePR patient A&E AI Triage waits at home speciality & wait • Rewarded with parking arrived Non life time voucher threatening but requires urgent treatment • Direction to the nearest A&E and estimated driving time Prioritised • Automatically dispatches A&E ambulance (if required) admission Immediate risk of life 11
We do not need magic to transform our world. We carry all the power we need inside ourselves already. We have the power to imagine better. J.K.Rowling 12
Transforming care through digital technology Stephen Dobson, Chief Digital Officer GM Health and Social Care Partnership
People are more digitally connected than ever before, but we recognise that not everyone is. 1 in 5 households 58% of households 79% of adults use a currently use own a tablet smartphone wearable tech Households with 87% of households Lower-income families and people superfast broadband have an internet aged over-54 are less likely to have increased by 2.2m connection smartphones, laptops and tablets from 2018 to 2019 OFCOM Communications Market Report, 2019
Despite the digital revolution, healthcare and public services have been left behind • Important patient information is held on hundreds of different systems which cannot be accessed from one place • People have to repeat their story to multiple professionals, • Care is not joined-up between different agencies Important information is missed and problems are not identified • early • In extreme cases this could lead to harm We need to digitally transform how people engage with health and care services by maximising data-driven technologies.
Tamara’s story In April 2015, 13 13 year old Tamara ara Mills s had a fa fatal al After her death, the coroner identified a number of failings in Tamara’s asthma hma atta tack ck. She was seen n care. One of these was the lack of a coordinating record of the occasions by medical ical profess ssional ionals s 47 on which she saw medical professionals. Without this overall picture, each times es in different erent parts s of the case was treated as a unique incident. NHS. Each medical professional who saw Tamara should have been able to Linking ng these se records ds could d access a comprehensive summary of her previous interactions with the have allowed ed her doctor ors s to NHS and make an informed decision about the care needed. More treat t her differentl erently and comprehensive information and communication could have led to her perhaps ps prevent nt her death. h. being treated differently and she may not have died. Understanding Patient Data, August 2017
Public attitudes to data sharing The GMCA commissioned an independent research study in 2018 to survey 1,100 GM residents and hold a series of focus groups and in-depth interviews
Free the data Every y syst stem m has just st one connecti ction. n. 6 syst stems ms require quire 15 connec ecti tions. ons. Every y syst stem m has 5 separat rate connecti ctions. ns. Create a central repository of data that can be re-used. Systems are integrated with bespoke connections. They also need to be interoperable - they can be connected like Lego bricks using standard OPEN API’s.
Future state: apps can build off a single GM wide medication reviews shared data source and transfer data to source systems Health Intelligence Professional visualisation of records across GM Patient Specific Apps Rules/Automated Alerts/Escalations Incentive schemes Organisations GM shared data across all 10 store Professional visualisation of localities records across GM GM Contingency Plans. GM Care and Support plans PACS/VNA Digital Pathology GP Dashboards GM-wide stratified health checks
All 10 localities of Greater Manchester already have an Integrated Direct Care Record in place Supports health and care professionals to access patient data at the point of care to inform better care and treatment 300 GP practices now actively use the system 8 acute trusts live Remaining 2 to go live in summer 2019 Locality shared care record All 3 mental health trusts live All 10 Councils and 7 community care providers coming on board
Moving beyond the basic ability to share information to transforming care £14.3m digital transformation programme to develop advanced technologies across public services • Developing common standard technology for public services across GM GMHSCP & GMCA are working together to • Empowering people to take control of their health and procure, develop and test a next generation wellbeing data sharing platform Ability to share information across GM and beyond • • Technology that allows data from multiple sources to be reused by a variety of systems • Presents data clearly to support improved clinical decision making Frailty Early years Dementia Informs routine and emergency care • • Improves standards of care for all • Proactively identifies gaps in care • Reduces variation in standards
Maximising digital technology is fundamental to achieving Greater Manchester’s public reform plans The NHS, councils and other public bodies are working together to invest in new technologies to digitally transform public services INTEGRATE EMPOWER INNOVATE Population ation health th Unlocking king economic mic Creati ting ng a s sustaina stainable e approac ach pot otent ntial health th and care syst stem • Joining up records • Digital Innovation Hub • Citizen access to their • Developing common • Partnerships with information standards academia and industry • Person centred and • Public services • Data science and personalised infrastructure analytics • Citizen apps linked to • Precision health record
Dementia Use Case Dr. Emma Vardy Consultant Geriatrician Clinical Dementia and Delirium Lead Salford Royal
It’s about people…
As is… • Siloed • Provider centred • Carers involved very little • Overly complex
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