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Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Insight Driven Health
Workshop on Health Technology
«Innovation in Health» team
ISFiT - 17th Feb 2011, Trondheim
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Introduction
Francis D’Silva
Accenture «Innovation in Health»
francis.dsilva@accenture.com
Twitter: @francisds
Olga Marie Lerflaten
Accenture «Innovation in Health»
olga.marie.lerflaten@accenture.com
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Agenda - Workshop on eHealth
• Health 101
• Opportunities for Innovation
– UN’s Millennium Development Goals
– Consumer-centric health
• Introduction to the group assignment
• Lunch break (12 noon)
• Group assignment
• Presentation of assignment
• Summarize for plenary session (on Friday)
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A healthy society generates
opportunity for its residents
• Health is about wellness of mind and body – i.e. it is more
than the absence of illness
• Health services are provided by government at different
levels of commitment and payment models
• Health services can be broadly segmented as
– Providers who provide the health service
– Payers who cover financial costs
– Public Health that provides the underlying foundation
– Vendors that provide the materials and technologies
• Different countries have different practices for providing
health services – See http://en.wikipedia.org/wiki/Health_care_system
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Accenture – a global company Consulting . Technology . Outsourcing
Employees
Countries
Offices
Revenue
211 000
Health and Public Service
Bank, insurance and
capital markets
Comm. Media and high
technology
Products Resources
Consulting
Technology
Outsourcing
120+
170
$21,6 B
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Accenture’s Health practice
Help providers, payers and public health authorities improve their performance (Consulting – Technology – Outsourcing)
Develop ideas and prototypes (Technology Labs – Sophia Antipolis, San Jose, Chicago, Bangalore)
Researching and explaining the latest trends (Institute for Health & Public Service)
NB! Links to videos are local
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The big challenge/opportunity
“Connected Health”
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Clinical Information Systems
Hospital Management Systems
Information and services must flow
seamlessly for patients to enjoy a strong
user experience
Portal
Services must be useful for the user Trust must be maintained User-experience should be engaging Information quality must be high
The portal must tie into the supporting services Practices and procedures for the workforce must be
designed and implemented
Move data seamlessly without compromising accuracy, privacy for flexibility and usability
Interdisciplinary processes and collaboration
Data transfer between organisations (even across nation states) – without compromising trust
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Workshop 15 - Two themes
Millennium Development Goals Patient centric health-care
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Millennium Development Goals
11 (c) Accenture 2011. ISFiT 2011- Globalize this: Health (17th and 18th Feb 2011, Trondheim)
The Millennium Development Goals (MDGs) are eight international development goals that all 192 United Nations member states and at least 23 international organizations have agreed to achieve by the year 2015. They include eradicating extreme poverty, reducing child mortality rates, fighting disease epidemics such as AIDS, and developing a global partnership for development
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Child mortality in India has been
declining gradually …. but
• 2.5 million child deaths per year
• 1.1 million newborn deaths
• 27 million births every year
• 60 % home deliveries
• Hospital born neonates sent
home early
• Most neonatal care is provided
at home
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Quality child health interventions
• Strengthening universal immunisation
• Home, Community and Facility based newborn and child
health interventions
• Strengthening referrals and interfacing with other
providers of child health services
• Surveillance activities for measles control
• Other potential areas of intervention as need emerges during
the course of the program
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Enabling mechanism
• To strengthen the State / districts/ block management structure for child health.
• Techno-managerial support related to implementation and systems
• Gap management and problem-solving related to technical solutions, planning, budgeting, management and financial issues
• Providing support (thus enabling) to the ASHAs and Yashodas (and other public health workers) for delivery of quality child health interventions at home/community/facility level
• Putting the child health agenda forward at all relevant platforms
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While devices and technologies
proliferate … services are missing
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Consumer electronics have the potential
to drive patient-centric services
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I want to lead a healthy lifestyle
• Kumar (45) has the best intentions to proactively manage his health.
– He has learnt that he should monitor his blood pressure and blood sugar levels to better
understand his own health.
– He would like to help from a nutritionist and a training studio
– He buys electronic devices from the local pharmacy that allow him to obtain the appropriate
data points for blood pressure and blood glucose.
• What if….
– these devices were calibrated by the health authorities as he docked them on his home PC
– a first time check and regular periodic intervals
– the data points were uploaded regularly to his family doctor and updated his centrally
managed electronic medical record. Spikes and other abberations in the data points could generate
alerts for the family doctor, who could escalate to the hospital or other specialists. And propose an
appointment with the appropriate medical personnel
– the national research institutes provided Kumar with a feed of aggregated data points for
comparison purposes (as a compensation for Kumar providing his own datafeeds)
– Kumar’s nutrionist could recommend certain food products that match his nutrition profile.
Kumar can view recommendations of the product made by other individuals and even
nutritionists or medical personnel
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I want to provide the best care
possible
• Jenny is a single parent with responsibility for Tom, her 7 year-old son who
unfortunately suffers from epilepsy.
– Tom needs periodic monitoring to detect and avoid any serious complications like brain
damage.
– Tom is otherwise a very active child who hates having to miss his school and play. Jenny
learns about wearable computers used by high-performing athletes and obtains a Lifecap* and
Lifeshirt* that will non-invasively monitor Tom’s vital signs.
– These wearables will capture and store a continuous data feed
• What if …
– the doctors and medical personnel responsible for Tom’s care could be notified based on
fluctuations in Tom’s brain and physical activity
– the doctors and Jenny were warned about potential seizures based on previously analyzed
data patterns and available best practices from the national health institutes
– Jenny could provide the the raw datafeed and the aggregated data analysis to a research
community that could mine the data and provide Jenny and Tom with insights, products and
solutions that improves Tom’s conditions.
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Group assignment
Apps for eHealth
To accelerate activity to reach Millennium Development Goals!
To improve public health through increased patient-centricity!
Groups
Break up in four groups
Two groups per theme
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We are going to design an App!
• An app is program that runs on a mobile device
• Can run on the device alone or requires network connection
• Examples
– Mobile phone (SMS based)
– SmartPhone (iPhone, Android, Windows 7)
– Social media: Facebook, Twitter
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Choose one of two assignments
Patient-centric health Assignment: Design an app that can be implemented on a SmartPhone that guides a resident in developing a healthier lifestyle Criteria: Can work on Smartphones, certain portions to
be able to work on regular mobile phones Can work in a mobile broadband network Can be built over a period of 6 weeks by a team
of 3-5 people Example: An App where the user is guided on stop
smoking (or a weight watcher to manage diet) An App where allowing the user to update their
patient-portal with activity data
2 Millennium Development Goals
Assignment: Design a health information service that a rural health service (RHS) can use to interact with its population around maternal and neonatal health care Criteria: Must work on mobile phones (not
smartphones) Should work in an only-GSM network Can be built over a period of 6 weeks by a team
of 3-5 people Example: An App that allows pregnant mothers to sign-
up and to receive tips from the RHS and make an appointment for delivery. Describe what the RHS needs to be able to provide this service
An App for medical staff at the RHS to obtain basic guidance
1
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Create a concise and concrete description of the
App’s i) main purpose, ii) its target audience, iii)
functions and iv) design
Main criteria for evaluation: 1. Relevance
Does it solve a problem? or address a need?
2. Effect What’s in it for me (the user)? Value of the App How extensible is it?
3. Feasibility to implement Can it be done? What needs to be in place in order to implement the App?
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Gluten Free
A Gluten Free Glossary
Defines ”safe” food for people with gluten
intolerance
Describes symptoms, reactions, treatments
when intake
A large amount of Apps in the market
focus on game and fun, but in addition
there are several Apps useful
23 Copyright © 2011 Accenture All Rights Reserved.
Examples of some useful Apps:
XpenseTracker
Keeps track of your expenses
Organizes expenses according to category
(food, transportation, etc.)
Updated currency information
The camera can be used to save image of the
recipte
Export to excel
Get paid
Helps you to keep track of the hours you work
Uses a timer to track the hours used
Organize the hours according to project
accounts, salary basis
Generates PDF reports
Help 113
Emergency caller
Reports your GPS location when calling the
Norwegian emergency central
Emergency contact list
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Some tips … • People love to interact
– Social communities, co-production, games and fun increase the chance of people adapting and embracing the new service
– Interact with existing systems/services: Facebook, Gowalla, Twitter, etc.
• Communication with existing systems – There is a lot of information available. Look for public data sources.
– Why re-invent the wheel?
• A user centric approach – Describe a typical, specific situation and what the user will do with the App
– Think about the user, not the systems. What is best for the user, then focus on how to solve it
• Potential topics – Geo location
– Connect different systems
– Realtime information
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
“Get rid of the crappy stuff and focus
on the good stuff“ – Steve Jobs 1. List All the Features You Think Users Might Like
At this point, you’re trying to capture all the tasks related to your main product idea. Don’t worry if your list is long; you’ll narrow it down later.
2. Determine Who Your Users Are Apart from the likelihood that your users are mobile and that they expect beautiful graphics, simple interactions, and high performance, what distinguishes them? In the context of the app you’re planning, what is most important to your users?
3. Filter the Feature List Through the Audience Definition If, after deciding on a few audience characteristics, you end up with just a few features, you’re on the right track: Great iOS applications have a laser focus on the task users want to accomplish. A good application definition statement for a grocery-shopping app might be: “A shopping list creation tool for thrifty people who love to cook.“
4. Don’t Stop There As you consider whether to add a new feature, ask yourself whether it is essential to the main purpose of your app and to your target audience. If it isn’t, set it aside.
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Over 1,000 iPhone apps on health &
wellness
• My Life Record ($10- $50)
•Absolute Fitness ($14.99)
• iScale ($4.99)
•StepTrakLite (free)
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Consumer app examples
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
A provider app example
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Thank you!
“I may not have gone where I intended to go, but I think I have ended up where I intended to be”
Douglas Adams
Francis D’Silva
francis.dsilva@accenture.com
Olga Marie Lerflaten
olga.marie.lerflaten@accenture.com
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Insight Driven Health
If eHealth is the answer, what was the
question?
Francis D’Silva, Accenture «Innovation in Health»
ISFiT 2011 – Trondheim (18th Feb 2011)
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
eHealth has a potential greater than
“technology in the clinic”
• Health and Technology
• … and social responsibility
• Now….. Doing something about it!
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
We see some macro trends that are
influencing the health sector
Increase in chronic and
lifestyle illnesses
Health services across
national borders
Silver generation and the
ageing population
Financial crisis
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
The evolution of technology is
impacting our societies
33 (c) Accenture 2011. ISFiT 2011- Globalize this: Health (17th and 18th Feb 2011, Trondheim)
Our societies are
more aware of the
use of technology
Access to
information
Rapid technology
development and
adoption
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
New models for collaboration
Strategy
Processes Organization
IT
Self-service
Transforming business Analytics
We see four trends that can be acted
upon
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
We see some macro trends that are
influencing the health sector
Increase in chronic and
lifestyle illnesses
Health services across
national borders
Silver generation and the
ageing population
Financial crisis
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
… but there are also other trends
Increase in chronic and
lifestyle illnesses
A growing digital divide
Silver generation and the
ageing population
Poverty
Copyright © 2010 Accenture All Rights Reserved. 37
Accenture’s Skills to Succeed program - Driving measurable
impact through Corporate Citizenship investments
Set the Skills to Succeed Vision and Goal: By 2015, equip 250,000 people with the skills to get a job or build a business
Engage our Nonprofit partners and Internal Stakeholders to Develop a Skills to Succeed Outcome Framework: Make the connection between our investment and our societal impact
Drive Measureable Impact: Collaborate with our Nonprofit partners around the world to create programs advancing our shared agenda, analyze and report results, and share the learning
Copyright © 2010 Accenture All Rights Reserved. 38
Accenture Corporate
Investment
From inputs to results to outcomes for a positive societal
impact
Funding
Pro Bono Services
Volunteering
Skills to Succeed Goal: By 2015, equip 250,000 people with the skills to
get a job or build a business
Community skill-building: People
are directly equipped with the skills
they need to get a job or build a
business in the local context.
Non-profit Capacity Building:
Enhancing their ability to deliver
quality S2S services to the
community and drive S2S outcomes.
Inspired and Motivated
Employees: to get involved and
make an impact on local community.
Positive Societal
Impact
Create Employment
Opportunities for
Others
Build Sustainable
Businesses
Increase Economic
Resilience
Increase
Competitiveness in the
Job Market
Copyright © 2010 Accenture All Rights Reserved. 39
• AMREF's vision is Better Health for Africa. AMREF has 50 years’ experience in health development. Knowledge is a core product of AMREF’s activities. AMREF implements projects to learn, and shares this evidence-based knowledge with others to advocate for changes in health policy and practice
Example - African Medical and Research Foundation
(AMREF)
Challenge • Insufficient medical assistance available for even the most basic of ailments
• Remote regions remain hard to reach by road and after forty-five years the early vision of
using aircraft backed by a radio network as a means of health delivery remains very much a
reality and a necessity
• Though AMREF has a deep knowledge of the content of the learning required, they have little
to no knowledge of e-Learning and how to develop and implement an effective solution
Accenture’s role • Understanding how e-Learning works • Developing a strategy for using e-Learning as part of educating the nurses • Developing and implementing the e-Learning solution
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Workshop 15 : 22 students – 19 nations!
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Workshop 15 - Two themes
Millennium Development Goals Patient centric health-care
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Choose one of two assignments An app is program that runs on a mobile device
Can run on the device alone or requires network connection
Patient-centric health Assignment: Design an app that can be implemented on a SmartPhone that guides a resident in developing a healthier lifestyle Criteria: Can work on Smartphones, certain portions to
be able to work on regular mobile phones Can work in a mobile broadband network Can be built over a period of 6 weeks by a team
of 3-5 people Example: An App where the user is guided on stop
smoking (or a weight watcher to manage diet) An App where allowing the user to update their
patient-portal with activity data
2 Millennium Development Goals
Assignment: Design a health information service that a rural health service (RHS) can use to interact with its population around maternal and neonatal health care Criteria: Must work on mobile phones (not
smartphones) Should work in an only-GSM network Can be built over a period of 6 weeks by a team
of 3-5 people Example: An App that allows pregnant mothers to sign-
up and to receive tips from the RHS and make an appointment for delivery. Describe what the RHS needs to be able to provide this service
An App for medical staff at the RHS to obtain basic guidance
1
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
2 themes and 2 hours!
4 teams developed 4 ideas!
• Baby and Me
• iTraining
• M-Preg
• HealthWatcher
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Baby and Me
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Baby and Me
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iTraining
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iTraining
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HealthWatcher
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HealthWatcher
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M-Preg
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M-Preg
Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Thank you – and thanks to the
participants of the workshop
“I may not have gone where I intended to go, but I think I have ended up where I intended to be”
Douglas Adams
Francis D’Silva
francis.dsilva@accenture.com