ECH Campus Leadership Summit: Dr Sinclair Stockman
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Transcript of ECH Campus Leadership Summit: Dr Sinclair Stockman
European Health Campus
Dare to cross the line - TOGETHER
Broadband Revolution!
How we got here
• A quick journey from code weaving to gloal we services, via St Patrick and the Wild West
• Surfing the 21st century web services ocean
St Patrick – Patron Saint of IP
Digital Health can optimise improvement of efficiency, equity, and quality, easing troublesome tradeoffs
Digital He@lth
Equity
Efficiency Quality
Taking ICTs & Biz Models to Rural India
Power Connectivity
Website Interactivity
Old landscape:
Customer faced with multiple choices:
• Where do I go?
• Who do I call?
• Who can I call?
• If not “999”, is there another number?
• I can’t remember the number, should I call “999”?
Sel
f ass
essm
ent Patients are currently asked to self
diagnose in order to select the best available option.
Some may not be aware of all the services available
As a result, patients often touch multiple services at a cost to NHS
0845
WebOOH local?
999
Pharmacy
Clinic specific
A&E
GP
??
??
?
Target landscape
Customer faced with 1 choice:
• Do I need to call “999”?
• If not, patients can dial “111” or go online
Sin
gle
acce
ss “999” deals with emergency only. Category C calls transferred to NHSD
“111” deals with non-emergency calls only. Category A & B calls transferred to “999”
Web resolves query or refers to “999” or “111”
A&EOOH
999
Web
Resolve
Cat C calls
Cat A and B calls
Ambulance
Info
res
olv
eR
efe
rral
P
rimar
y ca
re
• Clinic• GP• Pharmacy• Walk in
?
111
Ambulance Service Call
Centre
NHSD
Initial assessment tool - NHS Pathways
Case StudyUnited Kingdom – Connecting for Health
• NHS Connecting for Health supports the NHS in providing better, safer care, by delivering computer systems and services that improve how patient information is stored and accessed.
Burden of Care – Chronic Non-Communicable Disease
Myths and Misunderstandings• Chronic diseases are thought to be the cause of twice the number of deaths of infectious diseases• Chronic disease affects not only the elderly. The number of cases reported in populations under 60 years is
increasing year on year• 80% of chronic disease deaths are believed to occur in low or middle income countries in part as a result
of globalisation
Chronic Non-Communicable Disease is a global burden across age groups
Chronic Costs• The total health care costs of heart disease and stroke in the United States, including health care
expenditures and lost productivity from deaths and disability, is projected to be more than $475 billion in 2009
• Americans make more than 72 million doctor visits every year for treatment and management of cardiovascular diseases.
Incidents of Chronic Non-Communicable Disease are rising at a growing cost to the global health economy
Goals and Objectives – United Nations Digital Health Initiative
• Ensure the current inequity of the global health and digital divides do not become a digital health divide;
• Guarantee that the crises of the global decline in health systems and shortfall of skilled health workers are addressed head-on and within a normative framework;
• Realize universal access and the inter-linked MDG Health agenda for Goals Reduce child poverty, Improve maternal health and Combat HIV/AIDS, tuberculosis and other infectious diseases“ via the strategic and innovative use of mobile, internet, health, and pharmaceutical technologies for scaling-up within the 2015 timeframes;
• Confront new and re-emerging infectious and Neglected Tropical Diseases as well as the developing world pandemic of Chronic Non-Communicable Diseases with all available health, technology and development means
• Define relevant partner roles & responsibilities for emerging & existing players in discovery, development and delivery with full privates sector and civil society engagement;
• Deliver on the promise of MDG Goal 8 to “Develop A Global Partnership for Development” in cooperation with the pharmaceutical and information and communication technology sectors.
What is Digital Health?
Digital Health:The use of information and communication technologies (ICT) and related technologies to improve the health of a given population
Different types of Digital Health initiatives include, but are not limited to:• Point of Care support (Telemedicine,
Clinical Decision Support, Etc.)
• Patient support and information (SMS reminders for drug companies, online health information, etc.)
• Electronic Health Records (HER), Electronic Medical Records (EMR), Patient Health Records (PHR)
• eLearning for physicians, nurse, healthcare personal training, research access
• Inventory management for supplies
• Faster and more efficient orders and results (e.g. lab work)
Key Players
InsuranceField
Pharmacy
Patient Hospital
Field Lab
Field Health Profes-sional
Health Advocate,
NGS, Medical Rep.
Information Systems
Insurance
Field Pharmac
y
Patient Hospital
Field Lab
Field Health Profes-sional
Health Advocate
, NGS, Medical
Rep.
Results Interpretation
Fill orders Pharmacist data base
M/I/HT/P Health Players
Health Education Materials
Epidemic Warning System
Health Professional data base
Patients data base
Route Programmes
Reporting time, expenses, sales, KPIs
Telemedicine
Digital Health can optimise improvement of efficiency, equity, and quality, easing troublesome tradeoffs
Digital He@lth
Equity
Efficiency Quality
•