innovation in digital health care - ppks in digital health care.pdf•outsourcing of diagnostic...

Major General Professor

Dato’ Dr Mohd Zin Bidin (Ret’d)

Innovation in Digital Health Care

Dean, Faculty of Medicine Cyberjaya University College of Medical Science (CUCMS)

Innovations in Digital Healthcare Maj. Gen. Dato’ Prof. Dr. Mohd Zin Bidin (Rtd) Dean, Faculty of Medicine Dr. Azli Shahril Othman Head of Division, Basic Medical Sciences

Overview 1. Introduction

– Definition – Types – Stakeholders – Conceptual Framework – Process – Dimension

2. Digital innovations transforming healthcare 3. Key elements of digital healthcare 4. Drivers for healthcare innovation 5. Factors affecting healthcare innovation 6. Questions for further research and discussion 7. Conclusion

INTRODUCTION

INNOVATION Innovation is the implementation of a new or significantly improved product (good or service), or process, a new marketing method, or a new organizational method in business practices, workplace organization or external relations

[UNESCO Institute for Statistics, 2005]

Types of Innovation • Improvement in technical specifications, components and

materials, incorporated software, user friendliness or other functional characteristics.

Product innovation

• Improved production or delivery method Process

innovation

• Changes in product design or packaging, product placement, product promotion or pricing.

Marketing innovation

• Implementation of a new organizational method in the firm’s business practices, workplace organization or external relations.

Organizational innovation

Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.

Healthcare Innovation Healthcare innovation can be defined as the introduction of a new concept, idea, service, process, or product aimed at improving treatment, diagnosis, education, outreach, prevention and research, and with the long term goals of improving quality, safety, outcomes, efficiency and costs.

Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.

How Will IT Revolutionize Healthcare?

• Outsourcing of diagnostic services e.g. telemedicine, teleradiology.

More offshore services

• Medical records that can ‘travel’ with the patient

Integration of health information systems

• Medwatch, MedAware Drug safety monitoring

on a global scale

• WebMD, Medscape etc More high quality

information to doctors and patients

Reference: Gupta, A., 2008. Prescription for Change. The Wall Street Journal, October 20, p. R6.

Key Stakeholders Of The Healthcare Innovation Process

Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.

Conceptual Framework For Innovation In Healthcare

Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.

The Process Of Healthcare Innovation

Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.

Service Organizations Innovation Model

Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.

Dimensions Of Healthcare Innovation

Reference: The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2.

Innovations in

healthcare

Improve quality of

life

Enhance access

Lower cost

Eliminate waste

Reduce harm

Increase efficiency

DIGITAL

INNOVATION TRANSFORMING

HEALTHCARE

Digital Innovations Transforming Healthcare

GENOMICS 3D PRINTING

ELECTRONIC HEALTH

RECORDS

ARTIFICIAL INTELLIGENCE

HEALTH WEARABLES

TELEHEALTH MOBILE TECHNOLOGY

3D Printing Source: https://www.thestar.com.my/tech/tech-news/2018/04/23/changing-lives-with-printed-prosthetics/

DIGITAL HEALTHCARE UTILIZES TECHNOLOGIES TO PROVIDE SPORTS, FITNESS, AND WELLNESS SOLUTIONS THAT EMPOWER PATIENTS.

Source: https://www.healthcaretechnologies.com/health-tech-what-is-digital-mental-health-digital-healthcare-0

Digital healthcare, which is expected to be worth USD 500 billion by the year 2025, can empower patients, making healthcare more personalised and precise

Key Elements of Digital Healthcare

Artificial Intelligence

Connected Care

mHealth

Telemedicine

Source: https://www.healthcaretechnologies.com/health-tech-what-is-digital-mental-health-digital-healthcare-0

Healthcare has become more patient-centric instead of hospital-centric or physician-centric

This change in approach is fueled by the exponential development of the key elements of digital healthcare for the past few years

Source: https://medium.com/faces-of-digital-health/f013-what-to-expect-from-artificial-intelligence-in-healthcare-in-the-next-10-years-fdaf2edf32f8

Source: https://hbr.org/2018/05/10-promising-ai-applications-in-health-care

Artificial Intelligence

Artificial intelligence plays an important role not only on the software side of things but also in the improvement of the hardware

Robot Assisted Surgery Early trials have

demonstrated that robot-assisted surgery can help reduce variations in procedures and improve patient outcomes

Source: https://www.tue.nl/en/news/news-overview/02-10-2017-worlds-first-super-microsurgery-operation-with-robot-hands/#top

Pacing lead placement and myocardial

injections

Source: https://www.cs.cmu.edu/~heartlander/index.html

Virtual Assistants

Dosage Error Reduction

Automated Image Diagnosis

Connected Machines

Source: https://www.rdmag.com/article/2017/09/wearable-iot-device-predicts-asthma-attack-it-happens

Source: https://econsultancy.com/internet-of-things-healthcare/

Source: https://bocaratonconciergedoctor.files.wordpress.com/2015/02/ingestible-sensors.jpg

Source: http://www.coaguchek.com/coaguchek_patient/en/home/products/inrange.html

Source: https://www.who.int/goe/publications/goe_mhealth_web.pdf

mHealth The majority of UN member states (83%) reported offering at least one type of mHealth service. However, many countries offered four to six programmes. The four most frequently reported mHealth initiatives were: health call centres (59%), emergency toll-free telephone services (55%), managing emergencies and disasters (54%), and mobile telemedicine (49%).

Source: https://www.who.int/goe/publications/goe_mhealth_web.pdf

The National Business Group on Health last year surveyed 133 large companies employing 15 million Americans about their benefit practices: An astounding 90% said they expect to make at least some telemedicine services available to their workers this year. By 2019, nearly all of them will. Source: https://in.finance.yahoo.com/news/prepare-digital-health-revolution-103015260.html

Telemedicine

Source: https://www.tractica.com/newsroom/press-releases/telehealth-video-consultation-sessions-to-reach-158-million-annually-by-2020/

DRIVERS FOR HEALTHCARE INNOVATION

Drivers For Healthcare Innovation

Growth in demand Aging population and increased prevalence

of chronic diseases

Shortage of healthcare providers

Rising healthcare costs Improvement in communication

technology

Rapid adoption of the smartphone

Growth In

Demand

Source: https://www.futuretimeline.net/subject/society-demographics.htm

Aging Population

Increased Prevalence Of Chronic Diseases

Source: https://www.businessinsider.com/electric-health-records-causing-doctor-burnout-2018-12/?IR=T

Rising Healthcare

Costs

Source: https://www.ifs.org.uk/publications/9186

Improvement In Communication Technology And

Rapid Adoption Of The Smartphone

Source: http://saudigazette.com.sa/article/535659/SAUDI-ARABIA/Al-Khobar-becomes-first-city-in-MENA-to-get-5G-network

FACTORS AFFECTING HEALTHCARE INNOVATION

Factors Affecting

Innovation

1.Competing interests between players and

stakeholders

1.Funding and investment

1.Policy and regulatory hindrance

1.How and when to invest/adapt technology

1.Customers – patients’ families,

interest groups

1.Accountability – safety, cost

effectiveness, efficacy

Source: https://hbr.org/2006/05/why-innovation-in-health-care-is-so-hard

Critical Success

Factors For Healthcare Innovation

Formal mechanisms to find sound innovations that should be disseminated

Find and support innovators

Invest in early adopters

Make early adopter activity observable

Trust and enable reinvention

Create slack (including resources) for change

Lead by example

Reference: Berwick, D.M. 2003. Disseminating Innovations in Health Care, JAMA. 289: 1969-1975.

QUESTIONS FOR FURTHER RESEARCH

AND DISCUSSION

Questions For Further Research And Discussion… How would innovation affect the key stakeholders?

What are the implications of a particular healthcare innovation on treatment, diagnosis, prevention, education, research and outreach? What steps are taken in

adapting an existing technology for their purposes?

What are the principal catalysts for healthcare innovations – the patients, physicians, costs, safety, quality, profitability, productivity, etc.?

How do physicians learn about the latest innovations in their fields? What are the barriers to disseminating healthcare innovation?

To what degree do regulatory

compliance issues drive

the necessity for

healthcare innovation?

How much does

healthcare innovation depend on

information technology?

What is the nature of the

interaction between new and existing technology

and new and existing

services?

How much ‘cross

pollination’ occurs within the various professions represented

in healthcare?

How should the healthcare

industry address the

issues of maintainability, sustainability and usability

with regards to healthcare

innovation?

Questions For Further Research And Discussion (Cont.)

CONCLUSION