andy bleaden director ecosystems echalliance€¦ · trillium ii - reinforcing the bridges and...
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ECHAlliance : The Global Connector
"Transforming care through digital innovation"
Andy BleadenDirector [email protected]
@andybleaden
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T h e G lo ba l N e two rk o f D ig i ta l H e a l th A l l i ances
Canadian Integrated
Health Alliance
China Consortium
Health Alliance
Contact us [email protected]
Connecting 78 Countries and 4.6 billion people
Member Organisation (650+ organisations - Join Us)Companies, policy-makers, researchers, health & social care providers, patients, insurances…
16,500+ experts / professionals
International events
/ groups / workshopsH2020 projects, tenders
& expert services
who
what
Communication
/ networking
Growing reach across 78 Countries and 4.6 billion
people Europe, USA, Canada, China & the Commonwealth
International Network of Ecosystems (120+ ecosystem gatherings a year)
where
About ECHAlliance
Not for Profit Organisation Registered in Ireland and in the UK (Community Interest Company CIC)
Connecting &
joining the dots
Membership
Support
EcosystemsEcosystems bring together a community of stakeholders, interested in developing a joint health agenda, aiming to address and find common solutions to challenges facing that specific region.
The main benefit of working together in an Ecosystem is the multiplier effect of collaborating in an International Network of Ecosystems.
Ecosystems look to
break down silos,
transform healthcare delivery, create economic growth
Permanent Ecosystems: basic principles
• Based on a geographic area
• Multi-sector stakeholders gathering
• Accessible to all (no
barriers/fee)
• Permanent, with regular gatherings
• Light governance via working
group
• Shared strategy & action plan
• Lead with a need
• Member of an International network
• Patients / Citizens at the centre
MEET
LEARN
COLLABORATE
SHOWCASE
OPPORTUNITIES
KNOWLEDGE SHARING
GLOBAL
REACH
BUILD TRUST
Benefits of
an Ecosystem
Existing Ecosystems
Belgium - Brussels
Belgium - Flanders
Canada - Ontario
Czech Republic
Denmark – South
England – Manchester
England - North West Coast
England – London
England - Yorkshire/Humber
Estonia
Finland – Oulu
France – Bretagne
France – Nice PACA
Germany – Rheinland
Greece - Athens
Malta
Netherlands - Friesland
Northern Ireland
Portugal
Republic of Ireland
Romania – Cluj-Napoca
Serbia
Scotland
Highlands & Islands (Scotland)
Slovenia
Spain – Valencia
Spain - Galicia
Spain – Catalonia
USA - New York
Wales
Launching soon
Victoria - Australia
South West England
Västerbotten- Sweden
Exploring Prospects
Africa
Canada
Finland
France
Germany
Italy
Norway
Spain
Sri Lanka
Members of the International Network of Ecosystems120+ quarterly gatherings per year
Connecting the dots
ECHAlliance – Connecting the Dots
EU_SHAFE
Smart Living Homes: Whole
Interventions Demonstrator for People
Horizon 2020 IA
EU_SHAFE - Europe enabling Smart Healthy
Age-Friendly Environments
Interreg Europe
ECHAlliance – Our EU Projects
Participatory Urban Living for Sustainable
EnvironmentsHorizon 2020 RIA
WE4AHA - Widening the support for large
scale uptake of Digital Innovation for Active and Healthy Ageing
Horizon 2020 CSA
TRILLIUM II - Reinforcing the Bridges and
Scaling up EU/US Cooperation on Patient Summary
Horizon 2020 CSA
EDEN - Embracing DEmeNtia
(Strategic partnership)Erasmus+
Digital & Innovation Skills Helix in
Health(Sector skills alliance)
Erasmus+
Smart Age-friendly Living and
Working Environment
Horizon 2020 RIA
Support to a Digital Health and Care
Innovation initiative in the context of Digital Single Market strategy’
Horizon 2020 CSA
What we can do for and with you
• Support in scouting funding opportunities fitting local and regional needs
• Support in building international partnerships and consortia
• Support in partners search
• Lead consortia applying to strategic calls relevant to our community
• Carrying out different tasks in R&I projects:
ExploitationLeader
Project management
DisseminationLeader
Social media management
Deployment plans & pilot coordination
Needs assessment & specifications Event management Ethics evaluation
Scalability & transferability plans
ECHAlliance –New Opportunities in 2020 (draft!)
SC1-HCO-03-2020: Bridging the divide in health research andinnovation – boosting return on investment
SC1-BHC-20-2020: [Pre-commercial procurement] PCP or [public procurement of innovative solutions] PPI in health care systems to reduce the risk of hospital-acquired Infections
SC1-BHC-29-2020: Innovative actions for improving urban health and wellbeing - addressing environment, climate and socioeconomic factors
SC1-DTH-04-2020: International cooperation in smart living environments for ageing people
SC1-HCC-09-2020: Supporting deployment of eHealth in low and lower middle income countries in Africa for better health outcomes
ECHAlliance –New Opportunities in 2020 (draft!)
DT-ICT-12-2020: AI for the smart hospital of the future
DT-TDS-04-2020: AI for Genomics and Personalised Medicine
DT-TDS-05-2020: AI for Health Imaging
1. provide relevant, timely and high-quality articles, reports, best practices and research in digital health
transformation.
2. increase awareness and commitment of governments and the private sector to invest in, promote, and
advance in transforming healthcare delivery.
3. generate knowledge that will significantly contribute to the improvement of health using Digital technologies
and processes.
4. disseminate research findings and best practices in events, workshops and through social networks.
Contact:[email protected] www.digitalhealthobservatory.com
Opportunity to share: high-quality articles, reports,
best practices and research in digital health transformation
The Digital Health Observatoryan invitation to get engaged
ECHAlliance Digital Health Observatory, as a Global Connector section has 4 objectives to:
www.echalliance.com / [email protected]
Brian O’Connor,
Chair
Bleddyn Rees,
Deputy Chair
Andy Bleaden,
Director Ecosystem Development
Andrew Rankin, Legal Director
Christian Carr, Associate
AI AND CLINICAL SYSTEMS
DAC BEACHCROFT
THE CONTEXT
o Applications in medicine
o AI law does not exist as a distinct legal field
o We focus on three topical issues:
• liability and accountability;
• safety standards; and
• medical device regulation
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DAC BEACHCROFT
LIABILITY AND ACCOUNTABILITY
o Medical negligence in the UK: GMC guidelines.
o Use of clinically used software and who is responsible.
o Liability related to clinical error or misdiagnosis as a result of clinically used software remains untested by the English courts.
o The black box problem.
o Can suppliers exclude or limit liability in contract?
o How can these special risks be managed: insurance: and keeping humans behind the machines?
3
DAC BEACHCROFT
SAFETY STANDARDS: NHS STANDARDS (1)
o NHS Digital standards
o DCB0129/0160 - Legal basis
o Scope of application
o Summary requirements
o Non-compliance
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DAC BEACHCROFT
SAFETY STANDARDS: SOFTWARE AS A MEDICAL DEVICE (2)
o MHRA – medical device
o Software as a medical device
o Basic outline of obligations - current directives and new EU Regulation
o Non-compliance
o Interplay with other proceedings
5
DAC BEACHCROFT
QUESTIONS?
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Andrew Rankin
Legal Director, Manchester
T:+44(0) 161 934 [email protected]
For more information, please contact:
Christian Carr
Associate, Manchester
T:+44(0) 161 934 [email protected]
dacbeachcroft.com
Follow us: @dacbeachcroft
Connect with us: DAC Beachcroft LLP
DAC Beachcroft publications are created on a general basis for information only and do not constitute legal or other professional advice. No liability is accepted to users or third parties for the use of the contents or any errors or inaccuracies therein. Professional advice should always be obtained before applying the information to particular circumstances. For further details please go to www.dacbeachcroft.com/en/gb/about/legal-notice. Please also read our DAC Beachcroft Group privacy policy at www.dacbeachcroft.com/en/gb/about/privacy-policy. By reading this publication you accept that you have read, understood and agree to the terms of this disclaimer. The copyright in this communication is retained by DAC Beachcroft. © DAC Beachcroft.
Case Study: NHS Improvement PSIMS
Artificial Intelligence in Healthcare
12th July 2019
Matt Rix, Lizzie Stutchbury
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Informed Solutions
• Informed is a leading independent provider of digital transformation practice, technology, data analyticsand systems integration services, operating since 1992
• Digital Leaders 100 – SME Digital Leader of the Year 2016
• We realise exceptional value for our clients by delivering high performing digital solutions to complexbusiness problems
• We have a strong pedigree of delivering GOV.UK digital services that join up citizens, businesses andCentral Government for Regulators: Ofsted, Ofgem, Office for Nuclear Regulation (ONR), NHSI, CQC,DVSA, FSCS as well as other Government departments: FCO, MoJ, Cabinet Office, DCLG.
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Background and Context
• NHS Improvement (NHSI) has statutory duties around patient safety
• A new Patient Safety Strategy published last week
• c.11,000 deaths per year are the result of patient safety incidents
• 15 year history of incident reporting:• c. 2 million records per year• 98% from local risk management systems (LRMS) within acute care• Categorical fields collected aren’t designed for learning• Free-text contains most of the insight, only about 2% of this read
• Hence the need to overhaul the incident reporting system
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Patient Safety Incident Management System (PSIMS)
• A new Digital Service, built through User and Data Centred Design techniques overseen by the Government Digital Service (GDS)
• Adopting an Agile approach, with a focus on User Research aimed at:• Increasing the breadth of reporting• Maximising opportunities for learning
• Designed a new taxonomy based upon the WHO’s Minimum Information Model for Patient Safety
• The expectation is that reporting levels will increase significantly therefore Data Science and ML is being built into the overall Service Design.
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Approach - Multi-disciplinary Agile team
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Solution - End-to-end workflow
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Solution – Inclusion of Data ScienceData Understanding
• Explore, describe and visualise the data• Assess data quality in advance of cleaning
Data Preparation
• Clean the data and select key variables for analysis• Convert text to categorical variables (eg. Regular
Expressions and/or Naïve Bayes algorithm)
Data Analysis
• Cluster incidents (eg. K-modes algorithm)• Explore informativeness of clusters and assess
prevalence of clusters of over time• Correlation and trend analysis• Anomaly detection and forecasting (eg. ARIMA model)
Problem Definition
Data Understanding
Data Preparation
Data Analysis
Outputs & Review
Next Steps & Knowledge
Transfer
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Solution – Azure ML ToolchainAugment existing NLP capabilities with AI and Cognitive capabilities via Azure ML
• Workflows Developed in ML Studio
• Deployed to Azure ML Service• Accessed via Data Factory
Pipelines• Scale out model build and
Training using Azure Databricks• Built in Text Analytics
Accelerators (Modules)
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Achievements so far
• Passed GDS assessment
• Successful API integration with biggest LRMS vendors
• Operating a Private Beta with 20+ healthcare organisations
• Anonymisation models in place and continuously improving
• Focusing now on using ML outputs to augment efforts of the National Team
Discovery Alpha Beta Live
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Any Questions?THANK YOU
Improving people’s lives by speeding up adoption and spread of high-impact innovations
Charles MacKinnon
NHS Innovation Accelerator Fellow
Healthcare Director – IEG4 Ltd
Digital Continuing Healthcare solution
NHS patient flow priority
NHS patient flow priority
NHS Frontline Staff & ‘System’ Collaboration
Increasing Involvement
Fast Followers
Lead NHS Cohort
A Digital CHC Service – no paper… no faxes!
Streamlined WorkflowWith no paperwork
Simple Back OfficeWith intuitive functions
CHC2DST - Assured By NHS England & NHS Digital
A high-scoring, eminently usable system that greatly impressed all of our
assessors in terms especially of clinical efficacy, safety, security and privacy.
OurMobileHealth.com Digital Service Assessors for
Assurances – minimise risk
CHC2DST Benefits In Operation – NHSE best practice case study
AssessmentCompletion Time
Admin & Clinical Review Time
Paper, Postage, Scanning, Copying
& Faxing costs
Case Volume and backlog
Reduced
Case Allocation
Case Transparency
Control Of Workload
Morale in the team
Improved
26% increase in cases complete in
28 days
52% reduction in average wait days
achieved
£5.3million QIPP savings achieved
in 18/19
13 hours of time freed up per
referral
CHC2DST Benefits In Operation
Positive across nursing and admin staff
Training straightforward – IT skills not a problem
Stakeholders carefully managed
We have less inappropriate referrals now, whereas
before, we had no way of screening them
“(Hospital X) … can’t praise the system high enough… once we got them logged on and got on with it, they realised how easy it was…it was actually doing what they’re doing but simplifying things
It's just really easy to track a referral, I think, and it's …
yeah, it's changed the game somewhat”
DARE TO THINK DIGITAL.
Kevin Valentine & Rachel Raw Operation Managers.
• Unclear decision making for innovations
• Not clear how innovation can be accelerated/prioritised
• Sustainable innovations
• Risk analysis
• Innovation process not joined to commissioning
• Innovation pipelines not closely plugged into Commissioners
• Business as usual is safe
• However usually more expensive
• Capacity and capability to make decisions to change
• Fear of saying that digitisation means freeing up time of staff
• Matching frontline desire to change
• Leadership approach to the risks of change
Improving people’s lives by speeding up adoption
and spread of high-impact innovations
Improving people’s lives by speeding up adoption
and spread of high-impact innovations
5 Missions:
• Reducing the burden on clinicians and staff, so they can focus on patients• Giving people the tools to access information and services directly• Ensuring clinical information can be safely accessed, wherever it is needed• Improving patient safety across the NHS• Improving NHS productivity with digital technology
Perhaps the glue to enable innovations to stick
