clinicians' challenge 2014 update - winners reporting back

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Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Health Information NZ CLINICIANS’ CHALLENGE 2014 Feedback / Update Dr Allister Williams Consultant Renal Physician Taranaki DHB, New Plymouth, NZ MyKidneys (called HealthCART) renal care in your hands Smartphone App Patient centred management of Chronic Kidney Disease (CKD) Background 1. Introduction 2. The smartphone App 3. Renal Reality

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Page 1: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Health Information NZCLINICIANS’ CHALLENGE 2014

Feedback / Update

Dr Allister WilliamsConsultant Renal Physician

Taranaki DHB, New Plymouth, NZ

MyKidneys (called HealthCART)renal care in your hands

Smartphone App

Patient centred management of Chronic Kidney Disease (CKD)Background

1. Introduction2. The smartphone App3. Renal Reality

Page 2: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

The Smartphone AppFinished 2/3 of development

Wireframes, ScreenshotsUser Interface

Next: web servicesFull project to completion NZ $7500

Background1. Introduction2. The smartphone App3. Renal Reality

Page 3: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Upgraded the web database to include “Saints”

Generate Patient Care PlansColor coded using traffic light system

Algorithms used to generate patient specific care plan

Population based alerts in CKDCare plans are renal modality specific

Background1. Introduction2. The smartphone App3. Renal Reality

Page 4: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Live since 5 May 2014

Live in 2016?

Integration1. Structural2. Clinical Integration3. Speciality care plans

Structural integration

Mobile access for patient and doctor

Page 5: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Clinical integration of Renal appPatient Doctor

Awareness GPScreening

Information Technology

Integration1. Structural2. Clinical Integration3. Speciality care plans

Ownership Shared care

PrimaryCare

SecondaryCare

Page 6: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Patient Doctor

PrimaryCare

SecondaryCare

GPScreening

Shared care

Patient PortalsTo Primary care info

Overlap

Integration1. Structural2. Clinical Integration3. Speciality care plans

Clinical integration of Renal app

Page 7: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Patient Doctor

PrimaryCare

SecondaryCare

GPScreening

Shared care

Patient PortalsTo Primary care info

Overlap

Core set of medical informationDemographics

Medical backgroundMedication and allergies

Routine screening

Integration1. Structural2. Clinical Integration3. Speciality care plans

Clinical integration of Renal app

Page 8: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Patient Doctor

PrimaryCare

SecondaryCare

GPScreening

Shared care

Patient PortalsTo Primary care info

Differences in Secondary careSpecialty specific Care plans

Traffic system alertsPatient specific advise

Renal modality specific parameters

Integration1. Structural2. Clinical Integration3. Speciality care plans

Clinical integration of Renal app

Page 9: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Page 10: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Speciality Care Plans for patients

Page 11: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Speciality Care Plans for patients

Population and modality based surveillance

Page 12: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

HealthCART demonstration

Demonstration1. RenalReality2. HealthCART3. The savings

Page 13: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Maintained 10% reduction in actual cost

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 20150.00

500000.00

1000000.00

1500000.00

2000000.00

2500000.00

1505692.001623913.00

1735512.00

2063347.002017554.002090241.002094751.00

1979660.00

2217300.002101102.00

2011446.001990000.00

ActualDemonstration1. RenalReality2. HealthCART3. The savings

Page 14: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Completion of smartphone App

Android only NZ$ 7500

All platforms – Tablets and smartphones

Different orientations- Landscape and portrait

Android and Apple

Quote completion- NZ $25 000- funding not secured

What next?1. Completion of App2. Webservices3. Support required

Page 15: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

What next?1. Completion of App2. Webservices3. Support required

Developing web services

Secure transmission

of patient data

DHB resource

Page 16: Clinicians' Challenge 2014 Update - Winners reporting back

Background1. Introduction2. The smartphone App3. Renal Reality

Integration1. Structural2. Clinical Integration3. Speciality care plans

Demonstration1. RenalReality2. HealthCART3. The savings

What next?1. Completion of App2. Webservices3. Support required

Live since 5 May 2014

Live in 2016?

In summary

What next?1. Completion of App2. Webservices3. Support required