dr lloyd humphreys. third sector providers apps and software health and social care consumer tech...
TRANSCRIPT
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Dr Lloyd Humphreys
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Third sector providers
Apps and softwareHealth and social care
Consumer tech
• Mental health• Hospices• Substance Misuse• Charities• Advocacy groups
• Electronic medical records (EMRs)
• Condition-specific applications
• Health and wellbeing apps
• Primary care• Community providers• Hospitals• Mental health Trusts• Social Care• Prison and probation
THE LANDSCAPE
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Pharmacy
Pharmacies
Secondary care/Hospital Community teams
Employers
Relatives
GP
Charities & Patient Advocacy Groups
Government & Commissioning bodies
Researchers
Social services
Mobile device and app developers
Patient
Primary care services
Specialist services
THE PROBLEM
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Hospital services
GP
• The patient doesn’t own the data
• Often read-only
• Multiple sites, multiple logins
• They cannot be shared with others
• They are not portable
TRADITIONAL PATIENT PORTALS – THE SOLUTION?
Third sector providers
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Pharmaceuticals
Pharmacies
Secondary care/hospitals
Primary care health services
Employers
Relatives
GP
Charities & Patient Advocacy Groups
Government & Commissioning bodies
Researchers
Mobile device and app developers
Community teams
Specialist services
Social services
HEALTH AND WELLBEING: UNDER THE PATIENT’S CONTROL
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H O W D O W E A C H I E V E C I T I Z E N L E D - H E A LT H C A R E I N L A N C A S H I R E ?
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internet
firewall
NHS network
1. DEVELOP A SUSTAINABLE ARCHITECTURE: LANCASHIRE PATIENT RECORD EXCHANGE SERVICE (LPRES)
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2. CREATE OPEN ARCHITECTURE THAT INSPIRES INNOVATION
• Open REST APIs
• Apps built on top of the core layer
• Connected vendors and providers
• Use standards provided by NHS England (ITK toolkit and Blue Button)
• Open source wherever possible, but keep a consistency at the core
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3. ENSURE INFORMATION GOVERNANCE AND SECURITY
• NHS N3 hosted• Compliant with HIPAA and European data
protection• ISO27001• Unique public/private key encryption
• Have patients own the data
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4. MAKE IT ACCESSIBLE
Translated into 11 languages and can be changed between versions instantly
• Access information offline
• Dedicated smartphone app
• Compatible with all browsers, including IE6
• Mobile browser optimised
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5. CREATE A VIBRANT MARKETPLACE
• Work with everyone and anyone in a spirit of collaboration
• Foster “coopetition”
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5. START SMALL AND SUCCEED
From 1 site in Great Ormond Street Hospital to 43 sites across the UK
• Hospitals• CCGs• Local Authorities (social
services)• Charities• Specialist centres• Device manufacturers• Pharmaceuticals• Software providers
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W H AT C A N B E A C H I E V E D W I T H A PAT I E N T- L E D A P P R O A C H ?
B E Y O N D T H E O R Y A N D I N T O P R A C T I C E
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W H Y I S T E C H N O LO G Y I M P O RTA N T I N E N D - O F - L I F E C A R E ?
1 . CO O R D I N AT E D C A R E
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SECURE SINGLE INTEGRATED DIGITAL RECORD
Held and controlled by the patient, all medical and care planning information is consolidated in one record and available to everyone in the person’s health network, including hospices, GPs, social services, acute hospitals, specialist centres and charities.
Available on any device connected to the internet with no software installation.
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W H AT C A N B E AC H I V E D W I T H A PAT I E N T- CO N T R O L L E D R E CO R D ?2 . CO M M U N I C AT I O N
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Message people in your network to get the right help, quickly
Conduct online video consultations and have all the information to hand
Mobile working and remote on-calls become a reality
COMMUNICATION
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W H Y I S T E C H N O LO G Y I M P O RTA N T I N E N D - O F - L I F E C A R E ?
2 . M A N AG I N G C A R E
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SYMPTOM TRACKERS, MEASUREMENTS AND RESULTS
Lab results and information direct to the patient
Monitor symptoms at home, take measurements and share
Track medication compliance through Automatic Medication Management
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DEVICE CONNECTIVITY
100+ integrations, including fitbit, withings, jawbone, Nike+ etc.
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3 . C A R E P L A N N I N G
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TREATMENT PLANNING
Update treatment plans remotely, e.g. change medication regimes
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All aspects of end-of-life planning completed individually or collaboratively and shared with the people the patient chooses.
Independently witnessed, it is legally verified.
END-OF-LIFE PLANNING UNDER THE PATIENT’S CONTROL
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Using a bracelet or card, with a patient ID and pin number, allows emergency medical workers to access essential medical information immediately
Any care directives can be legally implemented as they have been witnessed and verified
EMERGENCY INFORMATION
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S U M M A R Y
1. Putting patients in control benefits everyone and overcomes information sharing problem
2. Turns healthcare from on/off to always available
3. Makes remote working possible
4. Empowers patients and others to manage care proactively
5. Creates a vibrant local economy
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Q U E S T I O N S ?