The e-Health Industry Project Bringing Innovations to Market - Examples in Action - Dr. Penny Jennett – Project Lead Bra

1. The e-Health Industry Project Bringing Innovations to Market - Examples in Action - Dr. Penny Jennett – Project Lead Brandon Powell – Project Manager TESS Seminar June 29, 2006 www.ehealthindustry.com

2. Overview • Introduction and Background • Members, Services, Customers • Value Chain; Return on Investment • Evaluation and Impact • Impact Studies • Prototype testing; Proof of concept • Field trials • Evaluation • Progress and ongoing work • Summary

3. The e-Health Industry Project: Our Mission To be a catalyst in connecting industry with health/wellness decision-makers to help bring industry products closer to market and assist the health/wellness sector in finding high tech solutions. FundingSources: AI&S; WED

4. Business Concept Concept: • Bridging the industry and health sectors • Connecting business-to-business • Enabling small to medium sized e-health businesses to move more readily to the e-health market • Informing industry and key health decision/policy makers regarding the impact, use, safety, feasibility and sustainability of e-health solutions

5. The e-Health/Industry Project Team • Dr. Penny Jennett, Project Director • Brandon Powell, Project Manager • Trish Hafra, Project Coordinator • Elisia Teixeira, Impact Studies Coordinator • Terri Brophy, Volunteer

6. Advisory Committee Representatives • Alberta Innovation and Science – Ken Langhorn, Director Technology Commercialization • Western Economic Diversification – Archana Singh, Senior Business Officer • Alberta Health & Wellness - Sharlene Stayberg, Director Telehealth • Calgary Health Region – William Trafford, Vice-President Advanced Technology • Kerby Centre – Pat Allen, CEO • Canadian Healthcare Information Technology Trade Association (CHITTA) - Al Hildebrant, Representative • Meta4hand – Frank Wong, President • Dynastream Innovations Inc. – Paul Lockington, Account Manager – Commercial Team • Elluminate, Inc. – Shakeel Hirji, Vice-President Business Development • Health System, Policy, and Technology Linkage - Dr.Eldon R. Smith • Alberta Science and Research Authority - Dr.Marvin Fritzler • Calgary Technologies Inc. – John Masters, President • University of Calgary – Dr.John Toews, Co-Interim Director, HTU - Dr.Dennis Salahub, Vice-President Research

7. Services Customers – Industry, Public Sector, Research Community Unique Niche and Service • e-Health networking, brokering and information • e-Health showcase opportunities – demos, workshops, static and interactive displays • Impact Studies • Prototype Testing • Field Trials • Office space rental

8. e-Health Industry Project MembershipJune 13, 2006 44 Industry Members and growing… www.ehealthindustry.ca • Small Business Membership (21) • < 100 employees within Alberta • Canadian Sleep Institute • Clarity • Clinicare • Dynastream Innovations • Elluminate • EMIS • Filbitron West • Great Big Solutions • IRIS Systems • Med Access • Meta4hand • Microquest • National Medical Solutions • Nightingale • NT Consulting • Practice Solutions Software • Teilhard Technologies • Tietokone Consulting • TkMC • TRACfast Healthcare Solutions • XSensor Technology Corp. • Small Business Membership (15) • < 100 employees outside Alberta • Bankix Systems • Branham Group • Campana Systems • Coronaria Feedback Oy • Digital Group of Telehealth Companies • Even Technologies • Identita Technologies • KATSI Canada • Med2020 Healthcare Software • MedShare • Momentum Healthware • PHD Medical • VaaSah • VIQ Solutions • Xact Solutions Group • Corporate Membership (8) > 100 employees • Bell Mobility • CGI • Lifeline Systems Canada • Pfizer Canada • Siemens Canada • Sony of Canada • Stryker Canada • Telus Communications

9. Examples of e-Health Technology

10. Examples of e-Health Technology

11. Hardware Examples PDAs Sensor Devices Desk Top Technologies Cameras Workstations Carriers Wireless Technologies, Broadband Technologies Cellular Technologies Internet Protocol Technologies ISDN Software Examples Electronic Health Records Electronic Medical Records Visual Compression Privacy, Security e-Learning e-Databases Sensor Technologies Networked Technologies 3rd & 4th Generation Technologies Emerging Technologies e-Devices and Technologies

12. Value Chain Applied Concept Commercialization Labs Simulated Care Environment Field Trial Prototype Testing Proof of Concept Conformance Testing e.g. EMR/EHR, Smart Camera Corporate Wellness – Physical Activity Monitor e.g. Prescription Alert Device, Smart Camera Device, Telementoring R&D (αβ) e.g. Robotics, Visualization, Virtual Reality SUPPORT FUNCTIONS Trade Associations, Econ. Dev. Organizations Infrastructure Policy Development Educational Institutions Funding Agencies

13. ROI Certainty Magic Technology Relative Proportion Technology Magic Inception Prototype Mature Product Market Ref.: B Bergeron, MD., Achieving Clinician Buy-in to Technology. www.medscape.com Time

14. Evaluation Impact on: • Healthcare, health management, health utilization • Workflow, work processes, cost management, and resource utilization • Efficiencies, productivity, cost and time • Prototype / proof of concept ventures / field testing: • Iterative and multiple stage testing • User and work-place based questions • Usability, connectivity, interoperability, scalability, quality performance, and user-interface issues • Product Development Engineering and Heuristic Approaches • Action and participatory inquiry • Contract Research / Evaluation, Revenue Sharing, Intellectual Property • Returns on Investment Certainty

15. Impact Testing • Involve iterative and multi-stage testing • Can focus on issues such as functionality, usability, connectivity, interoperability, scalability, quality of performance, user interface, and technology standards • Can incorporate user and work-centered product development, engineering and heuristic approaches – including action and participatory inquiry

16. Impact(Social and Contextual Processes) • Patient/Public/Consumer • Providers • System (Layers) • e.g. Work Processes, Workforce Issues, Change Management, Efficiencies, Quality Care • Technology Infrastructure • Industry • Internet Service Providers • Community and Context • Research Community

17. Prototype Testing • Ease of set up • Ease of use • Conformance (privacy & security; standards) & Interface Issues • Interoperability • Feasibility • Human Factor issues Activities • Customizes the “device or technology” to meet the needs of the user • Functional testing Deliverable • “Device” or technology available for field study • Functional & test documentation; specifications & configuration feedback

18. Field Trials • ROI (benefits/costs) • Sustainability • Productivity & Outputs • E-learning • Resource Planning (Compared to usual or previous practice) • Management & Treatment Outcomes (access, privacy, safety, quality of care, efficiencies) • Wellness; self responsibility for care • Policy & decision making impacts Activities • Installed & measure impact in the field • Impact outcomes Deliverables • Function & test documentation • Impact Outcomes

19. Impact Studies To Date • EMR Evaluation • Evaluation: Clinical Functionalities, usability, technical integrity, vendor presentation and pricing. • Format: Clinical Outpatient Objective Structured Clinical Examination • Pan Canadian Bone & Joint Oncology e-Rounds • Evaluation: Views on impact of networked connections of practice (i.e. telementoring, knowledge sharing, contributions to quality care and best practices). • Format: Clinical Case Conference Rounds • Corporate Workforce Wellness • Evaluation: Activity monitor data base, questionnaire – physical activity, motivation, workplace. • Format: Wearing of ankle physical activity monitor, internationally validated activity questionnaire, local questionnaire.

20. Impact Studies To Date (cont’d.) • Smart Camera • Evaluation: Ease of use, functionality, acceptability & patient use, workflow impact, policy impact, applicability and uses. • Format: Demo, guided interviews (focus group), semi-structured questionnaire. • Smart OR’s (presentation only) • Training: Movement error, movement efficiency, performance times, task efficiency, equipment or device adjustments, structured orientation. • Ergonomics: Lighting, table positioning, pumps, image viewing. • Practice: Surgical time & efficiencies, surgical team stress, time between surgeries, peri-operative communications, OR theatre cleaning, building capacity – recruitment & retention.

21. Evaluation – Progress • The ability to: • Differentiate between scientific research and evaluation • Articulate the level of inquiry, i.e. system, program organization, provider, patient, encounter, community, society • Take into consideration the maturity of the application • Define the value propositions for all players • Outline and define appropriate and possible outcomes, including economic frameworks • Document lessons learned, as well as unintended consequences • Take into consideration sustaining funding models

22. Evaluation – Ongoing Work • Target a broader inquiry focus: (To date – impact on health, health management, and health utilization outcomes) • Move to workflow, work processes, change management, and resource utilization • Recognize the need to consider efficiency, productivity, costs and time • Measure the impact on social determinants of health • Measure the impact on the social economic perspectives • Conduct quality prototypes and proof of concept ventures, as well as field trials • Facilitate and/or operationalize contract research/evaluation, questions related to commercialization, and revenue sharing • Balance, bridge, and understand the gap between R&D and applied research

23. Summary • Introduction and Background • Members, Services, Customers • Value Chain; Return on Investment • Evaluation and Impact • Impact Studies • Prototype testing; Proof of concept • Field trials • Evaluation • Progress and ongoing work

24. Questions and DiscussionThank you Dr. Penny Jennett jennett@ucalgary.ca