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Innovative Practice In Using ICT Working Together To Improve The Patient Journey. Dr Roy Harper Consultant Physician and Endocrinologist The Ulster Hospital (SET) Visiting Professor, School of Computing and Mathematics, University of Ulster. I Can’t Function Now Without ICT.

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innovative practice in using ict working together to improve the patient journey

Innovative Practice In Using ICTWorking Together To Improve The Patient Journey

Dr Roy Harper

Consultant Physician and Endocrinologist

The Ulster Hospital (SET)

Visiting Professor, School of Computing and Mathematics, University of Ulster

passionate about
Passionate About ?
  • e-health / telehealth / telemedicine will transform healthcare (chronic disease)
  • Admired exemplars
  • Feel for this future
  • Pilots up and running
  • Integrating new approaches into clinical care
  • Developing and testing ‘prototypes’
university of ulster faculty of computing engineering school of computing and mathematics
University of UlsterFaculty of Computing & EngineeringSchool of Computing and Mathematics

In collaboration with -

Using ICT effectively to enhance patient care

diabetes in the uk is increasing
Diabetes in the UK is Increasing

Ards 3.4%

North Down 2.9%

EHSSB 3.1%

Adapted from: 1. Diabetes UK. Diabetes in the UK 2004. Diabetes UK, London, 2004.

2. Diabetes UK. State of the Nation 2005. Diabetes UK, London, 2005.

the news is good
The News is Good
  • Complication rates can be reduced using current treatments
  • Shortfall in life expectancy can be reduced
  • Patient self-management is the key
  • Supported by well organised local diabetes care services
the answer lies in self management
The Answer Lies in Self-Management
  • Patient Empowerment through
  • Patient Education & Training leading to
  • Patient ‘Experts’
  • Reliable up-to-date information and regular feedback on progress – essentials in enabling effective self-care in diabetes
the challenge of diabetes
The Challenge of Diabetes
  • Sheer numbers
  • Care now complex
  • Too little time
  • No intensive ongoing input / support
  • Large amounts of self care data but…………
  • Limited ability to achieve therapeutic targets
  • Infrequent therapeutic interventions
slide9

ICT can help in so many ways

    • Supporting Patient Education
    • Direct Patient Monitoring and Support
    • Clinical Information and Management Systems
    • Promoting Healthy Living / Disease Prevention
slide10

Patients increasingly need (and demand) ready access to feedback on their progress with advice from HCPs

  • Ongoing Support and Regular Feedback on Progress
slide11

Home (self) monitoring technologies can transform episode driven health services into a relationship based continuum of care E A Balas 1999

evidence that telehealth works
Evidence that ‘Telehealth’ works?
  • Improves outcomes - prevents hospitalisation, improves QOL, improves health status
  • Economically viable
  • Improves patient (and HCPs) satisfaction
  • The time for ‘pilots’ is over
slide13

Transformation from Industrial Age Medicine

to Information Age Connected Healthcare

Industrial Age Medicine

Information Age Medicine

Individual Self-Care

Transformation

Through Cost-Effective

Use of Information

& Communication Technologies

Friends and Family

Person

Community Networks

Community

Professionals as Facilitators

Primary

Professionals as Partners

Secondary

Professionals as Authorities

Tertiary

Source: Adapted from Malaysian Telemedicine Blueprint

let s develop better solutions
Let’s Develop Better Solutions
  • Diabetes portal – web
  • Virtual diabetes clinic
  • Linked (intrinsic) Glucometer
  • E-glucose diary with feedback
  • Store and forward
  • Decision support
  • Alerts to carers / HCPs
  • Physical activity monitor
  • Medication reminders
  • Phone, Music, Camera, Health Monitor
  • Etc…..
lets get connected
Lets Get ‘Connected’
  • See e-health / telehealth / telemedicine transform healthcare (chronic disease)
  • Share the feel for this future
  • Stop talking about getting ‘pilots up and running’
  • Integrate new approaches into clinical care
  • Develop, test, and promote better solutions
  • Seek out collaborators
  • Seek out support
  • Share our expertise
thanks for your attention

Thanks For Your Attention

Jonathan Wallace

jg.wallace@ulster.ac.uk

Roy Harper

roy.harper@setrust.hscni.net