1. Connected Health & Wellbeing Collaborating with Healthcare for InnovativeService DevelopmentProf. Jonathan WallaceProfessor of InnovationDirector of Knowledge & Technology Transfer,Faculty of Computing & Engineering, University of Ulster, Northern IrelandFaculty ofComputing &Engineering

2. Faculty ofComputing &EngineeringOutline Track Record From Connected Health To Connected Wellbeing Pervasive Technologies Effective Evaluation of Connected Health Service Solutions Healthcare Service Innovation Collaborative Case Studies: utell SaSSI Motivation & Behavioural Change NOCTURNAL ACTION 3. Faculty ofComputing &EngineeringProf. Jonathan Wallace Track Record Established track record in Telemedicine, Telecare,Telehealth, Connected Health over 20 years. Sit on Connected Health & Technology Advisory Boardsof number of Health Trusts. One of the 5 judges for the UK National annual CrystalAwards for Excellence Telehealth & Telecare. Board Member BioBusiness. Founder Member BCS Health NI. 4. Faculty ofComputing &Engineering Current Connected Health research interests: User-Centred Design for Connected Health Service Solutions; Connected Wellbeing - individualised prediction, prevention and earlydetection as well as education, motivation and behavioural change; Mobile Service Solutions exemplars u-tell & SaSSI u-tell: intelligent spoken dialogue and web portal service solutionwith clinical decision support track and trend remote monitoring. Successful track record over 7 years monitoring diabeticpatients in South Eastern Health & Social Care Trust. Mid-way through RCT for new INR module. New service being developed for obesity and pre-diabetics.Prof. Jonathan Wallace Track Record 5. Faculty ofComputing &EngineeringWhat Exactly Is Connected Health ? Not one specific technology or service solution! Spans every echelon of health care from firstresponse/emergency medical systems throughtertiary medical speciality consultations to thesupport of informal care in the home includingmotivation and behavioural change, educationand information dissemination. It has to be user-centred, multidisciplinary,standards-based e.g. HL-7 and ensureinteroperability. 6. Faculty ofComputing &EngineeringThe Wellness Paradigm The Wellness Paradigm shift of responsibilityfor health and well-being into patients hands Home-centred capability is expected to becomea catalyst for a huge health paradigm shift fromlast-minute heroic intervention to consumer-driven individualised prediction, prevention,early detection and maintenance(Herman, 2001) 7. Faculty ofComputing &EngineeringLevel 0: Population Wide PreventionLevel 1: Self Care / Supported Self Management(70-80% of chronic disease patients)Level 2: Disease Management(High Risk)Level 3: CaseManagement(Complex Risk)Kaiser Triangle Model 8. Faculty ofComputing &Engineering 9. Faculty ofComputing &EngineeringInnovationSupportOn YourDoorstep 10. Faculty ofComputing &EngineeringInnovationSupportOn YourDoorstep 11. Faculty ofComputing &Engineering 12. Faculty ofComputing &EngineeringEffective Evaluation ofConnected Health Service SolutionsRCTServiceEvaluationEvaluation ContinuumInterrupted Time Series 13. Patient Enters InformationAt Home Or On The Move Weight Blood Sugar Blood Pressureu-tell: DIABETES Architecture SchematicPSTNVoiceXMLInterpreterPrimary / SecondaryCare Provider Intranet Patient Details Clinical Targets ProtocolsElectronic CareRecord (ECR)Database Data Management Visualisation Trend Analysis Decision Support Evidence Based MedicineClinical ProfessionalAccess ThroughClinical Workstation,Tablet orSmart Phone Browseru-tell:DIABETESClinical Decision Support PortalRegular Health ReportPrint-Outs Sent To PatientSecureWeb PortalGatewayAdditional Option For PatientsTo Submit & Review Their OwnReadings Via Secure Web Portal 14. The Problem Patient assessments at bedside still mostly paper-based. 20+ paper-based assessments per patient andgrowing due to new mandatory requirements. ~15% of staff time spent on unnecessarypaperwork. Additional time and cost for Audit /Compliance. Poor accountability, non-completion, inconsistency,duplication issues. NHS currently failing to meet mandatory patientsafety assessments. Existing ECR and EDM systems NOT solvingthis problem. 15. Royal Cornwall Hospitals NHS TrustExemplar2010 - 2011 119,364 Admissions 600,000 patient records across 3 sites 100,000 records in circulation at any given time 2 Health Records Libraries 3 Clinic Preparation Departments 1 Disclosure Office Typical month: 47 staff send & file ~92,000 sets of notes 110 tonnes paper moved in & out ofdepartments 16. SaSSi - Innovative web-based integrated servicesolution. Allows clinicians to use tablets, smartphones,laptops or desktops to access clinical informationat the Client/Professional Interface (CPI) both atthe patient bedside and on the move within thehospital. Designed to enable information capture at the pointof care, place key decision-making data in thehands of clinical staff, and allow real-timemonitoring and auditing of clinical activities. Most importantly all leading to improved in-patientcare /outcomes. Current modules - VTE, MUST & MEWS Next Priority Nursing AssessmentThe Solution 17. Faculty ofComputing &EngineeringACTION(Assisting Carers using TelematicsInterventions to meet Olderpersons Needs) 18. Faculty ofComputing &EngineeringThank YouQuestions ?jg.wallace@ulster.ac.uk21