covid19 roundtablebrisbanediamantina.com/wp-content/uploads/bdhp-covid-19... · 2020. 4. 24. ·...
TRANSCRIPT
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COVID19 Roundtable 16 April 2020
Exploring opportunities to accelerate COVID19 translation
1
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Agenda for Today
Confidential
10 mins Opening and welcome
● Acknowledgement of Traditional Owners
● Principles for today’s conversation
● How the meeting will work today
● Who’s on the call – What role do you play?
● What would you like to get from today?
David Bunker
Peter Burow
Interactive Session
35 mins Feature COVID-19 Activities
1. Overview of BDHP Roundtable Discussion #1 – 30 March
2. Ageing Theme and CV-19 – Impact on the Aged
3. RCT of a Social App connecting people with carers using gaming theory –
Quick development and deployment
4. Data and innovation in hospitals
● What’s most interesting / most captured your attention?
David Bunker
Nancy Pachana
Paul Barnett
Clair Sullivan
Interactive / Chat
15 mins Interactive Feedback and Discussion
● What would you like to hear more about in upcoming events?
● What did you find valuable today?
● Thanks/acknowledgements
Peter Burow
Interactive Session
David Bunker
Section 1
Introduction
Section 2
Feature Activities
Section 3
Discussion
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Confidential 3
Section 1: Roundtable Discussion Purpose
To enable the integration of innovative research
with education, training, clinical care and the
highest quality healthcare for our local and
extended communities
Improved population health outcomes through
collaborative partnerships that translate
discoveries and knowledge into practice
BDHP’s role is to connect the efforts of individuals, organisations and
communities in Queensland for better health.
Our partners are health, research and education leaders who combine their
strengths in state-of-the-art facilities to solve major health challenges.
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Confidential 4
Principles for today’s Roundtable Discussion:
1. Do everything we can, but don’t get in the way
2. The healthcare delivery system is focused on coordinating the response, we
are working to support translational research coordination and collaboration
3. Today we will work to identify what we can collectively do to support the
response
4. Today we will work to achieve our mission:
To enable the integration of innovative research with education, training, clinical
care and the highest quality healthcare for our local and extended communities
Section 1: Roundtable Discussion Purpose
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Making
best use
of our
time
today
5
Fostering high-value discussion
• We will invite questions/comments regularly –
when we do, feel free to jump in and start by stating your name
• You can use the chat channel at any time to share short written
comments/questions – we may invite you to follow up
• We’ll also use an online polling tool at specific points
Section 1: Roundtable Discussion Management
Zoom management• We are managing Zoom within the current constraints
• Please connect with the Zoom client/app, not by telephone dial in
• Please mute your audio when you’re not talking
• Please switch off your video
• Please use the Chat Window to ask questions and make comments
• Please be ready for the interactive parts of the discussion
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Confidential 6
Group
contribution tool
• On your web browser
(phone, tablet or
desktop)
• Go to:
pollev.com/npgroup
pollev.com/npgroup
Section 1: Roundtable Discussion Management
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Confidential 9
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Agenda for Today
Confidential
10 mins Opening and welcome
● Acknowledgement of Traditional Owners
● Principles for today’s conversation
● How the meeting will work today
● Who’s on the call – What role do you play?
● What would you like to get from today?
David Bunker
Peter Burow
Interactive Session
35 mins Feature COVID-19 Response Activities & Research
1. Overview of BDHP Roundtable Discussion #1 – 30 March
2. Ageing Theme and CV-19 – Impact on the Aged
3. RCT of a Social App connecting people with carers using gaming theory –
Quick development and deployment
4. Data and innovation in hospitals
● What’s most interesting / most captured your attention?
David Bunker
Nancy Pachana
Paul Barnett
Clair Sullivan
Interactive / Chat
15 mins Interactive Feedback and Discussion
● What would you like to hear more about in upcoming events?
● What did you find valuable today?
● Thanks/acknowledgements
Peter Burow
Interactive Session
David Bunker
Section 1
Introduction
Section 2
Feature Activities
Section 3
Discussion
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Confidential 11
Section 2: Overview of Roundtable 1 research activities
Initiative 2
Local interventions trial
for drug candidates
David Paterson
• Local multi-arm interventional trial
for drug candidates – Funding
update – Hospital based trial with
Royal Brisbane Foundation (Aus.-
wide funding)
David Paterson /
Paul Barnett
• Behavioural programs to avoid
preventable mass healthcare
worker sick leave – $2M funding
Apprise providing a $250K
allocation for partnership with
behavioural psychologists on
gamification of hygiene
behaviours
Paul Young
• Vaccine development – CEPI
funded platform to progress
development of subunit vaccines
already underway
Initiative 1
Vaccine development –
is there more that can
be done to support?
Initiative 3
Behavioural programs
to avoid mass health
worker sick leave
Recapping our last Roundtable
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Confidential 12
Scott Beatson
• Tools to aid infection control and public health – Scott
Beatson (Queensland Genomics) time/place virtual
‘YouTube video’ of outbreak patterns being adapted for
nursing home setting to track staff and resident
movements for hygiene control
Janet Davies
• COVID19 Biobanking – building on statewide
biobanking initiative
Initiative 4
Tools to aid infection control and
public health
Initiative 5
COVID19 Biobanking
Section 2: Overview of Roundtable 1 research activities
Recapping our last Roundtable (cont.)
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Confidential 13
Section 2: What we learnt from Roundtable Discussion #1
We asked the question of participants
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Confidential 14
Section 2: What we learnt from Roundtable Discussion #1
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Confidential 15
Section 2: What we learnt from Roundtable Discussion #1
brisbanediamantina.com/
covid-19
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Confidential 16
Section 2: Ageing Theme and CV-19 – Impact on the Aged
Professor Nancy PachanaProfessor of Clinical Geropsychology, School of Psychology
The University of Queensland
BDHP Ageing Theme AimsThis theme aims to improve the health care of older persons by:
• Developing a clear understanding of the needs and optimal treatments of an emerging
population of older frail individuals with high prevalence of chronic disease and functional loss.
• Devising strategies at an organisational and care delivery level to ensure the implementation
of best practice within and beyond the partnership.
• Creating and improving educational strategies and programs that underpin excellent practice.
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Confidential 17
Initiative 1
COVID-19 Impact on the Aged Please share
your comments
in the Zoom
chat
● What else is
going on/should
we be aware
of?
● What’s most
interesting /
most captured
your attention?
Section 2: Ageing Theme and CV-19 – Impact on the Aged
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COVID-19 and Older Adults
Professor Nancy A. Pachana
Chair, Ageing Theme, BDHP
School of Psychology, University of Queensland
Section 2: Ageing Theme and CV-19 – Impact on the Aged
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COVID-19 and Older Adults
• Issues of note
• Risks
• Social isolation and anxiety
• Ageism
• Nursing homes, palliative care settings
• Next steps
Section 2: Ageing Theme and CV-19 – Impact on the Aged
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Risks
• Current evidence suggests that older adults are no more likely to contract COVID-19 than younger
adults. Among those who do contract COVID-19, those over the age of 60 (or age 50 if of Aboriginal or
Torres Strait Islander descent) are at greater risk of serious or life-threatening health complications that
may require medical intervention. However, even with this increased risk, the large majority of older
adults who contract this illness will recover.
• Having respectful and open conversations with older patients, their families, and their caregivers about
health concerns is vital. Ask about what precautions they are taking to reduce health risks, and make
decisions together about ways to mitigate risk.
• Quarantine itself comes with risks; lack of information, isolation and financial concerns, for example,
can influence both psychological well-being as well as risk-taking behaviour.
• Much has been written about domestic violence, but elder abuse, which is more insidious, may also be
on the rise in communities.
Section 2: Ageing Theme and CV-19 – Impact on the Aged
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Social isolation and anxiety
• Practicing social distancing as a way to prevent or slow the spread of COVID-19 can result in reduced social contact, which can be especially problematic for older persons who are already socially isolated or feeling lonely.
• According to the Australian Institute of Health and Welfare, 39 per cent of people aged 65 and over live alone. Research has shown that social isolation and loneliness increase the risk of physical and mental health problems.
• Engaging in social activities is still possible - and older adults can use many technologies to facilitate this. Telephone calls, texts, emails and using video-conferencing technology (e.g. FaceTime, Skype) can help maintain social connections. It is a MYTH that older adults are not open to or capable of using these technologies - eSafety’s Be Connected website has great resources designed to help older Australians develop digital and online skills.
• If you think they are not coping, or are overly isolated, suggest they seek help from their GPs, or encourage them to speak with a mental health professional.
Section 2: Ageing Theme and CV-19 – Impact on the Aged
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Ageism
• We often overlook ageism in health care and health care research. For example, in the U.S. the National Institute of Health mandated the inclusion of women and people of colour in medical research in 1986, but it didn’t issue a similar mandate for older adults until 33 years later, in 2019.
• Here in Australia, COVID-19 response plans have included older populations but in many settings, the voices of older adults and their preferences may not be heard and adequately addressed. This is important at a time when human resources are particularly stretched.
• Age itself is an unreliable predictor of responses to treatments, yet chronological age still dictates resource allocation. In the COVID-19 environment it is important not to let ageist stereotypes and assumptions get in the way of best treatment practice.
Section 2: Ageing Theme and CV-19 – Impact on the Aged
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Age-specific treatment settings
• Aged care homes and settings such as palliative care with large numbers of older persons have adopted restrictions on visitors etc. But this poses difficulties with families not being able to provide routine care (e.g. feeding), and also being with a loved one who is dying.
• For people living with dementia or some form of cognitive impairment, the ability to follow instruction or to alert others about potential symptoms may be a challenge. This is especially so when there is a limited capacity to communicate verbally or express pain and discomfort. In this situation, observation by someone who knows the person with dementia may assist in identifying changes in their health.
• Remote communities provide unique challenges in care – the National Aboriginal Community Controlled Health Organisation (NACCHO) website has excellent resources.
Section 2: Ageing Theme and CV-19 – Impact on the Aged
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Summary
• Older adults vary in their needs, their risks, and their ability to engage in active coping during the crisis.
• Ageism and stereotyping of older persons can affect best practice treatment and cause unnecessary distress.
• Social isolation is necessary, but ways to keep vulnerable older adults engaged in their social networks should be a priority.
• For those in aged care, consideration of the individual patient and their family’s wishes, particularly in the face of dementia or palliative care concerns, should be sensitively addressed.
Section 2: Ageing Theme and CV-19 – Impact on the Aged
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Confidential 25
Paul BarnettCofounder and Managing Director, Asymmetric Innovation
Section 2: Social Apps – Connecting people with carers
Behavioural programs to avoid mass health worker sick leave
Behavioural programs to avoid preventable mass healthcare worker sick leave – $2M funding
Apprise providing a $250K allocation for partnership with behavioural psychologists on
gamification of hygiene behaviours
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Confidential 26
Section 2: Social Apps – Connecting people with carers
Initiative 2
Social App connecting people with carers using
gaming theory – In a nutshellPlease share
your comments
in the Zoom
chat
● What else is
going on/should
we be aware
of?
● What’s most
interesting /
most captured
your attention?
• COVID-19 has been particularly devastating in aged care facilities worldwide – generally already
spread rapidly at time of first identified positive case.
• Aged care workers concerned about transmitting virus between residents and their own families
and loved ones. The serious consequences are well understood with wellbeing a major concern as
the outbreak worsens
• Partners Asymmetric Innovation, PentaQuest and University of Queensland have formed a
partnership of expertise in behavioural science, gamification and infectious disease to tackle
coronavirus spread in residential aged care facilities.
• App developed for aged care workers aimed at incentivising behaviours through gamifying tasks
and activities that contribute to; being informed, regular safe and hygienic practices, wellbeing and
supporting others - thereby reducing the spread of the disease
• Preparing for first-known randomised controlled trial for the use of gamification in health care
• Aimed for rapid scalability into hospitals and the public for increased impact of the technology to
incentivise desirable measures and behaviours that limit worst-case impacts of covid19
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LIKE A FITNESS APP
FOR CARING
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WITH TEAM MOTIVATION
& INFORMATION
BUILT IN
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IN TALKS WITH FACILITIES TO
RELEASE TO
9000 USERS
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Confidential 33
Please share
your comments
in the Zoom
chat
● What else is
going on/should
we be aware
of?
● What’s most
interesting /
most captured
your attention?
Context -
• Team of behavioural
science and gamification
experts
• Current project is three
weeks old (!)
• 40% of deaths are occurring
in age care homes
• Critical role for age care
workers to minimise spread
o Notable stressors
– work vs home
o Opportunity for
consistency
Purpose of the app
• Identified 100+ behaviours
• Create an incentive/motivational approach to engage in safer behaviours
• Create habits
• Focus on health and confidence – managing stress/switching brain off
Some of the key features include:
• Identified 100+ behaviours
• Team scores and benchmarking at State and National levels
• Ability to thank others for reminders
• Highly curated articles
Randomised control trial (9000 users) in commencement/progress
Next steps
• Hospital roll-outs (cleaners, healthcare workers)
• Broader general public
Initiative 2 – continued
Themes captured during Paul’s presentation
Section 2: Social Apps – Connecting people with carers
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Confidential 34
Assoc. Professor Clair SullivanChief Digital Health Officer
Metro North Hospital and Health Service
Section 2: Data, Digital Hospitals and Innovation in Clinical Practice
Data, Digital Hospitals and Innovation in Clinical PracticeMedical Research Future Fund’s Rapid Applied Research Translation initiative:
• Enhancing electronic medical records to improve patient outcomes, integrate health workforce
and generate efficient research (EMPOWER).
• Associate Professor Clair Sullivan leads this research project into data collection system
inefficiencies that limit healthcare delivery and research.
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Confidential 35Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 36Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 37Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 38Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 39Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 40Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 41Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 42Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 43Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 44Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 45Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 46Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 47Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 48Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 49Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 50Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 51Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 52Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 53Please listen to the Video of the Roundtable Discussion for context and information provided by A/Prof Sullivan.
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Confidential 54
Section 2: Status update on current SEQ research and activities
Initiative 3
Data and innovation in hospitals Please share
your comments
in the Zoom
chat
● What else is
going on/should
we be aware
of?
● What’s most
interesting /
most captured
your attention?
• Metro North is our largest ‘cluster’ in Queensland
• Participatory action research project
• Two papers already submitted for publication
Innovation areas
• Virtual working – nurses, doctors, allied health staff
(e.g. speech therapy); thousands of staff have
moved in the last month
• The traditional outpatient appointment has
been re-imagined
• Virtual care (rather than telehealth) – not just
exchange of images; exchange of information
and data + internet of things
• 10 – 20% of appointments have shifted
to virtual care in recent weeks
• Very conscious of digital divide – not all staff have
equipment
• Using a variety of platforms to deliver care
• Privacy implications have been extensive but the
door has been opened
• “Virtual visits” – allowing patients to have contact
with families and friends
• Feedback has been that while they’d prefer
to be in the room, given the circumstances
this has been a positive step to maintain
social connections
• Virtual family meetings
• Virtual training hub
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Agenda for Today
Confidential
10 mins Opening and welcome
● Acknowledgement of Traditional Owners
● Principles for today’s conversation
● How the meeting will work today
● Who’s on the call – What role do you play?
● What would you like to get from today?
David Bunker
Peter Burow
Interactive Session
35 mins Feature COVID-19 Response Activities & Research
1. Overview of BDHP Roundtable Discussion #1 – 30 March
2. Ageing Theme and CV-19 – Impact on the Aged
3. RCT of a Social App connecting people with carers using gaming theory –
Quick development and deployment
4. Data and innovation in hospitals
● What’s most interesting / most captured your attention?
David Bunker
Nancy Pachana
Paul Barnett
Clair Sullivan
Interactive / Chat
15 mins Interactive Feedback and Discussion
● What would you like to hear more about in upcoming events?
● What did you find valuable today?
● Thanks/acknowledgements
Peter Burow
Interactive Session
David Bunker
Section 1
Introduction
Section 2
Feature Activities
Section 3
Discussion
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What would you like to hear more about in upcoming events ?
What did you find valuable today ?
Due to a technical issue the final Poll didn’t appear on the screen.
Please provide us feedback on this form, we’d love to hear from you.
https://forms.gle/m8zyuzuuBVvHnMCp8
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Acknowledgements
and next steps
brisbanediamantina.com/covid-19/
57