digital health - hypertension case study
TRANSCRIPT
Creating a Digital Patient Eco System Presented by Satnam Bains, CEO
Enabling Patients to Self Manage their Health and Wellness
Enable Health Organisations to run different health campaigns
Agenda
The Patient Journey Integrated Care Health Fabric overview Case study around hypertension
Understanding Patient / service user efficacy
The Patient Journey
Providing patient access to their medical information is not enough A patient’s digital journey is an ongoing process A journey of self awareness and learning Enabled by health literacy Enabled with the right support
Enabling Integrated Care
Provide the information about the patient to the patient Allow the patient to update this information based upon their personalised needs and goals Integrate this information into the various stakeholders that need this information Build a cohesive process around patient needs by understanding their needs Develop a preventative, personalised plan for the patient Facilitate collaboration around the patient
Getting it right for patients - service users
Interactive, Intelligent, Cognitive,
Personalised, Engaging, Social
Positive Support, Tribal, Community
Based, Peer to Peer Support,
Acknowledgement
Patient Information, Lifestyle Information, Sensor Information,
Contextual Information, Location Information, Correlation Mapping
Fun and Social
Data to Information
Support and Community
Marketing, Product Development, Understanding user journeys
Healthcare Providers - Running Different Health Campaigns
Create different plans with daily or weekly tasks for customer Embed video, websites and other content in plans Commercialise certain plans – with real time monitoring of tasks Patients download ‘MyHealthFabric’ free from app stores and access the plan Some plans relate to wellness Some plans relate to social needs Some plans includes clinically verified plans
MyHealthFabric App for service users
Free - Core application that can be downloaded for free complemented by a library of care plans The tasks can be for a variety of uses, and monitored Integrated into Withings Devices, Skype, and Whats App Can be integrated with clinical systems Enables patient to create long-term goals, behaviour change and self management. Family, carers able to access patient information and support patient through paid for Friends & Family app Drives efficiency, collaboration and facilitates better care co-ordination at point of care resulting in better outcomes and cost efficiencies
Remotely monitor service users
Clinician Dashboards - Clinicians provided with Dashboard (e.g. figure 1) interface for their patients Disease specific plans - free Library of plans Free Patient App - Patients start to self manage with download of free MyHealthFabric App Skype virtual consultations - With integrated Health Fabric functionality Improve Engagement - Change the way that you engage with patients so that not all consultations have to be face to face Patient insight - Get near real time information about patient and activities before you see the patient so you can make an assessment quicker
Support behaviour change with Friends and Family
Friends And Family App – Citizens invite Friends and Family to download the friends and family app Pester Power- Friends and family review all actions, Glucose readings, Weight Readings, and communicate with user Friends and Family Proactively support and encourage user - Family members support users to achieve their goals Friends and Family set awards – Family members agree awards and incentives based upon milestones reached
The Friends and Family App
Hypertension Case Study – GP Practice Tamworth
The next set of slides have been created by a set of GP’s from a medical centre based in the west
midlands as part of their presentation of our pilot together
The need: There is increasing demand for management of chronic diseases with less resources and use of technology may be an option.
Experience so far: Previous studies using sms for management of hypertension have proven that technology can help but with more common use of smart phones more can be achieved
Apps?
Several apps available Usually single trick pony Not comprehensive to cover comorbidity Many are unreliable
Can an app a day keep the doctor away?
Health Fabric : Was listed in NHS choices website, Sponsor of innovation award 2014 Featured in BBC One Previously NHS IGT approved FREE for patient Can be adapted for individual needs Availability of Store for “care plans” Integrated into wearables – ‘Withings’
Integration: Has ability to integrate with GP Systems
Dashboard : Dashboard functionality for doctors/Nurses to mange chronic disease via a central dashboard
Useful for population monitoring
Customizable :
For other chronic diseases as well Care plan to suit patient Can push “care plans” Can have incident plan for emergencies Can have list of medications Feedback available-Friends and family Ability to invite family to monitor (paid for version) Built in Skype and WhatsApp communication
Can an app a day keep the doctor away?
Experience :
We used Health Fabric app as part of our Tele health component of LES (Locally Enhanced Scheme) from CCG Patients with uncomplicated hypertension aged >40 but < 60 yrs were sent a sms offering this scheme with details posted on our website offering them the options to download the app to monitor BP (own monitor or loan from surgery) if needed. Opportunistic advice regarding this app was also mentioned to patients (pre selected). Only readings taken in surgery were used for this study 28 of the eligible patients downloaded the app and linked with the surgery A read code (9NdG) (consent to share information with specified 3rd party) was added to their notes (July 2015)
Criteria:
Uncomplicated HT aged >40 <60 yrs Have smart phone and willing to use app
Can an app a day keep the doctor away?
Initial Control: July 2015 28 patients signed up- July 2015 4 had BP well controlled at start in previous three readings 24 had a BP reading > 150 systolic or 90 diastolic
Outcome: Jan 2016 All 28 had BP reading of <=150/90 mmHg
24/28 had well controlled BP by May 2016
Limitations: This is not an clinical trial 28 patients involved were selective list based on age, absence of comorbidity, had an relatively modern android or iOS phone Patients were also selected on motivation to use app and wish to improve readings Difficult to say how many would have improved BP control anyway and whether improvements can be sustained long term Some also found it useful to lose weight
Can an app a day keep the doctor away?
