shropshire disability network...shropshire disability network digital health briefing david...
TRANSCRIPT
Shropshire Disability Network
Digital Health BriefingDavid Sandbach.
9th March 2017.
What does the core technology look like
and who owns it?
Many people in this room own the core technology needed to delivery digital health services.
Smart / iPhone iPad
Lap Top
Smart TV
Integrated point of care monitoring using an iPad
Patient at home.
Red Cross Volunteers = eyes and ears of the system.
Specialist Geriatric Nurse in a hospital with consultant back up. Also has contact with social services and patient’s GP.
Depending on what the patient’s data shows up their needs are assessed and s/he may get a primary care intervention or attention from a Geriatrician e.g. an urgent out-patient appointment or an urgent / emergency admission to hospital.
Two volunteers visit a frail man who lives with his frail wife. They carry out standard tests e.g. BP, weight, temperature , blood oxygen , blood sugar etc. these tests are with the supervising nurse within seconds and are recorded in a care plan which hangs off the back of the hospital EPR.
Acute medicine delivered into a nursing home
https://www.youtube.com/watch?v=KawFCoLrv-s
How many people are using Patient Access?
Digital Health: mHealth the game changer
EXAMPLES
http://greatist.com/fitness/best-health-fitness-apps
https://play.google.com/store/apps/details?id=com.liverpooluni.icharthiv&hl=en_GB
https://itunes.apple.com/app/shopwell/id393422300http://www.asthmamd.org/features/
Excellent local example in Shropshire
Consumer driven choice and professional prescription?
http://www.epilepsy.com/sites/core/files/upload/image/Diary%20Image.png
Who makes the decision? Where is the information stored? Who is behind this ?
mHealth & Point of Care TestingGP surgery, Community Hospital, in Home and
on the High Street.
http://www.philips.co.uk/healthcare/solutions/in-vitro-diagnostics/in-vitro-diagnostics
Example - Isle of White A&E Department
https://www.youtube.com/watch?v=ZRcsXe_kHzM
In some larger practices this kit will become a standard POCT facility.
ShropDoc POCT current trial Orion Quick Read – for Hb and CRP Abbott ISTAT - for U&E Roche Cobas h232 - for D-dimer Haemocue - for Differentials
It is not all about blood tests: Ultrasound – out of hospital.
https://www.lumify.philips.com/web/mobile-app
https://www.youtube.com/watch?v=ny9s6CPrwHI
iPhone and heart monitoring
The AliveCor Heart Monitor enables portable event monitoring ‑of the electrical activity of the heart and could therefore be used by people during normal activities, while under the care of a primary or secondary healthcare professional, as an alternative to existing portable ECG devices.
https://www.youtube.com/watch?v=0pE_InOy1mk also
https://www.nice.org.uk/advice/mib35/chapter/technology-overview
https://www.nice.org.uk/advice/mib35/chapter/technology-overview
Eye examinations using an iPhone to capture, store and transmit the immage.
http://www.peekvision.org/peek-wins-international-design-award/
http://www.inf.ufrgs.br/~oliveira/pubs_files/CATRA/CATRA_page.html
Wound and bedsore management using an App on a iPhone
https://itunes.apple.com/gb/app/mowa-mobile-wound-analyzer/id470195183?mt=8
Let’s try a demo – how I monitor my health each day.
https://login.live.com/login.srf?wa=wsignin1.0&rpsnv=13&ct=1488961056&rver=6.7.6643.0&wp=HBI&wreply=https:%2F%2Faccount.healthvault.com:443%2Fsignin%2Fliveid%3Fscn%3Dc3fcab55-caf3-427e-a7be-039a867380a3&lc=1033&id=252423
That’s all Folks!
Or may be not????