the future interface of mental health with information technology: high touch and high tech

The Future Interface of mental health and technology: high care and high touch

Professor Steven C. BoyagesThe university of Sydney, Wednesday 19th October 2016

World federation for mental health international conference, cairns Australia

• The Challenging Health Care System: Is Technology a solution

• The Promise and Pitfalls of Technology• Will the role of the health professional change and

that of the consumer/patient change in this new world

• Understanding Data and Information• Connected or Disconnected Health

Agenda

Constants of HealthTO RECHON him who taught me this Art equally dear to me as my parents, to share my substance with him, and relieve his necessities if required; to look up his offspring in the same footing as my own brothers, and to teach them this art, if they shall wish to learn it, without fee or stipulation; and that by precept, lecture, and every other mode of instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers, and to disciples bound by a stipulation and oath according the law of medicine, but to none others. (Hippocrates 460-370 BC)

Health is a knowledge based profession

• Research• Developme

nt

Generate Knowledge

• Education• Training

Impart Knowledge • Care

• Prevention

ApplyKnowledge

Health Services are about..

CareCommunication CollaborationCoordinationClinical Care Models

Gartner Viewpoint:

Through 2020, tensions in the healthcare industry will be very high in most countries due to: The extreme pressures on cost, demand/access and supply The magnitude and pace of change The large investments required. The need to reinvent services approaches and cut costs at the same time.

Bridging the Gap: Is Health Information Technology the Answer?

Objectives of Investment in IT

1. Improve patient experience

2. Improve patient safety

3. Improve provider experience

4. Create value for money

The Two Hype Cycle Viewsof the Electronic Health Record

Technology Trigger

Peak ofInflated Expectations

Trough of Disillusionment Slope of Enlightenment Plateau of

Productivity

time

expectations

PositiveHype

NegativeHype

Usability Value

Source: Gartner, 2013

Early Investment Strategies1. Build a big database 2. Technology driven not workflow driven3. Focused on finance, pathology and

radiology systems4. Few clinical systems5. Community based systems and mental

health systems last

FunctionImpact

Minimal

Full

Availability of Products2020+2012200519981993

Generation 1:The Collector

Generation 2:The Documentor

Generation 3:The Helper

Generation 4:The Colleague

Generation 5:The Mentor

Electronic Health Records:Generations Model

Today


High Touch

HighTech

Team and WorkflowPlatform

Technology

Platform

The Nature of Health Work

What’s driving the next generation of EHR

New Technology TriggersThe Nexus of IT Forces:Social, Mobile, Cloud & Big Data/Information


Pace-Layering:Structure for Innovation

Systems of Record

Systems of Differentiation

Systems of Innovation

CommonIdeas

NewIdeas

BetterIdeas


Next Generation EHR/EMR

What does it take to be a digital health professional? The changing role of the health professional in the digital age

Efficacy and security of technology implementation to ensure patient safety

Managing clinical, reputational and financial risks in the digital age

Pitfalls

InformationSomeone somewhere is capturing and storing

Nearly every transaction or interaction leaves a data signature

Efficacy and security of technology implementation to ensure patient safety1. How do we protect our patients in this age

of technology?2. How do clinicians understand enough of

the problem to avoid risks3. How do we assure patient privacy4. A day does not go past without a major

cyber attack on large enterprises? How do we avoid these in health systems?

5. Digital health identity theft?

Managing clinical, reputational and financial risks in the digital age1. What are the risks?2. Are they overrated or

underestimated?3. First do no harm now has a new

meaning in health4. Should we embrace social media?5. How do we mitigate the risks?

Will the role of the health professional change and that of the consumer/patient change in this new world1. If so, what new skills will the health

professional and our patients need to acquire?

2. How will we develop those skills?3. Will Dr Tech ever replace the

human doctor?

FunctionImpact

Minimal

Full

Availability of Products2020+2012200519981993

Generation 1:The Collector

Generation 2:The Documentor

Generation 3:The Helper

Generation 4:The Colleague

Generation 5:The Mentor

Health and Clinical ICTBecomes the Challenge ofKnowledge Management

Today


Tomorrow:Awareness, Action, Agility

Data, Big Data and Information

Sheer scale has far exceeded human sense-making capabilities

At these scales patterns are often too subtle and relationships too complex or multi dimensional to observe by simply looking at the data

Data mining is a means of automating the process to detect interpretable patterns

It helps us see the forest without getting lost in the trees

Google trends, Google analytics

Using Data

05/03/2023 33

Google Trends Michael Jackson

05/03/2023 34

Google flu trends

Facebook can predict your breakups

The Internet of Things….And Everything

39

Location of equipment

Availability & location of

staff

Location and condition

data on the patient


Patient Throughput andCapacity Management

The Next Level: Health Intelligence Systems

Definition

Responsive Agile Available Flexible Timely

Real timeNear Real time

Capability

Patient Care Safety Decision support Outcomes Research Patient Logistics

Performance Management State Area based Hospital/cluster/network Modality (scheduling) Bedside

40

Predictive, planning analytics

Visualization

Level of Business Impact

BI/Analytics Shifts GearsJust as Clinical Data Emerges

Ad hoc query,OLAP, data mining

Skill Levels

Required

Reporting, dashboards

Prescriptive process

optimization

Information Patterns

Adapt and Evolve

What will happen?

Why did it happen?

What happened?

What should happen?

Retrospective Concurrent Prognostic


05/03/2023 42

New methods of scientific inquiry

Big Data

Big Question

New Technology TriggersThe Nexus of IT Forces:Social, Mobile, Cloud & Big Data/Information


We need to embrace social media

What’s Next?:Patient-Facing ICT Explodes


Care Coordination Applications

“Quantified Self” Applications

Patient Engagement/Portals

apps4nsw collaborativesolutions for Health

The Accu Chek Connect system combines three products into one system.‑

Accu-Chek Connect System

Accu-Chek Aviva Connect BG Meter

Accu-Chek Connect App

Accu-Chek Connect Online System

Constants of HealthTO RECHON him who taught me this Art equally dear to me as my parents, to share my substance with him, and relieve his necessities if required; to look up his offspring in the same footing as my own brothers, and to teach them this art, if they shall wish to learn it, without fee or stipulation; and that by precept, lecture, and every other mode of instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers, and to disciples bound by a stipulation and oath according the law of medicine, but to none others. (Hippocrates 460-370 BC)

High Tech

HighTouch

Team and Workflow Platform

Education and Learning

People

Technology Platform

Communication and Connection

High Touch “I tell them that their first reflex should be to look at the patient, not the computer,” Dr. Heineken said.

And he tells the team to return to each patient’s bedside at day’s end. “I say, ‘Don’t go to a computer; go back to the room, sit down and listen to them. And don’t look like you’re in a hurry.’ ”

the future interface of mental health with information technology: high touch and high tech

Health & Medicine