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?

Danish National Portal

https://www.sundhed.dk/

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????