Telehealthcare
An informatics perspective
George Mac Ginnis
NHS Technology Office
NHS CFHEP Masterclass
Imperial College, London 15 Sep 2009

Better safer patient care
The Patient
An open architecture based on messaging and standards

Telehealthcare – some questions
- What will ‘mainstream’ services look like?
- Where is the technology going
- Will we see convergence with telecare?
- How do we meet the choice agenda?
- Interactivity – how important is it?
- Mobility – do we need to follow the patient?
- What wider eHealth infrastructure is required?
- What are the information policy gaps?

Personal health –
a connected care ecosystem

Telehealth service models
Questionnaire care
Questions profs
• Are you well
•How many
pillows
•Medication
Self Care
LTC Patient
Communication
device
Supported
Care
care
profs
Telecare
sensors
Biometric
devices Monitoring Clinical
Service Provider

Where is the technology going?
From reactive to preventative…
Community Wearable
Tracking
alarms monitors
1990 2010 2030?
Biometric Lifestyle Intelligent
monitoring monitoring therapies?
and from static to a smart, distributed environment

Telehealth / telecare convergence?
Responder
Questionnaire
Questions
• Are you well
•How many
pillows
•Medication
Telecare
LTC Patient
Communication
device Monitoring
Service
Telehealth
Telecare
sensors Monitoring Clinical
/ coaching Provider
Biometric
devices
care
profs

Choice: The Continua Health Alliance
“Our Mission is to
establish an eco-system
of interoperable
personal health systems
that empower people &
organizations to better
manage their health and
wellness”
Over 210 members 8

Version One Device Connectivity Standards
Pulse
Oximeter
PC
Pulse / Personal
Weight Health
Blood Pressure
Scale System
Mobile
Glucose Independent Phone
Meter Living Activity
Set Top Box
CV and Strength Medication
Aggregator
Fitness Monitor Monitor
9

Interactivity –
linked to intervention models
Wellness
Engaging
content
Lifestyle fit
High
turnover
Time
Technology choices will influence the
nature of the interventions

Mobility – linked to targeting
Complex,
multiple conditions
Case finding
Cost & RoI

Scale will demand greater integration
Interoperability and
patient choice
Better Case Finding, Smarter
Commissioning and Working
Research
Engaging content
and services

Information policy gaps
Some key health information
standards issues remain:
• Identity management for
citizens
• Consent and confidentiality
• Trust, truth and provenance
• Safety and reliability