Global health @ ISFiT 17th and 18th feb

Insight Driven Health

Workshop on Health Technology

«Innovation in Health» team
ISFiT - 17th Feb 2011, Trondheim
Copyright ©© 2010 AccentureAll Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
Copyright 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.

Introduction

Olga Marie Lerflaten Francis D’Silva
Accenture «Innovation in Health» Accenture «Innovation in Health»
olga.marie.lerflaten@accenture.com francis.dsilva@accenture.com
Twitter: @francisds

Copyright © 2010 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.

Agenda - Workshop on eHealth
• Health 101
• Opportunities for Innovation
– UN’s Millennium Development Goals
– Consumer-centric health
• Introduction to the group assignment
• Lunch break (12 noon)
• Group assignment
• Presentation of assignment
• Summarize for plenary session (on Friday)


A healthy society generates
opportunity for its residents
• Health is about wellness of mind and body – i.e. it is more
than the absence of illness
• Health services are provided by government at different
levels of commitment and payment models
• Health services can be broadly segmented as
– Providers who provide the health service
– Payers who cover financial costs
– Public Health that provides the underlying foundation
– Vendors that provide the materials and technologies
• Different countries have different practices for providing
health services
– See http://en.wikipedia.org/wiki/Health_care_system


Accenture – a global company
Consulting . Technology . Outsourcing

Health and Bank, Comm. Media Products Resources
Public Service insurance and and high
Employees 211 000 capital technology
markets

Countries 120+ Consulting

Technology
Offices 170
Outsourcing
Revenue $21,6 B


Accenture’s Health practice
Help providers, payers and public health
authorities improve their performance
(Consulting – Technology – Outsourcing)

Develop ideas and prototypes
(Technology Labs – Sophia Antipolis,
San Jose, Chicago, Bangalore)

Researching and explaining the latest trends
(Institute for Health & Public Service)

NB! Links to videos are local

The big challenge/opportunity
“Connected Health”


Information and services must flow
seamlessly for patients to enjoy a strong
user experience

 Services must be useful for the user
 Trust must be maintained
 User-experience should be engaging
 Information quality must be high

Portal

 The portal must tie into the supporting services  Move data seamlessly without compromising
 Practices and procedures for the workforce must be accuracy, privacy for flexibility and usability
designed and implemented  Interdisciplinary processes and collaboration

Hospital Management Clinical Information
Systems Systems

 Data transfer between organisations (even across nation
states) – without compromising trust

Workshop 15 - Two themes
Millennium Development Goals Patient centric health-care


Millennium Development Goals
The Millennium Development
Goals (MDGs) are eight
international development
goals that all 192 United
Nations member states and at
least 23 international
organizations have agreed to
achieve by the year 2015.
They include eradicating
extreme poverty, reducing
child mortality rates, fighting
disease epidemics such as
AIDS, and developing a global
partnership for development

Copyright © 20102011. ISFiT All Rights Reserved. Accenture, itsand 18th Feb 2011, Trondheim)
(c) Accenture Accenture 2011- Globalize this: Health (17th logo, and High Performance Delivered are trademarks of Accenture. 11

Child mortality in India has been
declining gradually …. but
• 2.5 million child deaths per year
• 1.1 million newborn deaths
• 27 million births every year
• 60 % home deliveries
• Hospital born neonates sent
home early
• Most neonatal care is provided
at home


Quality child health interventions
• Strengthening universal immunisation
• Home, Community and Facility based newborn and child
health interventions
• Strengthening referrals and interfacing with other
providers of child health services
• Surveillance activities for measles control
• Other potential areas of intervention as need emerges during
the course of the program


Enabling mechanism
• To strengthen the State / districts/ block management
structure for child health.
• Techno-managerial support related to implementation
and systems
• Gap management and problem-solving related to
technical solutions, planning, budgeting, management
and financial issues
• Providing support (thus enabling) to the ASHAs and
Yashodas (and other public health workers) for delivery of
quality child health interventions at home/community/facility
level
• Putting the child health agenda forward at all relevant
platforms

While devices and technologies
proliferate … services are missing


Consumer electronics have the potential
to drive patient-centric services


I want to lead a healthy lifestyle
• Kumar (45) has the best intentions to proactively manage his health.
– He has learnt that he should monitor his blood pressure and blood sugar levels to better
understand his own health.
– He would like to help from a nutritionist and a training studio
– He buys electronic devices from the local pharmacy that allow him to obtain the appropriate
data points for blood pressure and blood glucose.
• What if….
– these devices were calibrated by the health authorities as he docked them on his home PC
– a first time check and regular periodic intervals
– the data points were uploaded regularly to his family doctor and updated his centrally
managed electronic medical record. Spikes and other abberations in the data points could generate
alerts for the family doctor, who could escalate to the hospital or other specialists. And propose an
appointment with the appropriate medical personnel
– the national research institutes provided Kumar with a feed of aggregated data points for
comparison purposes (as a compensation for Kumar providing his own datafeeds)
– Kumar’s nutrionist could recommend certain food products that match his nutrition profile.
Kumar can view recommendations of the product made by other individuals and even
nutritionists or medical personnel

I want to provide the best care
possible
• Jenny is a single parent with responsibility for Tom, her 7 year-old son who
unfortunately suffers from epilepsy.
– Tom needs periodic monitoring to detect and avoid any serious complications like brain
damage.
– Tom is otherwise a very active child who hates having to miss his school and play. Jenny
learns about wearable computers used by high-performing athletes and obtains a Lifecap* and
Lifeshirt* that will non-invasively monitor Tom’s vital signs.
– These wearables will capture and store a continuous data feed
• What if …
– the doctors and medical personnel responsible for Tom’s care could be notified based on
fluctuations in Tom’s brain and physical activity
– the doctors and Jenny were warned about potential seizures based on previously analyzed
data patterns and available best practices from the national health institutes
– Jenny could provide the the raw datafeed and the aggregated data analysis to a research
community that could mine the data and provide Jenny and Tom with insights, products and
solutions that improves Tom’s conditions.


Group assignment
Apps for eHealth
To accelerate activity to reach Millennium Development Goals!
To improve public health through increased patient-centricity!
Groups
Break up in four groups
Two groups per theme

We are going to design an App!
• An app is program that runs on a mobile device
• Can run on the device alone or requires network connection

• Examples
– Mobile phone (SMS based)
– SmartPhone (iPhone, Android, Windows 7)
– Social media: Facebook, Twitter


Choose one of two assignments
1 Millennium Development Goals 2 Patient-centric health

Assignment: Design a health information service Assignment: Design an app that can be
that a rural health service (RHS) can use to implemented on a SmartPhone that guides a
interact with its population around maternal and resident in developing a healthier lifestyle
neonatal health care Criteria:
Criteria:  Can work on Smartphones, certain portions to
 Must work on mobile phones (not be able to work on regular mobile phones
smartphones)  Can work in a mobile broadband network
 Should work in an only-GSM network  Can be built over a period of 6 weeks by a team
 Can be built over a period of 6 weeks by a team of 3-5 people
of 3-5 people Example:
Example:  An App where the user is guided on stop
 An App that allows pregnant mothers to sign- smoking (or a weight watcher to manage diet)
up and to receive tips from the RHS and make  An App where allowing the user to update their
an appointment for delivery. Describe what the patient-portal with activity data
RHS needs to be able to provide this service
 An App for medical staff at the RHS to obtain
basic guidance


Create a concise and concrete description of the
App’s i) main purpose, ii) its target audience, iii)
functions and iv) design

Main criteria for evaluation:

1. Relevance
Does it solve a problem? or address a need?

2. Effect
What’s in it for me (the user)? Value of the
App
How extensible is it?

3. Feasibility to implement
Can it be done?
What needs to be in place in order to
implement the App?


A large amount of Apps in the market
focus on game and fun, but in addition
there are several Apps useful
Examples of some useful Apps:

Gluten Free XpenseTracker
 A Gluten Free Glossary  Keeps track of your expenses
 Defines ”safe” food for people with gluten  Organizes expenses according to category
intolerance (food, transportation, etc.)
 Describes symptoms, reactions, treatments  Updated currency information
when intake  The camera can be used to save image of the
recipte
 Export to excel

Get paid Help 113
 Helps you to keep track of the hours you work  Emergency caller
 Uses a timer to track the hours used  Reports your GPS location when calling the
 Organize the hours according to project Norwegian emergency central
accounts, salary basis  Emergency contact list
 Generates PDF reports

Copyright © 2010 Accenture All All Rights Reserved.
Copyright © 2011 Accenture Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 23

Some tips …
• People love to interact
– Social communities, co-production, games and fun increase the chance of people
adapting and embracing the new service
– Interact with existing systems/services: Facebook, Gowalla, Twitter, etc.

• Communication with existing systems
– There is a lot of information available. Look for public data sources.
– Why re-invent the wheel?

• A user centric approach
– Describe a typical, specific situation and what the user will do with the App
– Think about the user, not the systems. What is best for the user, then focus on how
to solve it

• Potential topics
– Geo location
– Connect different systems
– Realtime information


“Get rid of the crappy stuff and focus
on the good stuff“ – Steve Jobs
1. List All the Features You Think Users Might Like
At this point, you’re trying to capture all the tasks related to your main product idea.
Don’t worry if your list is long; you’ll narrow it down later.

2. Determine Who Your Users Are
Apart from the likelihood that your users are mobile and that they expect beautiful
graphics, simple interactions, and high performance, what distinguishes them? In the
context of the app you’re planning, what is most important to your users?

3. Filter the Feature List Through the Audience Definition
If, after deciding on a few audience characteristics, you end up with just a few
features, you’re on the right track: Great iOS applications have a laser focus on the
task users want to accomplish. A good application definition statement for a grocery-
shopping app might be: “A shopping list creation tool for thrifty people who love to
cook.“

4. Don’t Stop There
As you consider whether to add a new feature, ask yourself whether it is essential to
the main purpose of your app and to your target audience. If it isn’t, set it aside.


Over 1,000 iPhone apps on health &
wellness
• My Life Record ($10- $50)

• Absolute Fitness ($14.99)

• iScale ($4.99)

• StepTrakLite (free)


Consumer app examples


A provider app example


Thank you!

Olga Marie Lerflaten Francis D’Silva
olga.marie.lerflaten@accenture.com francis.dsilva@accenture.com

“I may not have gone where I intended to go, but I
think I have ended up where I intended to be”
Douglas Adams

Insight Driven Health

If eHealth is the answer, what was the
question?
Francis D’Silva, Accenture «Innovation in Health»
ISFiT 2011 – Trondheim (18th Feb 2011)

eHealth has a potential greater than
“technology in the clinic”
• Health and Technology

• … and social responsibility

• Now….. Doing something about it!


We see some macro trends that are
influencing the health sector
Increase in chronic and Silver generation and the
lifestyle illnesses ageing population

Health services across
Financial crisis
national borders


The evolution of technology is
impacting our societies
Rapid technology
development and
adoption

Access to
information

Our societies are
more aware of the
use of technology
Copyright © 20102011. ISFiT All Rights Reserved. Accenture, itsand 18th Feb 2011, Trondheim)
(c) Accenture Accenture 2011- Globalize this: Health (17th logo, and High Performance Delivered are trademarks of Accenture. 33

We see four trends that can be acted
upon
New models for collaboration Self-service

Transforming business Analytics
Strategy

Processes Organization

IT


… but there are also other trends
Increase in chronic and Silver generation and the
lifestyle illnesses ageing population

A growing digital divide Poverty


Accenture’s Skills to Succeed program - Driving measurable
impact through Corporate Citizenship investments

Drive Measureable Impact:
Collaborate with our Nonprofit
partners around the world to
create programs advancing our
Engage our Nonprofit partners shared agenda, analyze and
and Internal Stakeholders to report results, and share the
Develop a Skills to Succeed learning
Outcome Framework: Make the
connection between our
investment and our societal
impact

Set the Skills to Succeed
Vision and Goal: By 2015,
equip 250,000 people with
the skills to get a job or build
a business

Copyright © 2010 Accenture All Rights Reserved. 37

From inputs to results to outcomes for a positive societal
impact
Accenture Corporate Skills to Succeed Goal: By 2015, Positive Societal
Investment equip 250,000 people with the skills to Impact
get a job or build a business
Increase
Community skill-building: People Competitiveness in the
are directly equipped with the skills Job Market
Funding they need to get a job or build a
business in the local context.
Increase Economic
Resilience
Non-profit Capacity Building:
Pro Bono Services
Enhancing their ability to deliver
quality S2S services to the
community and drive S2S outcomes. Build Sustainable
Businesses
Volunteering
Inspired and Motivated
Employees: to get involved and
make an impact on local community. Create Employment
Opportunities for
Others


Example - African Medical and Research Foundation
(AMREF)
• AMREF's vision is Better Health for Africa. AMREF has 50 years’ experience in
health development. Knowledge is a core product of AMREF’s activities. AMREF
implements projects to learn, and shares this evidence-based knowledge with others
to advocate for changes in health policy and practice

Challenge
• Insufficient medical assistance available for even the most basic of ailments
• Remote regions remain hard to reach by road and after forty-five years the early vision of
using aircraft backed by a radio network as a means of health delivery remains very much a
reality and a necessity
• Though AMREF has a deep knowledge of the content of the learning required, they have little
to no knowledge of e-Learning and how to develop and implement an effective solution

Accenture’s role
• Understanding how e-Learning works
• Developing a strategy for using e-Learning as part of educating the nurses
• Developing and implementing the e-Learning solution


Workshop 15 : 22 students – 19 nations!


Choose one of two assignments
An app is program that runs on a mobile device
Can run on the device alone or requires network connection

1 Millennium Development Goals 2 Patient-centric health

Assignment: Design a health information service Assignment: Design an app that can be
that a rural health service (RHS) can use to implemented on a SmartPhone that guides a
interact with its population around maternal and resident in developing a healthier lifestyle
neonatal health care Criteria:
Criteria:  Can work on Smartphones, certain portions to
 Must work on mobile phones (not be able to work on regular mobile phones
smartphones)  Can work in a mobile broadband network
 Should work in an only-GSM network  Can be built over a period of 6 weeks by a team
 Can be built over a period of 6 weeks by a team of 3-5 people
of 3-5 people Example:
Example:  An App where the user is guided on stop
 An App that allows pregnant mothers to sign- smoking (or a weight watcher to manage diet)
up and to receive tips from the RHS and make  An App where allowing the user to update their
an appointment for delivery. Describe what the patient-portal with activity data
RHS needs to be able to provide this service
 An App for medical staff at the RHS to obtain
basic guidance


2 themes and 2 hours!
4 teams developed 4 ideas!
• Baby and Me
• iTraining
• M-Preg
• HealthWatcher


Baby and Me


iTraining


HealthWatcher


M-Preg


Thank you – and thanks to the
participants of the workshop

Francis D’Silva
francis.dsilva@accenture.com

“I may not have gone where I intended to go, but I
think I have ended up where I intended to be”
Douglas Adams

Global health @ ISFiT 17th and 18th feb

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