Telehealthcare
An informatics perspective

George Mac Ginnis
NHS Technology Office

NHS CFHEP Masterclass
Imperial College...
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 ...
Personal health –
a connected care ecosystem
Telehealth service models
            Questionnaire                                                  care
               Q...
Where is the technology going?
        From reactive to preventative…
Community                                   Wearable...
Telehealth / telecare convergence?
                                                 Responder
            Questionnaire
  ...
Choice: The Continua Health Alliance

               “Our Mission is to
            establish an eco-system
              ...
Version One Device Connectivity Standards


            Pulse
            Oximeter
                                       ...
Interactivity –
linked to intervention models

Wellness
                                     Engaging
                    ...
Mobility – linked to targeting

Complex,
multiple conditions

Case finding


Cost & RoI
Scale will demand greater integration




                       Interoperability and
                          patient ch...
Information policy gaps

Some key health information
  standards issues remain:
• Identity management for
  citizens
• Con...
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George Mac Ginnis

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George Mac Ginnis

  1. 1. Telehealthcare An informatics perspective George Mac Ginnis NHS Technology Office NHS CFHEP Masterclass Imperial College, London 15 Sep 2009
  2. 2. Better safer patient care The Patient An open architecture based on messaging and standards
  3. 3. 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?
  4. 4. Personal health – a connected care ecosystem
  5. 5. 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
  6. 6. 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
  7. 7. 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
  8. 8. 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
  9. 9. 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
  10. 10. Interactivity – linked to intervention models Wellness Engaging content Lifestyle fit High turnover Time Technology choices will influence the nature of the interventions
  11. 11. Mobility – linked to targeting Complex, multiple conditions Case finding Cost & RoI
  12. 12. Scale will demand greater integration Interoperability and patient choice Better Case Finding, Smarter Commissioning and Working Research Engaging content and services
  13. 13. Information policy gaps Some key health information standards issues remain: • Identity management for citizens • Consent and confidentiality • Trust, truth and provenance • Safety and reliability

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