Digital Health Point of Care Testing.

1. Digital Health: Shropshire Patients
Engagement Session
7th December 2016 Wroxeter Hotel
Session 4
Point of Care testing

2. Digital Health: Shropshire Patients Engagement Session
Point of Care testing:- GP surgery, Community
hospital, in Home and on the High Street.
http://www.philips.co.uk/healthcare/solutions/in-vitro-diagnostics/in-vitro-diagnostics

3. Please note that links to product
vendors or service providers in my
presentations on the 7th December
2016 DOES NOT imply or
otherwise any endorsement of the
products and services nor the
marketing claims of the service
providers and manufactures.

4. mHealth Market
http://www.pwc.in/assets/pdfs/telecom/gsma-pwc_mhealth_report.pdf
Key drivers:
Affordability, availability, acceptability
and USABILITY.

5. POCT for faster decisions in A&E
http://www.piccoloxpress.com/wp-content/uploads/TAT-Study-Article.pdf
Conclusions: A POCT chemistry analyzer in the ED shortens the test turnaround and
ED clinical decision times compared with CLT.

6. Example - Isle of White
https://www.youtube.com/watch?v=ZRcsXe_kHzM

7. Example of a hand held blood analyser – used in the
community health services
https://www.youtube.com/watch?v=PABPzbMWWmohttps://www.abbottpointofcare.com/en-int/products-services/istat-handheld

8. PT/INR testing for oral anticoagulation therapy in your
pocket????
https://www.healthcare.siemens.co.uk/point-of-care/coagulation/xprecia-stride-analyzer
1.25 million people currently prescribed oral anticoagulant drugs, with warfarin being the most
frequently prescribed oral anticoagulant in the UK . Circa 11,500 people in Shropshire.
http://www.anticoagulationeurope.org/files/files/Anticoagulation%20commissioning%20resource%20pack%20-%20March%202013.pdf

9. POCT for CRP may help reduce antibiotic use.
http://www.boditech.co.kr/intro/index.jsp

10. iPhone & Urine stick combined recording system
http://www.linehq.com/showcase/piddle

11. 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

12. Beyond Blood and Urine testing

13. Point of care in the GP surgery or may be the local
Pharmacy or college / workplace sick bay ?
The journey from Millom to Barrow
takes 50 minutes each way and in
many cases could be prevented. The
scheme, which is currently being
piloted, involves a triage room in
Waterloo House GP Surgery in
Millom which is equipped with a High
Definition camera and monitor. There
is a similar facility at the Emergency
Department in Furness General
Hospital to allow two way
consultations to take place.
http://fabnhsstuff.net/2016/06/08/visionary-new-telehealth-link-millom-helping-keep-care-closer-home/

14. Ultrasound – out of hospital.
https://www.lumify.philips.com/web/mobile-app
https://www.youtube.com/watch?v=ny9s6CPrwHI

15. iPhone and Directly observed treatment (aka DOT)
https://www.youtube.com/watch?v=is95C8tgOyo
http://www.thetruthabouttb.org/treatment/directly-observed-treatment-dot/

16. 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.nice.org.uk/advice/mib35/chapter/technology-overview
https://www.youtube.com/watch?v=0pE_InOy1mk

17. Eye examinations
http://www.peekvision.org/peek-wins-international-design-award/
http://www.inf.ufrgs.br/~oliveira/pubs_files/CATRA/CATRA_page.html

18. Wound and bedsore management using an iPhone
https://itunes.apple.com/gb/app/mowa-mobile-wound-analyzer/id470195183?mt=8

19. Spotting a UTI before patient becomes a hospital
admission statistic.
https://www.pixiescientific.com/ https://www.pixiescientific.com/families

20. Body worn monitoring
http://www.isansys.com/
I tested this kit out from home in
Yockleton and shared the data in real
time with a colleague in Atlanta USA
using Skype. I used the Skype screen
share facility

21. Is there such a thing as Point of Care Caring??
https://www.youtube.com/watch?v=TaLcq082Pcc

22. Flo home monitoring system
http://www.health.org.uk/flo?dm_i=4Y2,4MPPC,63XRXQ,H8TH8,1
https://www.youtube.com/watch?v=MS-R7rwReiI
https://www.getflorence.co.uk/

23. People who are not sick can benefit too
https://www.text4baby.org/

24. Point of Care Caring for people with MH issues
https://www.bigwhitewall.com/assets/Videos/HowBwwWorkUKV2.mp4
https://www.bigwhitewall.com/landing-pages/landingV3.aspx#.WEaA-RqLTIU

25. Up coming smart phone possibilities
http://phys.org/news/2016-10-portable-smartphone-laboratory-cancer.html

26. 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.

27. Time to work.
1) Is this area of Digital Health technology acceptable to:
a) You as a person?
b) The community in general and the social or patient
groups you belong to?
2) Up-side / down-side - please list four of each for this type of
innovation.
3) Given cash is tight can you think of one thing which is a must
do from an investment point of view?
4) What are the top three barriers to this type of innovation?