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Lloyd Humphreys - ECO 15: Digital connectivity in healthcare

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Presentation by Lloyd Humphreys, Vice President of Business Development, Patients Know Best at ECO 15, Haydock Park Racecourse.

Published in: Health & Medicine
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Lloyd Humphreys - ECO 15: Digital connectivity in healthcare

  1. 1. @patientsco enquiries@patientsknowbest.com www.patientsknowbest.com Scaling patient empowerment
  2. 2. Why scaling digital health is difficult
  3. 3. The Problem • Difficult to connect • Technical problems • Legal issues • Patient excluded • No one feels in control GOVERNMENT & COMMISSIONING BODIES PRIMARY CARE HEALTH SERVICES GP EMPLOYERS SOCIAL SERVICES SPECIALIST SERVICES SECONDARY CARE/ HOSPITAL PHARMACIES PHARMACEUTICALS MOBILE DEVICE & APP DEVELOPERS RELATIVES RESEARCHERS CHARITIES AND PATIENT ADVOCACY GROUPS COMMUNITY TEAMS
  4. 4. Patient Portals - create even more fragmentation • Multiple sites with multiple logins • Data in different places for the patient • No single source • Patient does not own the data, they can only “see it” GP HOSPITAL SERVICES APPS & DEVICES
  5. 5. PRIMARY CARE HEALTH SERVICES GOVERNMENT & COMMISSIONING BODIES GP EMPLOYERS SOCIAL SERVICES SPECIALIST SERVICES SECONDARY CARE/ HOSPITAL PHARMACIES PHARMACEUTICALS MOBILE DEVICE & APP DEVELOPERS RELATIVES RESEARCHERS CHARITIES AND PATIENT ADVOCACY GROUPS COMMUNITY TEAMS The solution A single shared record Every government in the world needs this
  6. 6. Breaking down the technical barriers
  7. 7. How others tried to get there from here? Stuck in their silo as other silo incumbents prevent their spread, e.g EMIS for GPs, Cerner for hospitals. New silo with only patients’ data, e.g. Google, Microsoft, Apple. Stuck in their regions with no consistency of approach and no cross-border information sharing INSTITUTIONAL ELECTRONIC HEALTH RECORDS: CONSUMER PERSONAL HEALTH RECORDS: REGIONAL RECORDS: New silo with patients’ data from one place, unable to consolidate information, e.g. Patient Online ‘TETHERED’ PATIENT PORTALS:
  8. 8. Sharing data across borders Ensure your architecture allows information to travel where the patient is Postcode with a PKB record PKB customer institution
  9. 9. Receiving data from all EHRs 400 GP practices 7 acute hospital trusts 6 social care organizations 4 community trusts 2 mental health trusts North West London HOSPITAL MENTAL HEALTH INSTITUTION GP SURGERYPATIENTS ENTERING DATA
  10. 10. Being ready for national roll-out PKB works in 19 different languages >1,000,0000 people’s medical records (contracted to deliver 3.5m integrated care plans for citizens) National framework and national integration SCIStore integration in place, Glasgow first site, Glasgow lead for national citizen portal procurement ENGLAND WALES SCOTLAND Distributor received confirmation from national regulator that PKB is furthest ahead in delivering their vision NETHERLANDS
  11. 11. Enabling access
  12. 12. Mass sign up and registration • Patients can register 1. At home without coming into clinic 2. Check-in kiosk in clinic/hospital 3. In-person • Use security token and multi-factor authentication • Immediately can send all letters electronically • Appointments • Lab results • Discharge summaries, reports • Embed with patients as digital first approach • Gainshare model available for large-scale deployments based on letters savings
  13. 13. Benefiting everybody
  14. 14. Ensuring the right tools for patients and professionals • Secure messaging and video consultation • Symptom tracking • Care planning • Information resources • Connection to 100+ apps, devices and telehealth • Letters and appointments in one place
  15. 15. PATIENT SAFETY I. Sharing information between services removes duplication II. Potential for adverse events avoided as medications from all sources available III.Coordinate care between services PATIENT SELF- MANAGEMENT I. Encourages patients to monitor and proactively manage their care II. Connect 100+ telehealth, pass and devices III. Information resources collated in one place PATIENT EXPERIENCE I. Receive information quicker and more conveniently II. Easier access to the right services III. Remote consultations and online discussions SERVICE EFFICIENCIES I. Manage more patients online and free up capacity in outpatient clinics II. Discharge patients earlier and monitor remotely III. Manage referral processes through assessment and triage done online DIRECT IN-YEAR CASH SAVINGS I. Send appointments electronically II. Letters, referrals, reports and discharge summaries sent to patient electronically III. Care plans digitally shared across organisations IV. Outpatient clinics conducted online
  16. 16. L&D found that for every £1 spent on PKB can return £5 in cost savings Extra surgical cases avoided at240 Extra outpatient appointments created in L&D1,100 Long term conditions managed by remote out patients appts. 75% 25% Outpatient transformation, SaSH and Luton & Dunstable 5,891 Messages sent at SaSH, meaning fewer appts, telephone calls and emails 696 Patients created in PKB at SaSH 17,476 Blood results sent to patient records at SaSH
  17. 17. PKB recommended as the gold standard for quality trauma discharge by NHS England Improvement in patient satisfaction9/10 Improvement in patient activation64% Surgical Transformation, North Bristol • Severn Major Trauma Network created the Quality Trauma Discharge service using PKB • Implemented discharge care plan • Online communication • Information resources 71% 51% Reduce unplanned GP appointments by 28% WITHOUT PKB WITH PKB
  18. 18. When professionally led over 70% uptake rate of PKB Patients believed it enhanced their relationship with clinical team 98% Patients felt that it saved time for both patients and professionals93% Digital Patient, Sandwell & West Birmingham Patients perceived saving the NHS and patient money 84% 14% 73% Of all patients had used PKB for over 3 months 92% Had used secure messaging 70% Had received clinical correspondence
  19. 19. Building a business case that stacks up
  20. 20. • Annual SaaS Licence reduced by 70% on gainshare model linked to guaranteed cash savings • Integration with mail management companies makes it quick and easy • In-year cash savings up to £728,296 and over 5 years is £4,602,701 Example of cash releasing benefits • 527,346 outpatient appointments • 2,013,16 letters • £0.75 per letter sent inhouse (post, admin, paper, print etc.)
  21. 21. Summary | HEALTH CARE RECORD FRAGMENTATION IS A VERY EXPENSIVE PROBLEM | BUILD SOLUTIONS AROUND PATIENTS | TRADITIOAL SOLUTIONS MAINTAIN FRAGMENATION | BENEFITS CASE IS COMPELLING WITH CLINICAL, PATIENT AND FINANCIAL OUTCOMES
  22. 22. @patientsco enquiries@patientsknowbest.com www.patientsknowbest.com P A T I E N T P O R T A L C I T I Z E N R E C O R D I D C R ( C L I N I C A L P O R T A L )

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