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Brad Cunningham
SystemOne, LLC
bcunningham@systemone.id
Connectivity Needs for Improved Patient Care
Translating Laborator...
Adoption in TB Through 2015
MARKET IS GROWING @ 14% PER MONTH
MORE THAN 2,000 GENEXPERTS ARE ALREADY PROGRAMMED FOR
CONNEC...
© SystemOne, 2016 All rights reserved.
• Translating real-time data into real-time
actionTreatment
• Diagnostics moving fu...
Misnomer
>> Connectivity
© SystemOne, 2016 All rights reserved.
• Expect POC
instruments to traverse
multiple network type...
Patient
Care
Patient
Management
Logistics
Diagnosis
Linkage to
Care
© SystemOne LLC, 2016 All rights reserved.
Emerging mH...
Patient
Care
Patient
Management
Logistics
Diagnosis
Linkage to
Care
Patient Management:
• Geo-locating
• Health-care conta...
Patient
Care
Patient
Management
Logistics
Diagnosis
Linkage to
Care
Logistics:
• Test order requests
• ‘Smart’ courier
• S...
Patient
Care
Patient
Management
Logistics
Diagnosis
Linkage to
Care
Diagnosis:
• Recording & interpretation (RDT’s)
• (ong...
Patient
Care
Patient
Management
Logistics
Diagnosis
Linkage to
Care
Linkage to Care:
• Clinical translation of diagnostic ...
Patient
Care
Patient
Management
Logistics
Diagnosis
Linkage to
Care
Where do things go
wrong?
• Do everything
• Healthcare...
Where are we now?
“Connectivity” is no longer a single result or even
a single system – connectivity is an ecosystem of pl...
GxAlert (example) allows data to flow
across the health system
GeneXpert
SMS
Email
Computer
App
Other Systems:
e-TB Manage...
“Connectivity” is no longer a single system – connectivity
is an ecosystem of platforms exchanging data.
What’s missing?
W...
QUESTIONS?
© SystemOne LLC, 2016 All rights reserved.
For any more information, please contact:
Brad Cunningham
VP, Implem...
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Connectivity Needs for Improved Patient Care

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A presentation by Brad Cunningham, Vice President of Implementation for SystemOne from the 2016 ASLM Conference.

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Connectivity Needs for Improved Patient Care

  1. 1. Brad Cunningham SystemOne, LLC bcunningham@systemone.id Connectivity Needs for Improved Patient Care Translating Laboratory Informatics into Patient Care: mHealth & Implementation Science Research ASLM Conference, Cape Town 3 December, 2016 © SystemOne LLC, 2016 All rights reserved.
  2. 2. Adoption in TB Through 2015 MARKET IS GROWING @ 14% PER MONTH MORE THAN 2,000 GENEXPERTS ARE ALREADY PROGRAMMED FOR CONNECTIVITY, ACROSS 32 DEVELOPING NATIONS
  3. 3. © SystemOne, 2016 All rights reserved. • Translating real-time data into real-time actionTreatment • Diagnostics moving further away from centralized, well-controlled environmentsQuality • Optimize utilization of instruments, consumption of consumables, improve ROICost Faster, better quality health data leads to better patient outcomes
  4. 4. Misnomer >> Connectivity © SystemOne, 2016 All rights reserved. • Expect POC instruments to traverse multiple network types / speeds (3+) each day • Wide variety in signal strength / quality
  5. 5. Patient Care Patient Management Logistics Diagnosis Linkage to Care © SystemOne LLC, 2016 All rights reserved. Emerging mHealth trends in the HIV/TB sector
  6. 6. Patient Care Patient Management Logistics Diagnosis Linkage to Care Patient Management: • Geo-locating • Health-care contact info • Home-care help • Incentive-based care • Appointment booking • Patient registration • Patient identification • (direct) Contact information • Visit management & workflow • Screening • Sample Collection • Education, awareness & outreach • Result delivery • Re-engagement • Linkage to care © SystemOne LLC, 2016 All rights reserved.
  7. 7. Patient Care Patient Management Logistics Diagnosis Linkage to Care Logistics: • Test order requests • ‘Smart’ courier • Sample transport tracking • Transport recording • Demand-based logistic routes • Reduce time-to-diagnosis • Improved consumable management • Reduce stock shortages • Reduce gross over-purchasing of consumables © SystemOne LLC, 2016 All rights reserved.
  8. 8. Patient Care Patient Management Logistics Diagnosis Linkage to Care Diagnosis: • Recording & interpretation (RDT’s) • (ongoing) Quality Assurance • Measurement of ‘lab’ environment • Linking diagnosis to individuals • Reporting • Follow-up & reflexing • Real-time result delivery • Notifications (SMS, e-mail, in-app) • Patient • Doctor • Nurses • Care centres (MDR, as example) © SystemOne LLC, 2016 All rights reserved.
  9. 9. Patient Care Patient Management Logistics Diagnosis Linkage to Care Linkage to Care: • Clinical translation of diagnostic & connectivity efforts • Making sure the right data: • Gets to the right person • At the right time • With the right information • In an appropriate manner • Reduced time to result reporting • Get patient onto treatment faster • Improve initiation on care • Social engagement & personal care approach to increase retention in care & loss to follow up © SystemOne LLC, 2016 All rights reserved.
  10. 10. Patient Care Patient Management Logistics Diagnosis Linkage to Care Where do things go wrong? • Do everything • Healthcare is too broad, too diverse. • Start small • Micro-populations. • Address specific need of the population • Show value • Evolve • Scale out © SystemOne LLC, 2016 All rights reserved.
  11. 11. Where are we now? “Connectivity” is no longer a single result or even a single system – connectivity is an ecosystem of platforms exchanging data. • Emerging interoperability & standards • Developing best-practises in the field • Limited-scope patient engagement in cycle • Avoid persistent fragmentation • Web-based / cloud adoption increasing • Smarter devices (phones & diagnostics) • Clinical translation lacking © SystemOne LLC, 2016 All rights reserved.
  12. 12. GxAlert (example) allows data to flow across the health system GeneXpert SMS Email Computer App Other Systems: e-TB Manager DHIS2 • Connects diagnostic devices • Collects custom data • Sends alerts, notifications, and reports • Monitors and manages cartridge inventory • Records service, warranty, and maintenance events • Integrates with other health systems © SystemOne LLC, 2016 All rights reserved.
  13. 13. “Connectivity” is no longer a single system – connectivity is an ecosystem of platforms exchanging data. What’s missing? What’s missing? • Interfaces governed by open standards • Regulatory & governance framework for appropriate sharing of data & information between systems • Unique patient identification • National ID • Biometrics • Innovative mechanisms to involve patient in continuum of care • Enhanced lab-clinic interface for translational impact © SystemOne LLC, 2016 All rights reserved.
  14. 14. QUESTIONS? © SystemOne LLC, 2016 All rights reserved. For any more information, please contact: Brad Cunningham VP, Implementation SystemOne LLC (m): +27 61 487 4693 bcunningham@systemone.id www.systemone.id

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