Connected health - Middle East M2M Forum, Dubai 23 September 2013


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Connected health - Middle East M2M Forum, Dubai 23 September 2013

  1. 1. Connected health: empowering consumers, reducing costs, building data & insights Bob Gann Head of Business Development – International, NHS Direct Visiting Professor – Health Informatics, Plymouth University United Kingdom September 2013 M2M Middle East Forum, Dubai
  2. 2. Connected technologies can meet today’s health challenges Global health challenges •Inadequate access •Unsustainable costs •Increasing burden of chronic illness •Increasing customer expectations Connected technologies •Mobile devices •Cloud computing •Decision support •Social networks •Big data Impact on health •Remotely delivered care •Chronic disease management •Peer-to-peer support •Targeted wellness •Personalised care
  3. 3. Significant consumer demand for connected health People now manage bank accounts & travel bookings online – we can do same for health records & appointment bookings Other industries have cut costs & improved customer experience through digital self-service – we can provide online consultation & self management Millions of online communities, reviews & ratings – we can share experience & insight between clinicians & patients Businesses understand their markets – we can build & use big data to target health communications
  4. 4. Digital first Opportunities to transform healthcare through: •Telephone & online triage •Remote video consultations •Digital notifications – appointment reminders, test results •Mobile enabled health staff •Connected devices for telehealth
  5. 5. NHS Direct – pioneering multi-channel healthcare NHS Direct has provided remotely delivered health services, via telephone, web and app, since 1998
  6. 6. Driving down cost while improving quality & access Ambulance £250 Accident & Emergency £100 Minor Injuries Unit £70 Out of hours family doctor £50 In hours family doctor £36 Telephone NHS111 £7 - £9 per call Web £0.12 £ Cost Channel: Emergency Urgent GP Telephone Digital Our goal is to improve access, support patient choice and shift demand to lower cost services, whilst improving quality and maintaining patient safety
  7. 7. Reduce unnecessary referrals – 22% Teach patients to cope with recurring illness - 15% Prevent worsening conditions – 3% Recommend lower cost care - 60% How digital symptom checkers save costs In a year… •0.7m ambulance & emergency attendances •1.5m family doctor consultations •0.6m other face-to-face appointments avoided through patients using NHS Direct telephone & digital services Saving £148m
  8. 8. NHS Direct symptom checkers: channel shift to self service NHS Direct has both shifted existing users to lower cost digital channels & reached new audiences who prefer digital Why are health care interventions delivered over the internet? J Med Internet Res 8(2) e10 Consumers want to use digital health because: •Cheaper to use •More convenient •Access when needed •More anonymous (reduces stigma) •Increased sense of personal control
  9. 9. Remotely delivered telehealth Telehealth services enable patients to use connected devices to monitor their own vital signs & communicate these to monitoring centre for review by clinician Image from
  10. 10. Telehealth for 3 million lives Companies involved: 02 Health, Air Products, BT Health, Care Innovations, Cisco, CSC, Harmoni, Invicta Telecare, Medvivo (formerly Telehealth Solutions), MSD, Peaks & Plains Housing Trust, Pfizer Health Solutions, Philips, Qualcomm Life, Robert Bosch Healthcare, S3 Group, Solutions4Health, Technology Strategy Board, Tunstall Healthcare In UK government & industry are working together to deliver the benefits of telehealth to three million people living with long term conditions
  11. 11. Mobile revolution puts health in hands of consumers • In future, transformation in health will increasingly be led by consumer devices • 6.8bn mobile subscribers worldwide – 300m in Middle East • 40,000 health apps - downloaded 40 million times a year • Wireless health market will reach £60bn by 2018 – with mobile health apps the biggest opportunity Wireless health market: global trends
  12. 12. Monitoring me How’s my heart rate? What’s my oxygen intake? How am I sleeping ? How much exercise ? Am I eating healthily ? What’s my blood sugar level? How’s my posture? “The average person looks at their mobile phone 150 times a day so it’s ideal for health monitoring” Dr Eric Topol
  13. 13. Apps for everything Send pictures of skin conditions for diagnosis Measure heart rate by pointing at face Monitor sleep patterns Save & share health records Test & map DNA Increasing numbers of Arabic health apps
  14. 14. Wearable M2M devices Wristbands monitor activity, synchronising to mobile phone Wearable, washable baby monitors Temporary tattoos measure sweat lactate levels for athletes Under clothing sensors transmit real-time biometrics to monitoring health professionals By 2016 sales of wearable health devices will reach 100m a year (ABI Research) Digital pills text doctor to say you’ve taken them 7 out of 10 Americans monitor their own health (Pew Research)
  15. 15. Connecting digital devices • Digital devices provide data output and connect in various ways. • Some enable wearers to monitor their own readings using a mobile phone and website. • Some allow data to be downloaded and viewed by third parties such clinicians who are watching trends that merit medical intervention. • Some devices encourage wearers to share their fitness progress with work-out buddies and friends via social media sites.
  16. 16. Regulating & recommending digital health tools European Union & US Food & Drug Administration regard some apps as medical devices which need regulation Doctors are starting to prescribe apps & digital health devices from recommended catalogues
  17. 17. As consumers control their own data they can share with others Example: PatientsLikeMe • Patients provide detailed, structured information about their condition & treatment (including symptoms, medication, side effects) • They can share their experiences with others, including clinicians & other patients • They can link up with other patients like them • Builds into voluntary provided, big data for research & clinical trials
  18. 18. Wisdom of crowds: individual consumer experiences combine to build rich data & insight • In US cities multi-channel 311 service allows citizens to report problems - & services (& other citizens) to respond • Builds rich knowledge base of citizen concerns • Now implemented in England as Care Connect • Twitter knows first – early alert to emerging health problems
  19. 19. Challenges of connected health • Privacy: security of highly sensitive personal data • Quality assurance of digital tools & products • Technical infrastructure • Business models • Creating cyberchondria? The Arab digital generation may have more concerns about connected health that UK & US consumers
  20. 20. Connected health recommendations for the Arab digital generation Connected digital services can drive significant improvement in quality, access & affordability in health care in the Middle East – with three priority areas 1.Credible, high quality information delivered via web portals & apps to encourage healthy lifestyles 2.Improved access through remote consultations & shared health records 3.Big data: consistent, large scale data gathering on medicines, patient histories & public health Digital health information initiatives in Middle East are meeting challenge
  21. 21. Supporting connected health: locally & globally Licensing digital symptom checkers to other countries Providing professional advice & consultancy Enabling digital health innovation locally in UK
  22. 22. Thank you For more information contact: Email: Twitter: @bob_gann September 2013