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Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Health Information NZ
CLINICIANS’ CHALLENGE 2014
Feedback / Update
Dr Allister Williams
Consultant Renal Physician
Taranaki DHB, New Plymouth, NZ
MyKidneys (called HealthCART)
renal care in your hands
Smartphone App
Patient centred management of Chronic Kidney Disease (CKD)
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
The Smartphone App
Finished 2/3 of development
Wireframes, Screenshots
User Interface
Next: web services
Full project to completion NZ $7500
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Upgraded the web database to
include “Saints”
Generate Patient Care Plans
Color coded using traffic light system
Algorithms used to generate patient specific
care plan
Population based alerts in CKD
Care plans are renal modality specific
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Live since 5 May 2014
Live in 2016?
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Structural
integration
Mobile access for
patient and doctor
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Clinical integration of Renal app
Patient Doctor
Awareness
GP
Screening
Information
Technology
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Ownership Shared care
Primary
Care
Secondary
Care
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Patient Doctor
Primary
Care
Secondary
Care
GP
Screening
Shared care
Patient Portals
To Primary care info
Overlap
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Clinical integration of Renal app
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Patient Doctor
Primary
Care
Secondary
Care
GP
Screening
Shared care
Patient Portals
To Primary care info
Overlap
Core set of medical information
Demographics
Medical background
Medication and allergies
Routine screening
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Clinical integration of Renal app
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Patient Doctor
Primary
Care
Secondary
Care
GP
Screening
Shared care
Patient Portals
To Primary care info
Differences in Secondary care
Specialty specific Care plans
Traffic system alerts
Patient specific advise
Renal modality specific parameters
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Clinical integration of Renal app
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Speciality Care Plans for patients
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Speciality Care Plans for patients
Population and modality based surveillance
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
HealthCART demonstration
Demonstration
1. RenalReality
2. HealthCART
3. The savings
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Maintained 10% reduction in actual cost
1.51
1.62
1.74
2.06
2.02
2.09 2.09
1.98
2.22
2.10
2.01 1.99
0.00
0.50
1.00
1.50
2.00
2.50
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Milliondollars
Actual
Demonstration
1. RenalReality
2. HealthCART
3. The savings
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Completion of smartphone App
Android only NZ$ 7500
All platforms
– Tablets and smartphones
Different orientations
- Landscape and portrait
Android and Apple
Quote completion
- NZ $25 000
- funding not secured
What next?
1. Completion of App
2. Webservices
3. Support required
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
What next?
1. Completion of App
2. Webservices
3. Support required
Developing web services
Secure transmission
of patient data
DHB resource
Background
1. Introduction
2. The smartphone App
3. Renal Reality
Integration
1. Structural
2. Clinical Integration
3. Speciality care plans
Demonstration
1. RenalReality
2. HealthCART
3. The savings
What next?
1. Completion of App
2. Webservices
3. Support required
Live since 5 May 2014
Live in 2016?
In summary
What next?
1. Completion of App
2. Webservices
3. Support required

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Clinicians' Challenge 2014 Update - Winners reporting back

  • 1. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Health Information NZ CLINICIANS’ CHALLENGE 2014 Feedback / Update Dr Allister Williams Consultant Renal Physician Taranaki DHB, New Plymouth, NZ MyKidneys (called HealthCART) renal care in your hands Smartphone App Patient centred management of Chronic Kidney Disease (CKD) Background 1. Introduction 2. The smartphone App 3. Renal Reality
  • 2. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required The Smartphone App Finished 2/3 of development Wireframes, Screenshots User Interface Next: web services Full project to completion NZ $7500 Background 1. Introduction 2. The smartphone App 3. Renal Reality
  • 3. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Upgraded the web database to include “Saints” Generate Patient Care Plans Color coded using traffic light system Algorithms used to generate patient specific care plan Population based alerts in CKD Care plans are renal modality specific Background 1. Introduction 2. The smartphone App 3. Renal Reality
  • 4. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Live since 5 May 2014 Live in 2016? Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Structural integration Mobile access for patient and doctor
  • 5. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Clinical integration of Renal app Patient Doctor Awareness GP Screening Information Technology Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Ownership Shared care Primary Care Secondary Care
  • 6. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Patient Doctor Primary Care Secondary Care GP Screening Shared care Patient Portals To Primary care info Overlap Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Clinical integration of Renal app
  • 7. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Patient Doctor Primary Care Secondary Care GP Screening Shared care Patient Portals To Primary care info Overlap Core set of medical information Demographics Medical background Medication and allergies Routine screening Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Clinical integration of Renal app
  • 8. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Patient Doctor Primary Care Secondary Care GP Screening Shared care Patient Portals To Primary care info Differences in Secondary care Specialty specific Care plans Traffic system alerts Patient specific advise Renal modality specific parameters Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Clinical integration of Renal app
  • 9. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required
  • 10. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Speciality Care Plans for patients
  • 11. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Speciality Care Plans for patients Population and modality based surveillance
  • 12. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required HealthCART demonstration Demonstration 1. RenalReality 2. HealthCART 3. The savings
  • 13. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Maintained 10% reduction in actual cost 1.51 1.62 1.74 2.06 2.02 2.09 2.09 1.98 2.22 2.10 2.01 1.99 0.00 0.50 1.00 1.50 2.00 2.50 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Milliondollars Actual Demonstration 1. RenalReality 2. HealthCART 3. The savings
  • 14. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Completion of smartphone App Android only NZ$ 7500 All platforms – Tablets and smartphones Different orientations - Landscape and portrait Android and Apple Quote completion - NZ $25 000 - funding not secured What next? 1. Completion of App 2. Webservices 3. Support required
  • 15. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required What next? 1. Completion of App 2. Webservices 3. Support required Developing web services Secure transmission of patient data DHB resource
  • 16. Background 1. Introduction 2. The smartphone App 3. Renal Reality Integration 1. Structural 2. Clinical Integration 3. Speciality care plans Demonstration 1. RenalReality 2. HealthCART 3. The savings What next? 1. Completion of App 2. Webservices 3. Support required Live since 5 May 2014 Live in 2016? In summary What next? 1. Completion of App 2. Webservices 3. Support required