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Towards a Learning Health System
Innovation Hub for Aged Care
Wendy Chapman
@wendywchapman
Daniel Capurro
Kit Huckvale
Victor Pantano
Imperative of Digital Transformation
Overwhelming number of
technologies that could be
applied in aged care
Very few providers can
adopt
Many unanswered questions
Learning Health System
• Measure outcomes and KPIs
• Design and implement effective interventions
• Generate evidence
Drug development
process
Discovery and development
Pre-clinical research
Animal testing, safety
assessment
Clinical Research
Phase I-IV
clinical trials
Review by government
regulatory agency
TGA, FDA review
Post-marketing safety
monitoring
Digital health
innovation process
Discovery and development
Review by government
regulatory agency
Post-marketing safety
monitoring
There is a gap in
implementing
and evaluating
digital health
innovations
Credit: Daniel Capurro
Learning Health System Innovation Hubs
• Make collective or individual decisions around which
technologies to adopt
• Customise with users
• Generate evidence for their effectiveness and under
what conditions
• Monitor and scale
• Potential mark of certification for the industry of
different technology platforms
Test and evaluate
devices, models of
care and ways
of working, in rapid
cycles of continuous
improvement
Put tools together like ‘Lego bricks’:
- Support demos, rapid and iterative co-design, dev
and test
- Model and evaluate human-computer interactions
and workflows
- Pilot standards-based information exchange
(focus on HL7 FHIR)
- Support evaluations/research studies
- Clarify partnership/integration opportunities
SIMLAB
SANDBOX
Apps for
entering
& viewing
data
Devices for
capturing
data
Patient-controlled
integrated
data hub
Hospital
& specialists
GP
Telehealth
visit
Aged care
centre
Person
Digital Sandbox: Supporting Realistic Discussions & Design
Apps for
entering
& viewing
data
Devices for
capturing
data
Patient-controlled
integrated
data hub
Hospital
& specialists
GP
Telehealth
visit
Aged care
centre
Person
User
friendliness
of platforms
Access to
required
technology
Proactive
monitoring
of data
CALD use
of virtual
care
Stakeholder-driven design and validation of innovative solutions to known challenges
Governance
of care
Capture of
assessments
Data control
& sharing
mechanisms
Sandbox Example
Remote Monitoring with Telehealth
1
2
3
SANDBOX
Virtual ED
How does the physician review remote monitoring data in a telehealth visit?
VCHRI project: Initial Use Case for Telehealth demonstrator
Casey Lee: 73 yrs, retired textile worker, ex heavy smoker
• Established COPD…. but not oxygen Rx dependent
• 3 hospital admissions for exacerbations of COPD last year
• Resting post-discharge SaO2 levels 92-94%
Primary management goals
• To maintain current post-discharge function
• Identify any deterioration early to intervene, as necessary
Current situation
• Lives at home
• Self-sufficient with daily activities
• Limited in exercise tolerance by dyspnoea on exertion
13
Casey sees
concerning
decrease in
oxygen
saturation
14
Casey logs onto
Virtual ED
Patient Portal
Waiting Room
Staff portal
patient queue
15
Staff portal
review panel
16
Casey and
physician drill
into data
together on
the telehealth
screen
Staff portal
call screen
17
18
View survey
filled out while
in waiting room
Conclusion
LHS Innovation Hubs
Output of Innovation Hub
ü Interoperability
ü Usability
ü Health technology assessment
ü Clinical and patient workflows
ü Regulatory compliance
ü Pilot evidence of clinical outcomes
Scalability
Future Directions
MRFF RART grant
Virtual care for older adults in regional and rural areas
Bringing the Sandbox to your lab
Anna Peeters
Thank you!

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ITAC-Chapman.pdf

  • 1. Towards a Learning Health System Innovation Hub for Aged Care Wendy Chapman @wendywchapman Daniel Capurro Kit Huckvale Victor Pantano
  • 2. Imperative of Digital Transformation Overwhelming number of technologies that could be applied in aged care Very few providers can adopt Many unanswered questions
  • 3. Learning Health System • Measure outcomes and KPIs • Design and implement effective interventions • Generate evidence
  • 4. Drug development process Discovery and development Pre-clinical research Animal testing, safety assessment Clinical Research Phase I-IV clinical trials Review by government regulatory agency TGA, FDA review Post-marketing safety monitoring Digital health innovation process Discovery and development Review by government regulatory agency Post-marketing safety monitoring There is a gap in implementing and evaluating digital health innovations Credit: Daniel Capurro
  • 5. Learning Health System Innovation Hubs • Make collective or individual decisions around which technologies to adopt • Customise with users • Generate evidence for their effectiveness and under what conditions • Monitor and scale • Potential mark of certification for the industry of different technology platforms Test and evaluate devices, models of care and ways of working, in rapid cycles of continuous improvement
  • 6.
  • 7. Put tools together like ‘Lego bricks’: - Support demos, rapid and iterative co-design, dev and test - Model and evaluate human-computer interactions and workflows - Pilot standards-based information exchange (focus on HL7 FHIR) - Support evaluations/research studies - Clarify partnership/integration opportunities SIMLAB SANDBOX
  • 8. Apps for entering & viewing data Devices for capturing data Patient-controlled integrated data hub Hospital & specialists GP Telehealth visit Aged care centre Person Digital Sandbox: Supporting Realistic Discussions & Design
  • 9. Apps for entering & viewing data Devices for capturing data Patient-controlled integrated data hub Hospital & specialists GP Telehealth visit Aged care centre Person User friendliness of platforms Access to required technology Proactive monitoring of data CALD use of virtual care Stakeholder-driven design and validation of innovative solutions to known challenges Governance of care Capture of assessments Data control & sharing mechanisms
  • 11. 1 2 3 SANDBOX Virtual ED How does the physician review remote monitoring data in a telehealth visit?
  • 12. VCHRI project: Initial Use Case for Telehealth demonstrator Casey Lee: 73 yrs, retired textile worker, ex heavy smoker • Established COPD…. but not oxygen Rx dependent • 3 hospital admissions for exacerbations of COPD last year • Resting post-discharge SaO2 levels 92-94% Primary management goals • To maintain current post-discharge function • Identify any deterioration early to intervene, as necessary Current situation • Lives at home • Self-sufficient with daily activities • Limited in exercise tolerance by dyspnoea on exertion
  • 14. 14 Casey logs onto Virtual ED Patient Portal Waiting Room
  • 17. Casey and physician drill into data together on the telehealth screen Staff portal call screen 17
  • 18. 18 View survey filled out while in waiting room
  • 20. Output of Innovation Hub ü Interoperability ü Usability ü Health technology assessment ü Clinical and patient workflows ü Regulatory compliance ü Pilot evidence of clinical outcomes Scalability
  • 21. Future Directions MRFF RART grant Virtual care for older adults in regional and rural areas Bringing the Sandbox to your lab Anna Peeters