Presentation for RADS 604 ( Innovation in Health Information Technology ) - 31/03/20
Student of Master of Science in Data Science for Healthcare ( International Program ) ( Clinical Epidemiology and Biostatistics, Mahidol University, Thailand )
2. 1. IDENTIFY NEEDS
• We are approaching to an aging population
• Most elderly people require support but a fair amount of elderly people are
supportless
• Elderly people are more susceptible to diseases
• more prone to household accidents
• We need a better medical support system for elderly
3. 2. INFORMATION PHASE
A. Health Support requirements
For Seasonal and Communicable
diseases,
For Non communicable diseases,
• Initial Hospital visits
• Necessary tests
• Continuous/Periodic monitoring of
vital signs
• Follow up visits
• Bedrest and bedside support
• Regular Hospital visits
• Regular tests
• Continuous/Periodic monitoring of
vital signs
4. 2. INFORMATION PHASE
B. Day to Day Support requirements
• For Hypertension
• For Diabetes Mellitus
• Preliminary monitoring
• For Heart Diseases
• For Mental diseases such as
• For Alzheimer's Disease
• For Parkinson's Disease
• For Depression
• For Dementia
5. 3. STAKEHOLDER PHASE
A. What is wanted?
An all-around support system for Elderly health care
B. Who wants it?
Elderly and their family
6. 4A. PLANNING RESEARCH
Currently Existing
Paradigm to be
integrated
Currently Existing
Technology to be
integrated
Required Personnel
1.Telemedicine
2. Mobile Clinics
3. Remote monitoring
1. Communication
Appliances
2.Transportation
Appliances
3. Diagnostic Appliances
1. Geriatrician
2. Specialist for specific
NCDs
3. Necessary Specialists
4. General Practitioner
5.Telemedicine Specialist
6. Nurses
7. Medical/ Laboratory
Technicians
8.Trained Personnel
7. 4B. OPERATIONAL RESEARCH
1. How certain are customer preferences?
• removes the need for commute
• eliminates the time wasted, during the traffic and hospital waiting times
• Tele-consultations - ↑ visit compliance
• Mobile visits - ↑ treatment compliance
• Remote and continuous monitoring - ↑ more longitudinal and complete
medical record
8. 4B. OPERATIONAL RESEARCH
2. How much improvement does the innovation provide over previous
solutions?
• amalgamation of three HIT innovations
• quality of life improvements
3. Does the innovation require enabling technologies, and are these
technologies sufficiently mature?
• performs optimally with continuous and well established EHR systems
9. 4B. OPERATIONAL RESEARCH
4. Do complementary goods influence the value of the innovation, and are
they sufficiently available?
• it is advised to keep basic communication appliances and basic vital sign
monitors at patients' site
5. How high is the threat of competitive entry?
• similar business models are yet to be established
10. 4B. OPERATIONAL RESEARCH
6. Are there increasing returns to adoption?
• we might need to find the optimum structure, resource and workforce for the
initial years
• As the people get more familiar to such system, there would be increased
adoptions as well as proper adoptions
7. Can the firm withstand early losses?
• Depends on who "we" are
11. 4B. OPERATIONAL RESEARCH
8. Does the firm have resources to accelerate market acceptance?
• depends on who we are
• necessary marketing strategies
9. Is the firm’s reputation likely to reduce the uncertainly of customers, suppliers,
and distributors?
• Yes
12. 4B. OPERATIONAL RESEARCH
10. What limits us?
• First movers of such paradigm
• We are responsible for planning such market, business model, organization and
strategy.
• Applying already matured systems in innovative ways
• Minimal limits in technological aspects
13. 5. HAZARD ANALYSIS
What's safe?
For patient, it will be low to no implementation cost for appliances.
The cost for such service is, or should be covered by, a health insurance plan.
14. 6. SPECIFICATIONS
What's required?
• Basic Communication Appliance is recommended.
• BasicVital Sign monitors are recommended.
• Separate area for elderly patient (if necessary)
15. 7. CREATIVE DESIGN
Ideation
• Basic Tele-consultations
• To deploy a mobile team composed on medical and non-medical personnel
with varying resources as necessary to the patient adjunct with tele-
consultations
• Basic and (Feasible) Intermediate investigations at home setting
• Decrease hospital admission, replace with care at site with hospital-level
support
20. 9. DESIGN
Communication
• can be from a mobile phone to a desktop PC for patient's side.
• But for hospital's side, it is optimum to use a desktop computer with multiple
monitors, a proper audio setup and a transcribing appliance that could mail to
the patient after the consults.
21. 9. DESIGN
Transportation
• should be motorcycles and tuk tuks for light vehicles with basic equipment.
• Vans,Ambulances and Buses should carry feasible advanced medical appliances
with necessary supplies.
• Some vehicles or appliances might require complementary vehicle with
generators and support appliances.
