Digital Innovation for Covid 19

Martin Curley, Ross Cullen, Lorraine SmythHSE Digital Transformation

@martingcurley1

HSE Digital Transformation

About HSE Digital Transformation

• Established Q3 2019

• Division of the Office of the Chief Information Officer (OoCIO)

• Establishment of Digital Solutions Review Board Q1 2020 to ensure a robust process in place to trial, demonstrate and adoption of innovative digital healthcare solution

4th Sep. 2019 - Pictured at the Digital Academy forum are• Ross Cullen, Digital Innovation Manager HSE• Paul Reid, CEO HSE• Lorraine Smyth, Communications and Innovation Lead HSE• Martin Curley, Director of Digital Transformation HSE

Build a roadmap for ambition, implementation and success

DigitalBudget

DigitalCapability

DigitalValue

Digital Business

Model

Digital Health Macro Capabilities

SustainableEconomic

Model

FundingAmplification

ManagedSpending

Low Spending

European Leader

Mediocre

Average

Managed Yield and Portfolio

ValueMeasurement

EstablishBenchmark

ServiceCentre

Cost Centre

InvestmentCentre

Beginning

OptimizedValue

World Class

Initial

Basic

Advanced

Intermediate

MaturityLevels

Optimizing

3.

2.

4.

5.

1.

Value Centre

2019

2027

2030

Timeline

HealthReactiveAnalog Business Transformation

Dig

ital

izat

ion

Digital

StartingPoint

The Transformation of the Business of Healthcare

From Repair care to Health

Bend the Cost Curve

Real-Time Health System

Citizen Centred

Data Driven Innovation

Digital Transformation

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Our Five Pillars of Digital TransformationImproving digital capability, competence, coherence and capacity

• Digital Transformation Strategy developed

• New Masters in Digital Health Transformation designed and commenced

- 44 HSE multi-disciplinary staff as students- 20 Digital Change Projects initiated

• Digital Innovation Portfolio/Pipeline of >40 digital innovations being managed

- Prioritizing several innovations for broad demonstration and adoption- Digital Innovation Governance process developed

• ‘Stay Left, Shift Left’ Innovation Strategy aligning the digital health ecosystem

•Two Digital Academy Fora held in 2019 -sharing and shaping Digital Health solutions and strategy

Digital Transformation

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Pillar 2: Open Innovation

Sláintecare: Stay Left, Shift Left

The Continuum of Care

“Shift Left !”Independent

Healthy Living

Assisted LivingChronic Disease

Management

Integrated Care & Home Support

Home Care

Primary/Community Care

Specialist Nurses

GP Practice

Acute Care

Acute Hospital

High Dependency

Speciality Clinic

Life Style Nutrition

ScreeningMonitoring/

Scanning

Genetics Environment

Primary Care Centre

Immunisation

€ € € € € € € € € €

Community Unit

Cost of CareShift Left – Highest Quality of Life at the

highest possible cost avoidance

Qu

ality of C

are

Clin

ician Exp

erience

Qu

ality of Life

Emergency / ElectivePreventative/Proactive Healthcare

Open Innovation 2.0: The new mode for Digital Innovation;

Source: M Curley/B Salmelin

Leveraging Collective

Intelligence and

Energy;Multiplicative, Synergy and network effects

Hospital

Start-up

University

PrimaryCare Centre

Nascent Start-up

Patients

Co-innovator

CreativeCommons

GovernmentEcosystemsupport

Students

Covid as a big bang disruptor

AssessmentGate

Proof of ConceptGate

Demonstrator Broad Adoption

Ideas

Ideas

Ideas

Ideas

Ideas

Digital Transformation pre-Covid 19

Vital Signs Automation

HealthBeacon - PCRS

Red Zinc

AssessmentGate

Proof of ConceptGate

Demonstrator Broad Adoption

Ideas

Ideas

Ideas

Ideas

Ideas

Digital Transformation Covid 19 funnel

PatientMPower

Red Zinc

Wellola GP Video conferencing

Nua Solutions GP Video conferencing

Healthmail electronic presciption transfer

Trimedika non contactless

Acorrd

Vital Signs Automation

TUH echo pilotIntegrated Mobile Vital Signs for

NAS

Mater RPA

Respirasense

Thermal Kiosk

Violet

HealthBeacon - PCRS

eSMART (Sligo Mental Health) ()

TUH RPA

Closed Loop Medicine + Drone (MC)

Salaso

Siilo (Connolly)

Red Zinc TUH - ICU to nurse station

TempTraq (TUH)

Solutions Portal

Remote Management of Covid 19

How it works1. Patient registered by clinical team & receives email or SMS to set-up account2. Patient completes registration & consents to sharing data with clinical team3. Patient supplied devices to monitor oxygen saturation & temperature which are ‘paired’ to their account via Bluetooth. Alternatively patients can enter measurements from existing device they have (e.g. thermometer)4. Patient receives reminders to record objective measures (e.g. SPO2, temp) & subjective measures (dyspnea, & cough severity)5. Data sent to secure portal automatically for clinical review

patientMpower - Overview• Deploy home monitoring for those likely to be mild / moderate or

recovering from COVID-19• Gather robust objective (oxygen saturation, temp.) & subjective (cough,

dyspnea) that will track disease progression• Escalate where patient trending towards severe disease

patientMpower has an ongoing clinical trial (NCT03744598) in respiratory disease

Remote Monitoring of COVID-19 Patients

Non contact Thermometers

GP Telemedicine

Medicinal Products (Prescription and Control of Supply) (Amendment) Regulations 2020

ACORRD Assessment of Covid-19 Risk of Respiratory Deterioration

Copyright © All rights reserved 2009 - 2020 19

– Clinical tool for respiratory care of

COVID-19 patients

– A web application accessible via

mobile phone

– Defines a novel measure of patient

status called the COVID Critical Care

Index (CCCI)

– Triages patients based on CCCI and

offers clinical recommendation

when CCCI changes

Automated Respiration Rate Measurement

Thermo Kiosks

Mobile X-Ray for Nursing Homes and Private Homes

• Licensed by EPA• Digital technology, remote

connectivity and reporting• Patient-centered care• Timely diagnosis in familiar

surroundings • Proven hospital avoidance

mechanism

Ultra Violet Cleaning

Drone Deliveries of Medication

Barriers to Innovation

• A Risk Adverse Culture

• The complexity of the NHS/HSE

• A lack of funding

Necessity is the mother of invention!

• “In an unstable complex system, small islands of coherence have the potential to

change the whole system.”

Ilya PrigogineRussian/Belgian physical chemist and

The Nobel Prize winner in Chemistry 1977

Thanks!

@martingcurley1

www.hsedigitaltransfrormation.ie