What business are we in?Diabetes Therapies and Technology Conference
5th and 6th November 2016
Professor Steven C. BoyagesThe University of Sydney, Wednesday 19th October 2016
Diabetes Therapies and Technology Conference Sydney NSW AustraliaThis presentation cannot be reproduced without permission
• The Challenging Health Care System: Is Technology a solution
• The Promise and Pitfalls of Technology• Will the role of the health professional change and
that of the consumer/patient change in this new world
• Understanding Data and Information• Connected or Disconnected Health
Agenda
Constants of HealthTO RECHON him who taught me this Art equally dear to me as my parents, to share my substance with him, and relieve his necessities if required; to look up his offspring in the same footing as my own brothers, and to teach them this art, if they shall wish to learn it, without fee or stipulation; and that by precept, lecture, and every other mode of instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers, and to disciples bound by a stipulation and oath according the law of medicine, but to none others. (Hippocrates 460-370 BC)
Principles of Investment in Health Technology
1. Improve patient experience and outcomes
2. Improve patient safety
3. Improve provider experience
4. Create value for money
Insulin Pump Therapy and CGM
Technology TriggerPeak ofInflated Expectations
Trough of Disillusionment Slope of Enlightenment Plateau of Productivity
time
expectations
PositiveHype Negative
Hype
Source: Gartner, 2013
Insulin Pump
CGM
Telehealth Bionic pancreas
Health Apps
IBM Dr Watson
What business are we in?How do we get the balance right between negative and positive hype?
Healthcare Education Research Health Wellness Sales Coaching
New Technology TriggersThe Nexus of IT Forces:Social, Mobile, Cloud & Big Data/Information
Source: Gartner, 2013
At these scales patterns are often too subtle and relationships too complex or multi dimensional to observe by simply looking at the data
Predictive, planning analytics
Visualization
Level of Business Impact
Business Intelligence/Analytics Shifts GearsJust as Clinical Data Emerges
Ad hoc query,OLAP, data mining
Skill Levels
Required
Reporting, dashboards
Prescriptive process
optimization
Information Patterns
Adapt and Evolve
What will happen?
Why did it happen?
What happened?
What should happen?
Retrospective Concurrent Prognostic
Source: Gartner, 2013
FunctionImpact
Minimal
Full
Availability of Products2020+2012200519981993
Generation 1:The Collector
Generation 2:The Documentor
Generation 3:The Helper
Generation 4:The Colleague
Generation 5:The Mentor
Health and Clinical ICTBecomes the Challenge ofKnowledge Management
Today
Source: Gartner, 2013
Tomorrow:Awareness, Action, Agility
Pace-Layering:Structure for Innovation
Systems of Record
Systems of Differentiation
Systems of Innovation
CommonIdeas
NewIdeas
Source: Gartner, 2013
What’s Next?:Patient-Facing ICT Explodes
Source: Gartner, 2013
Care Coordination Applications
“Quantified Self” Applications
Patient Engagement/Portals
The changing role of the health professional in the digital age: The Digital Doctor
Embrace technology but don’t lose sight of the patient
Will Dr Tech ever replace the human doctor?
Understand BIT: Business (workflow), Information flow and the Technology
Understand privacy
Develop your skills
Understand security of technology, mitigate risk
Efficacy and security of technology implementation to ensure patient safety1. How do we protect our
patients in this age of technology?
2. How do clinicians understand enough of the problem to avoid risks?
3. How do we assure patient privacy?
4. A day does not go past without a major cyber attack on large enterprises. How do we avoid these in health systems?
5. Digital health identity theft?
High Touch “I tell them that their first reflex should be to look at the patient, not the computer,” Dr. Heineken said.
And he tells the team to return to each patient’s bedside at day’s end. “I say, ‘Don’t go to a computer; go back to the room, sit down and listen to them. And don’t look like you’re in a hurry.’ ”
Conclusions
1. Patients expect their endocrinologists to be up to date with the latest technology for the treatment of diabetes
2. Sometimes as the healthcare professional you need to sell the outcomes of using the technology to the patient, rather than just offering an alternative therapy
3. High touch, Great Communication and High Tech are the key