Smart Care in a Digital World

Transforming CareOld Model of Care New Model of Care

Focus on acute conditions Focus on long-term conditions

Reactive Management Prevention and continuing care

Hospital Centred Embedded in homes and communities

Disjointed episodes Integrated with people’s lives

Doctor Dependent Team based, shared record

Patient as Passive Recipient Patient as active lead partner

Self-care infrequent Self-care encouraged and supported

Low usage of ICT Dependent on ICT and devices

Source: Kerr Report – The changing model of healthcare

SmartCare

Smart Care

Pressures - Less money, more

demand

Advances in Technology/ Smart

devices

Big Data/ Analytics

Prevention and Self Care

New Apps / channels of engagement

Focus on Quality and Outcomes

Our Changing World

Over 12% of all the people ever born are walking the

planet at this very moment

You are one of the luck ones….

• Of the total world population:

– 80% live in sub standard housing– 70% cannot read– 50% suffer from malnutrition– 1% have higher education– 1% have a computer

Evolutionary Change

The speed of reach

Interaction One – warm up

The Internet of Things

• 7bn people on planet and 6.7bn phones 1/3 smart phones

• By 2020 their will be 25 billion connected devices (half from environment)

• 6th sense phones with building biosensors• Digital world and physical world will merge

19

Source: 24eight Smart Slippers

….unmanageable amount of information generated today, calculating that in every 48-hour period, more data is created than in the past 30,000 years put together

Erich Schmidt, Executive Chairman of Google

Big DataData Measurement Size Example

Byte 8 bits

Kilobyte (KB) 1024 bytes A short paragraph

Megabyte (MB) 1024 Kilobytes A small novel

Gigabyte GB) 1024 Megabytes A one hour film (7 mins High Definition)

Terabyte (TB) 1024 Gigabytes A large library

Petabyte (PB) 1024 Terabytes 200 PB is all the printed material in the world

Exabyte (EB) 1024 Petabytes 5 EB is all words ever spoken by human beings

Zettabyte (ZB) 1024 Exabytes 2.75 ZB total world data 2012 (45ZB by 2020)

Big Data

• Making use of the petabytes of data that care organisations possess requires extracting it from legacy systems, normalizing it and then building applications and capacity that can make sense of it. V

olume

Velocity

Variety

Variability

Big Data

Big Data

• Consumerisation, mobility and analytics will drive developments in healthcare IT innovation

• Egs Population health management /Risk Stratification, patient access and waits

• Open standards, opens APIs, open source• EMRs will consolidate in next 5-10 years and

become a free commodity

Human Genome

• 6 billion letters• Cost to sequence

<£1,000 • Riskograms• 3 buckets

(cardiovascular, cancer or neurological ) different prevention strategies for each

Nicholas Volker the first child saved by DNA sequencing

Text

What will Smart Care mean for me ?

Text

ACCESS TO MY CARE RECORD ACCESS TO DATA ON OUTCOMES I SHOULD EXPECT

REMOTE ACCESS TO MY CARERSACCESS TO OTHER PEOPLE

LIKE ME

‘An Information Revolution will remake society to give real transparency, choice and accountability’ David Cameron

Information Exchange

Personal Care Record

Primary Care

Community Care

HospitalsPharmacies/ LabsSocial CareTelecare / Smart

devices

Other

97,000 Health apps today

Engagement and Participation

1. Feel part of a team/ grouping (teamwork)

2. Tiny habits (small steps)

3. Unfolding experience (new challenges over time)

4. Positive reinforcement and fun

“The Future is already here – It’s just not very evenly distributed”

William Gibson

Questions ?

@timstraughan