Technology in Physiotherapy · 2019-12-09 · Mentimeter 2 • Use your own device to visit menti.com • Enter the code 16 97 81 • Wait for the questions to come up and answer

Technology in Physiotherapy:Turning Innovation in to practice

1

Euan McComiskie

Health Informatics Lead, CSP

@EMAHPInfo

[email protected]

mailto:[email protected]

Mentimeter

2

• Use your own device to visit menti.com

• Enter the code 16 97 81

• Wait for the questions to come up and answer honestly!

• Please continue to use menti throughout the presentations

to ask questions for your panel to answer in the Q+A

Mentimeter

results

3

Your presenters

4

• Louise Rogerson

• Chief Operating Officer, Howz

• Kirsten Lord

• Founder & Chief Clinical Officer – New

Product Development, PhysioMedics

• Leah Honohan

• Specialist Physiotherapist, Scottish

Centre for Motor Impairments

• Jonathan Ashmore

• Clinical Scientist, NHS Highland

PhysioWizard

Kirsten Lord

The problem

www.physiowizard.com

First steps


First steps


Trial Conclusion


Second steps

Minimum viable product (MVP - Beta Prototype)


Clinical Credibility

Crossover trial – 100% safeMedical Device Registration (CE Mark)Pilots (NHS Scotland & CCG)

Usability testing – Telephone triage vs Digital


Funding


What we’ve achieved

Easily customisable, end to end platform:• Full body triage – 108 personalised pathways (jaw to big toe)• Early information and exercises• Automated assessment reports• Follow up management


PhysioWizard®

The Innovation Startup

10% of start ups succeed

The No. 1 reason for failing is

No Market Need

• Market saturation

• Not enough customers

• No unique selling proposition (USP)

• Costs too high

• Targeting the wrong customers

• Doesn’t fit customer needs


4 Magic Questions

Does your company solve a problem worth solving?

Who cares? Do customers care enough to spend cash to solve this problem?

What does this innovation give to the world?

Do YOU care enough about the problem to spend the next 5-10 years focussed on it?


Learn more about the challenges they face on a day to day basis.

Do not sell – you need to listen openly.

We did 79 interviews:Influencers Recommenders Budget holders Ultimate decision makers

Ask your customers about their pain points


Change management

Different roles, different motivations

Clinical

FinancialInsurance

Board Directors

Insurance

Private

Occupational Health

Specialists

Procurement

Data Analytics

NHS

Physio provider networks

Department managers


1. Research - Learn, experiment, validate. This can be done quickly and cheaply, without raising money or spending any cash.

2. Skills – commercial, software, sales, implementation, clinical, negotiation.

3. Business – Learn to be a business-person and get the structure right.

MY TOP 3 TIPS

If the research doesn’t support your innovation the bravest thing to do is to walk away.


The Future

We have an extremely versatile, clinically tested and CE Marked platform which can be easily edited to create a range of self assessment tools.

• Mental Health• Occupational Health• Health & Wellness• Personal Injury• Clinical support tools

Seeking experts and opportunities in new markets to become part of the journey

To get in touch: [email protected]


Leah Honohan

[email protected]

Paediatric Physiotherapist

Content

• Overview

• From idea to reality

• Key Learning Points

Critter Quest

Aim of the game:

Aim of the game:

Aim of the game:

The real aims of Critter Quest:

Reward and promote physical activity

Unique Functionality

Unique Functionality

Vision to Reality

#1 - Resources

#2 – Acquire Team

Me!

Sponsor

App Developers

Research Assistant

#3 –Design App

What I want

What children like

What is allowed

# 4 Launch

# 4 Launch

• Landing Page

• Feasibility Study

• Marketing Plan

• Soft Launch

Vision to Reality

Vision to Reality

• Critter Quest now available worldwide to download for free via Google Play and on Apple Store

Barriers

Barriers

No strategic framework

Barriers


Solutions

Learn through doing, networking, effective communication.

Barriers


Professional liability

Solutions


Barriers


Professional liability

Solutions


Outsource legal advice, document everything!

VIRTUAL REALITY PREPARATION FOR MRI

Jonathan Ashmore, Clinical Scientist

WHAT’S THIS?

FEEL LIKE THIS?

PICTURES LOOK LIKE THIS!

WHY?

WHY?

Claustrophobic

WHY?

Claustrophobic Noisy

WHY?

Claustrophobic

Have to sit still

Noisy

WHY?

Claustrophobic

Takes a long time

Have to sit still

Noisy

WHAT CAN WE DO?

OUR TASK

VIRTUAL REALITY MRI

What’s this got to do with an physicist?

VIRTUAL REALITY MRI

All physicists are geeks!

360 CAMERAS AND VR

360 CAMERAS AND VR

Ashmore et.al. A Free Virtual Reality Experience to Prepare Pediatric Patients for Magnetic Resonance Imaging: Cross-Sectional Questionnaire Study JMIR paediatrics and parenting. 2:e11684 (2019)

THE APP

ROLL OUT

FEEDBACK

FEEDBACK

OTHER USES OF VR

Distraction for highly anxious patients (total cost £400)

OTHER USES OF VR

Training staff in the use of surgical lasers (total cost £500)

MRI APP JOURNEY

Me

Radiographers

Play specialist App developer

+

The development phase

MRI APP JOURNEY

Me

Radiographers

Play specialist App developer FUN!

+ =

The development phase

IMPLEMENTATION

Implementation is MUCH harder

than development!

IMPLEMENTATION

Patient uptake:

Too babyish (>12yr)

Too difficult (<7ys)

A 10 yr old boy: “I don’t like that it’s a girl”

IMPLEMENTATION

Patient uptake:

Too babyish (>12yr)

Too difficult (<7ys)

A 10 yr old boy: “I don’t like that it’s a girl”

Have to be agile!

Co-design!

IMPLEMENTATION

Staff uptake

Technologically unconfident

No time to implement

As soon as it doesn't work

once. It will be put into a

cupboard and not used again.

Ensure it is simple and works

first time every time

IMPLEMENTATION

Institutional hurdles

Getting approval/consent for an app

• Is it scraping patient data (GDPR)?

• What if we need to edit the content?

• Who will support the app (updates)?

• Risk assessments in place?

• Legal ownership issues?

• Research ethics?

• The colour doesn’t follow the hospital branding?

•

•

IMPLEMENTATION

I was ready to give up

WHAT I LEARNT

“Its easier to ask for forgiveness than

it is to get permission”

Grace Murray Hopper

US naval officer and

computer programmer

WHAT I LEARNT

The power of a network

If you want to go fast go alone if you want to go far go with others. - African proverb

THANKS FOR LISTENING

King College

Hospital

Kelly Williams

Euan Stokes

Martina Smith

Anna Symmons

Louise Clegg

Jerome Di Pietro

NHS Highland

Kirstie Still

Regina Cremin

Paula Kennedy

Adam Scotson

Stewart Murdoch

Fiona Philips

Stephanie Mackenzie

Jerome Di Pietro

Evelina Children’s

Hospital

Nina Mellor

Valandis Kostas

Jean Ramsay

Kristine Knott

Sophia Hill

Tiffany Robcraft

Tracy Moon

Haris Shuab

Jerome Di Pietro

Belfast Children's

Hospital

Cormac McGrath

Carmel McArdle

Ian Galbraith

Meabh Connolly

Naomi Spence

Jerome Di Pietro

1. Research - Learn, experiment, validate. This can be done quickly and cheaply, without raising money or spending any cash.

2. Skills – commercial, software, sales, implementation, clinical, negotiation.

3. Business – Learn to be a business-person and get the structure right.

MY TOP 3 TIPS

If the research doesn’t support your innovation the bravest thing to do is to walk away.


Key Learning

Points

• Connectivity is power

• Physiotherapists make great innovators

• A launch is just the beginning. . .

HOT TIPS

• Implementation *sustainably* is the hardest part

• Win over your biggest doubter

• It’s all about relationships (I realise this is obvious but sometimes you

don’t realise how significant someone could be when you first meet them.

• Ask for forgiveness rather than permission.

• Break the rules (but only enough so you don’t get in real trouble!)

• Get with a program

• Be careful of the black hole that is ethics (ethics and sustainable

implementation do not make good bed fellows)

• If possible, initially do it on the cheap (funding complicates things). It’s

amazing what you can get for free if you ask.

HOT TIPS

• When it comes to governance hurdles this document will be your best

friend

99

• Thanks for coming!

• If you have been inspired by the session today and are interested in

learning more then why not join the Digital and Informatics

Physiotherapy Group (DIPG) by contacting [email protected]

or signing up on the sheets at the front

• Join the Digital Physiotherapy iCSP network for more info if you are

interested

Wrap up

mailto:[email protected]

Documents

Technology in Physiotherapy · 2019-12-09 · Mentimeter 2 • Use your own device to visit menti.com • Enter the code 16 97 81 • Wait for the questions to come up and answer