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Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Health Information NZCLINICIANS’ CHALLENGE 2014
Feedback / Update
Dr Allister WilliamsConsultant Renal Physician
Taranaki DHB, New Plymouth, NZ
MyKidneys (called HealthCART)renal care in your hands
Smartphone App
Patient centred management of Chronic Kidney Disease (CKD)Background
1. Introduction2. The smartphone App3. Renal Reality
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
The Smartphone AppFinished 2/3 of development
Wireframes, ScreenshotsUser Interface
Next: web servicesFull project to completion NZ $7500
Background1. Introduction2. The smartphone App3. Renal Reality
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Upgraded the web database to include “Saints”
Generate Patient Care PlansColor coded using traffic light system
Algorithms used to generate patient specific care plan
Population based alerts in CKDCare plans are renal modality specific
Background1. Introduction2. The smartphone App3. Renal Reality
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Live since 5 May 2014
Live in 2016?
Integration1. Structural2. Clinical Integration3. Speciality care plans
Structural integration
Mobile access for patient and doctor
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Clinical integration of Renal appPatient Doctor
Awareness GPScreening
Information Technology
Integration1. Structural2. Clinical Integration3. Speciality care plans
Ownership Shared care
PrimaryCare
SecondaryCare
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Patient Doctor
PrimaryCare
SecondaryCare
GPScreening
Shared care
Patient PortalsTo Primary care info
Overlap
Integration1. Structural2. Clinical Integration3. Speciality care plans
Clinical integration of Renal app
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Patient Doctor
PrimaryCare
SecondaryCare
GPScreening
Shared care
Patient PortalsTo Primary care info
Overlap
Core set of medical informationDemographics
Medical backgroundMedication and allergies
Routine screening
Integration1. Structural2. Clinical Integration3. Speciality care plans
Clinical integration of Renal app
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Patient Doctor
PrimaryCare
SecondaryCare
GPScreening
Shared care
Patient PortalsTo Primary care info
Differences in Secondary careSpecialty specific Care plans
Traffic system alertsPatient specific advise
Renal modality specific parameters
Integration1. Structural2. Clinical Integration3. Speciality care plans
Clinical integration of Renal app
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Speciality Care Plans for patients
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Speciality Care Plans for patients
Population and modality based surveillance
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
HealthCART demonstration
Demonstration1. RenalReality2. HealthCART3. The savings
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Maintained 10% reduction in actual cost
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 20150.00
500000.00
1000000.00
1500000.00
2000000.00
2500000.00
1505692.001623913.00
1735512.00
2063347.002017554.002090241.002094751.00
1979660.00
2217300.002101102.00
2011446.001990000.00
ActualDemonstration1. RenalReality2. HealthCART3. The savings
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Completion of smartphone App
Android only NZ$ 7500
All platforms – Tablets and smartphones
Different orientations- Landscape and portrait
Android and Apple
Quote completion- NZ $25 000- funding not secured
What next?1. Completion of App2. Webservices3. Support required
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
What next?1. Completion of App2. Webservices3. Support required
Developing web services
Secure transmission
of patient data
DHB resource
Background1. Introduction2. The smartphone App3. Renal Reality
Integration1. Structural2. Clinical Integration3. Speciality care plans
Demonstration1. RenalReality2. HealthCART3. The savings
What next?1. Completion of App2. Webservices3. Support required
Live since 5 May 2014
Live in 2016?
In summary
What next?1. Completion of App2. Webservices3. Support required