Digital health can improve the lives of people with diabetes

Anders WeilandtCEO of Diabetes Tools

Åsa WallinHead Nurse of the Diabetes Unit, Astrid Lindgrens Children’s Hospital, Karolinska University Hospital (Sweden)

How digital health improves the lives of children with diabetes

Anders Weilandt, CEO Diabetes Tools

Åsa Wallin, Innovator and Head Nurse at Astrid Lindgrens Children’s Hospital in Stockholm, Sweden

A case study

Diabetes Tools Sweden AB © 2015

Anders WeilandtCEO, Diabetes Tools

Diabetes Tools Sweden AB © 2015

Healthcare is out of money, out of staff and out of time

1. Chronic disease care is increasingly expensive

2. Type 1 diabetes is one of the most common chronic diseases among children and adolescents in Sweden. Diagnosis rates are rising…

3. Demographic shifts mean fewer taxpayers support health services where, in turn, there are fewer healthcare workers

4. Typically diagnosed early in life, patients with insulin-dependent diabetes face life-long medical complications

Sources• The Swedish Agency for Health and Care Services Analysis. Report 2014:2 “VIP – about change in care of chronic patients”• Statistics Sweden (SCB)

Chronic disease care =

80-85%

Other conditions 15-20%

Healthcare costs in Sweden, 2014

What is the problem?• Children and teenagers who are insulin

dependent risk costly medical complications later in life if their blood sugar is poorly controlled

• Doctors, nurses and families agree that having accurate information instantly available is key to managing type 1 diabetes

• For children, parents, teachers, nurses and doctors alike, it is:

• time consuming and stressful• difficult to share information

Diabetes Tools Sweden AB © 2015

A smarter way to work

Need

Solution

Effect

Care driven by incidents and calendars

replaced by

self-care apps for early intervention and prevention

Diabetes Tools Sweden AB © 2015

Collaborate to make the solution have an effect

Innovation Center

Åsa WallinInnovator and Head Nurse,

Astrid Lindgrens Children’s Hospital in Stockholm, Sweden

Child Diabetes Unit at Astrid Lindgrens Children’s Hospital at Karolinska University Hospital, Stockholm

Why do we need to work more efficiently in diabetes care?

Type 1 diabetes is common in children and diagnosis rates are rising

Sweden

• 8,000 children <18 years

• 800 new cases every year

• 15–20% need intensive care when diagnosed

• Youngest under 1 year of age

Astrid Lindgrens Children’s Hospital

• 140 new cases per year

• Diabetes school for all parents and department staffYear

Number of new cases per 100,000

78 80 82 84 86 88 90 92 94 96 98 00 02 04 06 08 100

10

20

30

40

50

60

70

10–14 years

5–9 years

0–4 years

11

Common question: How much insulin should I have with my meal?

• What is my blood glucose level?

• How much carbohydrate (g) does the food contain?

• Measure?• Weigh? • Number?• Read the label?

• Is a ”correction dose” needed?

• Am I going to exercise after the meal?

• Have I exercised before the meal?

• What time of day is it?

How are insulin doses controlled today?

Using the paper insulin form:

→ Patient or relative calls the clinic

→ Nurse fills in the insulin form

→ Doctor is contacted who prescribes the insulin

→ Nurse calls the patient or relative back to inform them about the insulin dose

Remember:

• Shared custody families

• Many adults who must cooperate and share information

Can you read this handwriting?

The whispering game: exchanging papers and making phone calls

Pardon? Please repeat that

These numbers don’t add up!

Where is Simon’s form?

Hmm… what did she say?

• Errors and risks• Inefficiencies• Time consuming• Unnecessary costs

The app idea

Quickly involve the family using a pedagogic tool

Streamline life for the child, family and supporters

Streamline workflow at the clinic

Improve safety and accuracy of the information flow

Increase patient-caregiver communication in a two-way conversation

Criteria for long-term change

Security

High quality

Easy to use

Availability

• Legally secure communication, complying with the Patient Data Act

• Reduce errors to improve efficiency and safety

• Eliminate problems instead of creating more complexity

• Long-term solution with data accessible to everyone

Paper & calls

Securemailbox

TriabetesClinic

✔ ✔ ✔✗

Normalemail

✗ ✗ ✔✗

✗ ✗ ✔✔

✗ ✔ ✔✔

App replaces insulin form

From paper to iPad app, on ward and at bedside

Replaces paperwork

• No time-consuming form-filling

• Automates every carbohydrate quantity and insulin dose calculation

 

Intervene when needed

• Data from iPad synchronizes with the TriabetesClinic system, updating the medical team yet keeping patient information accessible

• Set, change and see alerts for each patient 

Uses time better

• Spend time with the children who need the care the most

Mobility in clinic with iPad app

Diabetes Tools Sweden AB © 2015

Smartphone app for children and families at home

From paper to TriabetesGo iPhone app, connecting with the medical team

Daily companion – personalized app

• TriabetesGo app handles the reality of day care, school, sports, vacations and other activities

• Quickly involves the child – along with parents, relatives, teachers and sports instructors – in their own care

Calculates insulin doses

• Personalized, in-app insulin dose calculator set by child’s doctor

Everyone knows more

• Information flows between nurse, child and family. And vice versa

• Maintains contact with the medical team between clinic visits

Confidence for families

Diabetes Tools Sweden AB © 2015

The solution: TriabetesClinic for Children

Optimized for insulin-dependent children and teenagers. At home and in hospital.

Three connected parts:

1. TriabetesClinic diabetes management system via web

2. TriabetesClinic iPad app for mobility at the clinic and on the wards

3. TriabetesGo iPhone app for patients, families and supporters

In summary

For healthcare

Makes better use of time

Timely and accurate information

Automated, secure calculations

Reduces risks and mistakes

Reduces stress

For children and families

Simplifies family life

Easy to share information

Boosts confidence

Know more at the right time

Reduces stress

Diabetes Tools Sweden AB © 2015

Live data. Know more. Care better.

At Astrid Lindgrens Children’s Hospital, the care process is becoming more time efficient and family friendly

… thanks to TriabetesClinic apps and online services

Go beyond diabetes

Other chronic diseases are equally costly to treat

Apply the same digital health model, so:

Patients are firmly in the center of their own care

Healthcare providers get productivity gains and decision support tools

Healthcare payers control costs and long-term risks while improving care

Diabetes Tools Sweden AB © 2015

Questions?

Thank you for your attention

www.diabetestools.se