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Southern Institute for
Health Informatics

2010 Conference

Digital Wellbeing

Portsmouth

Friday 24 September 2010

SIHI 2010

Friday 24 September 2010
University of Portsmouth

 
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Tel: 023 9284 6445

Speakers

Name

Biographical notes

Topic

Murray Bywater
Managing Director, Silicon Bridge Research

Murray Bywater

Silicon Bridge provides strategic market research services for the UK healthcare IT industry.  Murray worked with Deloitte in Belgium to set up Health Information Network Europe, a pan-European information service focusing on healthcare IT.  He advises a variety of commercial, academic and NHS user organisations on how to operate effectively in a rapidly changing IT environment.

Murray’s academic activities include guest lectureships at Sussex University, Imperial College, Aarhus University in Denmark and Erasmus University in Rotterdam.  He speaks on topics ranging from medical technology to patient empowerment, and is known for his outspoken views on how IT can help transform healthcare delivery.

Whatever happened to European eHealth? A review of the market and current trends

Market forecasts for growth in European eHealth over the past decade have largely failed to materialise.  Is this due to a flawed concept of what eHealth is all about, or simply that we have failed to get our collective heads around what is required to provide the necessary supporting infrastructure?  Or maybe we have just misunderstood what the typical healthcare consumer is really looking for?  Certainly, there is reluctance on the part of consumers to wholeheartedly support what many European Governments seem to believe are the supporting services needed to overcome demographic challenges that lie ahead.

This presentation takes a look at the nature of the eHealth market and how we might go about sizing its constituent elements.  What are the missing ingredients, what are the most likely sources for providing these and, realistically, when are they going to be available?  How big is the potential market opportunity and is it realisable in the foreseeable future?  Likely winners and losers in this process are already beginning to emerge, but   Governments and regional policy makers need to be aware of the true potential of new technology – and the real world obstacles that prevent large scale market uptake.

Professor Jeremy Wyatt
Director, Institute of Digital Healthcare, University of Warwick

Jeremy Wyatt was the first UK Fellow elected by the American College of Medical Informatics and is the third most cited researcher in his field worldwide. He trained as a physician in Oxford and London then in medical informatics and clinical epidemiology in London, Stanford and Amsterdam and still sees patients in a diabetes clinic.

Before moving to Warwick, Jeremy was Director of the Health Informatics Centre and eHealth Research Group at the University of Dundee. Previously he was R&D director at the National Institute for Clinical Excellence (NICE), academic adviser for knowledge management to the NHS and visiting professor in the Departments of Primary Care in Oxford and Medical Informatics in Porto. He is currently on the Board of the Scottish Centre for Telehealth, implementation adviser to the Scottish Intercollegiate Guidelines Network and member of the quinquennial review group, UK Cochrane Centre and York Centre for Reviews & Dissemination.

His research explores the use of evidence and knowledge to innovate in clinical practice, and evaluating the impact of this. He helped found the Cochrane Collaboration in 1992 and founded the Cochrane Effective Practice & Organisation of Care group in 1994 and was chair of the European Association for Artificial Intelligence in Medicine, AIME, 1991-1998. To promote evidence based informatics he has written several systematic reviews and over 30 articles on evaluation methods; his co-authored textbook on evaluation and research methods is in its second edition (Springer New York, 2005). Jeremy enjoys demystifying health informatics and has written article series for the Lancet, BMJ and JRSM, the ABC of Health Informatics (Blackwells, 2006) and a handbook on clinical knowledge in practice (RSM Press, 2001).

What is the evidence base for digital wellbeing?

Jeremy's research explores the use of evidence and knowledge to innovate in clinical practice, and evaluating the impact of this. He helped found the Cochrane Collaboration in 1992 and founded the Cochrane Effective Practice & Organisation of Care group in 1994 and was chair of the European Association for Artificial Intelligence in Medicine, AIME, 1991-1998. To promote evidence based informatics he has written several systematic reviews and over 30 articles on evaluation methods; his co-authored textbook on evaluation and research methods is in its second edition (Springer New York, 2005).

Jeremy enjoys demystifying health informatics and has written article series for the Lancet, BMJ and JRSM, the ABC of Health Informatics (Blackwells, 2006) and a handbook on clinical knowledge in practice (RSM Press, 2001).

Samantha Riley
Head of the Quality Observatory, South East Coast SHA

Sam Riley

Samantha Riley leads the Quality Observatory at NHS South East Coast – an analytical team which supports the local NHS in the provision of high quality analysis and benchmarking to evidence variation in practice, identify potential areas for improvement (both in terms of cost and quality) and demonstrate improvements over time.  As a result of a recent national review by the Department of Health, the Quality Observatory was rated as exemplary with the ability to provide national leadership.

Samantha has worked for the NHS for over 13 years holding a variety of service improvement focussed roles in different areas of the health sector including leading a system wide improvement program in West London and undertaking a national improvement role with the Modernisation Agency.  Samantha is Chair of the National Data Quality Board, a member of the Improvement Faculty for Patient Safety and Quality Improvement and a member of the National Quality Indicator Development Group chaired by the Medical Director of the NHS.

Samantha is passionate about the utilisation of data and information to support improvements in patient care and is a self confessed ‘information junkie’.

Utilising information to support improvements in patient care at lower cost

The Quality Observatory at South East Coast has undertaken work with a wide range of clinicians to specify measures and provide analysis from standardly available electronic data sources to describe their services. The analysis provided focuses on measurement for improvement (rather than judgement) and has been developed with front-line clinicians - it is therefore meaningful to the staff groups who need to drive improvements in quality and efficiency.

This session will provide a number of practical examples of where clearly presented high quality analysis has evidenced variation across a range of quality and efficiency indicators which has enabled actions to be undertaken to improve the service provided to patients.

Martyn Legge
Solution Director, CSC

Sarah Hamilton-Fairley

Martyn began his career in IT more than 35 years ago. His background is in software engineering and systems architectures. His career spans several industries including utilities, telecommunications, financial services and healthcare. Martyn joined CSC in 1993 and took on the role of Chief Architect for CSC’s solution for the National Programme for IT in 2004.

Delivering operational efficiency - Parallel lives?

This session will explore how the healthcare industry, in particular the NHS can learn lessons from the way in which the Insurance Industry was transformed through the implementation of enabling information technology to address areas such as workflow and document management, making these processes more efficient.

The talk will draw parallels between some of the challenges being faced within the NHS now, with those which were being experienced in a very different industry, and present a case for solutions which could help to address these challenges.

Dr Paul McCullagh
Senior Lecturer, University of Ulster

Paul McCullagh

Dr Paul McCullagh is a Senior Lecturer in the School of Computing & Mathematics at the University of Ulster. He received his PhD from Queen’s University Belfast in 1983. He is a council member of the European Society for Engineering and Medicine, a member of BCS Health Northern Ireland, Healthcare Informatics Society for Ireland, a member of UKCHIP and a member of International Medical Informatics Association working group on Smart Homes and Ambient Assisted Living.

His research interests include biomedical signal analysis, data mining and clinical decision support. Current research projects include: BRAIN (FP7-ICT-2007-2: 3.7.2.1 Accessible and Inclusive ICT, 2008-11), accessibility of Brain Computer Interface technology to enhance inclusion for users with impaired communication due to illness and injury; SMART-2 for self management of chronic disease (EPSRC EQUAL, 2008-11); NOCTURNAL (TSB-ALIP/EPSRC, 2008-11), which is addressing the needs of people at the early stages of dementia, specifically to provide therapeutic support and guidance to people with dementia during the hours of darkness; Design for Ageing Well (New Dynamics of Ageing: ESRC, 2008-11) which is evaluating technology enabled clothes, in order to monitor sensors and feedback indicators of wellbeing for the older population.

Can self management technology remote from the therapist empower citizens with chronic conditions?

The SMART (Self Management supported by Assistive, Rehabilitation and Telecare Technologies) project (SMART consortium, 2007) is developing a Personalised Self Management System (PSMS) for use in the home environment and in the immediate community for people living with the long term conditions of stroke, chronic pain and congestive heart failure (CHF). Self management encourages the person to solve problems, take decisions, locate and use resources, and take actions to manage their own condition and is perceived as being a significant way of achieving reduction in health care costs and promoting the quality life in people living with a long term condition in the UK and internationally. The presentation will report on progress with user prototypes, stakeholder involvement and acceptance, and the use of therapy remote from the health care practitioner.

Claire Medd
Clinical Specialist,
Intel Corporation

Claire Medd

A registered nurse with over 20 years of experience in the industry, Claire's passion and experience lies in working with customers to promote the effective use of new and existing technology to deliver improvements in quality, cost and access to care.

Claire joined Intel 4 years ago to develop the healthcare business strategy in the Asia Pacific Region, and she returned to Europe last year as Intel's Clinical Specialist, tasked with driving the use of technology to support and empower individuals with chronic disease to find a better quality of life.

Prior to joining Intel, Claire worked within the Health Management Division of The Medical Benefits Fund (MBF), a leading Australian health insurance company. At MBF, Claire was responsible for establishing disease management programs for MBF members, which identified those with a high risk of hospitalization and offered them additional support to prevent escalating claims costs and created incentives within the MBF health insurance product to motivate members to look after their health.

Claire is originally from the UK where she worked for East Kent Health Authority, and was responsible for health service planning and resource allocation. This included, achieving consensus from a wide range of stakeholders in order to deliver health services strategies forming the basis of purchasing plans, negotiating contracts for hospital services that met the demands for year on year improvements in efficiency and effectiveness, running pilot projects to introduce new models of care including hospital in the home, and running projects to address quality issues such as waiting times.

The recent EU 2020 strategy places health and demographic change as key priorities and discusses the development and deployment of ‘technologies to allow older people to live independently and be active in society’.

With the aid of telehealth technologies, the growing healthcare challenge of aging and chronic diseases is being addressed by societies and economies throughout the EU. ICT solutions can help to reduce the burden of disease for patients by allowing them to move from hospital to home, to live independently for longer and remain active at work or in their community. Patients in rural communities will benefit from remote patient monitoring, which will allow them to access healthcare that might not be available locally and reduce unnecessary trips to urban centres. To provide customised care for patients in their own home, healthcare professionals will require ongoing access to accurate and up-to-date data to effectively manage each patient’s condition. Telehealth technologies offer the opportunity to provide better, safer, optimised and more cost effective care.

Intel is working with key industry partners in UK, Ireland, Germany, The Netherlands, Spain and France on a number of telehealth pilots to help integrate telehealth into local healthcare services over the coming year.  In addition to developing products, Intel is helping create a large marketplace of interoperable personal telehealth devices and services through the Continua Health Alliance. Through Intel’s collaboration in Continua and other efforts, it is trying to ease adoption barriers including regulatory, reimbursement and policy. 

Using selected case studies, Intel’s Clinical lead Claire Medd will be discussing the challenges and solutions that have been necessary to roll out telehealth.

Lorraine Pink
Personalisation Project Manager, YOU

Lorraine Pink

Lorraine started working in the sector in 2007 as Business Development Manager for Testway Housing in Hampshire.  Here she was instrumental in developing the care and support services including the expansion of their successful telecare service. During this time Lorraine managed a number of innovative projects involving the use of assistive technology in maintaining people’s independence.

Previous to this Lorraine, who is a qualified marketing professional and Chartered Marketer worked in the commercial sector as a Sales & Marketing Manager.

Lorraine joined YOU in November 2009 as Personalisation Project Manager with responsibility for developing the Learning Disability Assistive Technology service, recognised by DoH as a model of good practice and preparing the organisation for the national Personalisation Agenda.  Lorraine’s commercial acumen has been a real asset to YOU as is her understanding of the care and support market place in which it works.

Assisted living for people with learning disabilities

YOU has worked with Hampshire County Council to develop the innovative Assistive Technology service for people with learning disabilities in Hampshire.

This presentation will highlight the findings from the project so far, in terms of potential savings on care costs for local authorities and how the technology has enabled service users to achieve higher levels of independence.  

The presentation will also highlight the type of sensors and detectors that have been used to support people with learning disabilities, in what accommodation and care settings these can work as well as the barriers that have been encountered along the way.

The project is being seen by Department of Health as a model of good practice and the learning outcomes can support much greater take up of assistive technology by people with a learning disability nationally.

Professor Martin Severs
Chair, NHS Information Standards Board
Chair, International Health Terminology Standards Development Organisation

Martin Severs


Mark Reynolds
Director, NHS Information Standards Board

Mark Reynolds

Professor Severs is the Associate Dean [Clinical Practice] in the Science Faculty in the University of Portsmouth and a Professor of Health Care for Older People.

He qualified in medicine in 1980 and became a Consultant Geriatrician in Portsmouth in 1987. He is still a practicing Geriatrician and undertakes acute hospital work and as well as community rehabilitation and continuing care.

Martin has chaired the NHS Information Standards Board, the approval body for Health and Social Information Standards in the NHS, since 2001 and he chairs the IHTSDO, the international body that oversees the development of SNOMED Clinical Terms.

How UK and international health information standards support digital wellbeing

We live in a time of an aging population with less money being available for healthcare. The NHS needs to be efficient with all its assets, including information. Citizens are becoming more demanding about the service they receive, with the Internet driving a new way of working.

Currently patients are able to access detailed information about their condition and have limited opportunity to access services, e.g. booking an appointment online. In the future they will expect a fully interactive health record.

Finally, the cost of medical technology is dropping. A digital stethoscope costs £hundreds. The iphone application which does the same job costs £s. Telehealth is coming into reach.

The problem is that all these components need to talk together. This only works if there are shared national and international standards.

 

 

Dr Sanjeev de Sylva
Healthcare Consultant, Dell

Tim Benson

Sanji has worked in the area of Clinical Information System design and implementation for over 10 years. He is a clinician, with experience of having worked in NZ and the UK NHS. Sanji has been involved in projects in NZ, Australia, and the UK which included a role as senior healthcare consultant on a regional clinical portal implementation and a state-wide EMR implementation (of Cerner Millennium) in NSW, Australia. He has also had experience of working for the healthcare IT vendors Orion Health and Intersystems, helping them with their product development and solution implementation. Currently a Healthcare Consultant at Dell Services, Sanji is providing input into the development and implementation of the Dell Mobile Clinical Computing solution.

Mobile clinical computing - Improving access to information

The deployment of electronic care record systems offers great benefits for Patients, Clinicians and PCTs, but simultaneously this also creates new challenges. For community based clinicians, principal amongst these is how the systems can be accessed when working away from clinics and offices? In parallel, the demand for greater productivity and delivery of enhanced services means solutions which provide the ability to work more efficiently is ever pressing.

Recent in-depth studies sponsored by Dell and Intel have demonstrated that the introduction of mobile working can play a significant role in addressing both of these challenges

Deborah Jamieson OBE
Cross Government Head of Health, Work & Wellbeing Strategy Unit

Deborah Jamieson

Deborah Jamieson, OBE is the Cross Government Head of Health, Work and Wellbeing Strategy Unit, and has a health and legal background. Her interests include reducing social exclusion and health inequalities as well as health promotion and leadership. Her health background includes B.S.N. from the University of the State of New York, and relevant experience includes Advanced Practitioner in Pre-operative Assessment at University College Hospital NHS Trust for several years. She obtained an LLB in Law from the University of London, and is a member of the Chartered Institute of Arbitrators. She completed the Certificate in Leadership from Oxford Brookes, and certificate in Non-Profit Management through Duke University. Deborah was selected to attend the Clinical Strategist Leadership Programme at Insead Business School in Fontainebleau, France. Her case study was published at Insead and won International Public Sector Innovations Award in 2006 through EFMD.

Improving health through work - a policy perspective

This session will provide the opportunity to describe the efforts being made to maximise the health and well-being of the working-age population and the links to digital well-being.

Dame Carol Black’s 2008 Review of the health of Britain’s working age population began with a simple premise and conviction, that  for most people their work is a key determinant of their health1, a point that has been reinforced by the recent independent strategic review of health inequalities in England – The Marmot Review2.   The economic costs to the UK of sickness absence and worklessness associated with ill-health exceed £100 billion per year, more than the annual budget for the National Health Service. 

The recommendations of her review encompassed early intervention, easier access to more skilled support to seek and move into work, the development of new work-focused rehabilitation programmes (vocational rehabilitation), education of healthcare professionals, and engagement of key stakeholders.  The recommendations were widely welcomed, but the challenge has been to put in place the practical arrangements and inculcate the changed practices necessary to realise these aims. There is a need for a new comprehensive system to support the wellbeing of the working-age population, enabling changes in attitudes, practice and culture, leading to effective collaboration between health professionals, patients as employees, and employers, with the promise of benefit to employees, to business and to society as a whole.

Chris Hawker
Programme Director, Wessex Health Innovation and Education Cluster

Malcolm Stewart

Chris Hawker has recently been appointed to lead the Wessex HIEC following a long career in strategic development and senior management in health and care services.

Coordinating the strands - Delivering a new paradigm

The talk will report the development of project work as part of the Wessex HIEC on shaping the next generation of telehealth/care programmes and services. This will link a range of different aspects of development work around the needs and aspirations of users, building on existing programmes, linking to national initiatives and identifying key areas for development where there are gaps in shaping a holistic approach.

 

The organisers reserve the right to alter the programme without notice.

Supported by:

 

Dell

Dell

 

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