This document discusses using digital technologies and data to help support independent living for vulnerable people. It outlines several technologies that can collect health and activity data, such as smart home sensors, wearable devices, and 3D cameras. With this data, artificial intelligence tools could detect patterns and anomalies. The data could also be used to create user profiles and monitor lifestyles. The document then discusses potential applications, such as checking on a person's well-being, coordinating care, increasing social connections, reducing loneliness and staff workloads, and helping people stay in their homes longer. The overall goal is to use digital tools and data to keep vulnerable individuals in the right homes with the right support.
7. John Kotter: “Accelerate!”
• We won’t create big change through hierarchy on its
own
•We need hierarchy AND network
•Many change agents, not just a few, with many acts
of leadership
•At least 50% buy-in required
•Changing our mindset
•From “have to” to “want to”
HOW?
8.
9. Political
Policy Changes
Political Forces
Accreditations
Personalization
Normalization
Integration
Early Intervention
Increased Regulation
Scandals (Winterbourne)
The move from Residential Models to
Community Models
Economic
Budgetary Pressures
Supporting People Funding Cuts
The Macro and Micro Economy
Wage Cost Inflation
European Funding
Cuts in Mental Health Services
Social
Population Demographics
Staff
Customer Knowledge
Increasing co-morbidities
Intraprenours
Collaborative Design
Technological
Advances in technology
Big Data
The ‘internet of things’
Inter-operability
Artificial Intelligence
Machine Learning
Deep Learning
Wearables
14. The Disruption:
This technology can radically change how we work therefore, system change is needed to accommodate
Partnership
working Technology & Infrastructure Organisation
Quality
Partnership
Working
Patients and
Public
Structure
Conflicting/Competing
Services
Joint Strategy
Who will benefit?
The need?
How do we engage?
Competencies/Training T.S.A
15.
16.
17.
18. Allignment with Innovation Hubs
Alder Hey Children’s Hospital:
Pump-prime funding into Institute in the Park and Innovation
Centre helping to leverage over £13m additional investment
20. £500k funding for technologies
to pump prime adoption
Innovations with Impact competition,
funding technologies to support care
Digital , 10
Devices, 4
Telecare, 4
Funded pilots
24. Innovation Scouts
• 50 Champions of change, learning from innovation leaders
• Creating a culture of innovation; part of the AHSN
• Network for co-creating new technologies and systems
29. Useful, useable, flexibility, simple and
intuitive, used in different ambient
conditions, avoiding errors, minimum
fatigue?
'The challenges of improving the lives of people using digital innovations'
30. Everyone wants to………
Stay at home
Stay out of hospital
Stay Independent
Stay at home
Stay out
of
Hospital
Stay Independent
31. Presentation 1
What will stop that?
Ineffective Assessment Inactivity
In-patient Episodes Instability
Illness Insufficient Help
Impaired Cognition Immobility
Insolvency Inappropriate housing
Insecurity Inadequate Nutrition
Insensitivity Incomprehension
Inaccessible Support Incessant Pain
Isolation doctor Induced problems
Informal Care Crisis
Things that will impact on your Independence
Ref: Dr K Doughty
38. Will connect a device for 50p per month. So
if the kettle isn’t used before 10am it notifies
the onsite warden.
39. The next level?
An integrated system
composed of a set of network
devices including:
• Smartphone and wearable
sensors
• Clinical sensors
• Environmental sensors
The system aims to produce:
• Users profiles
• Lifestyle monitoring
• Detection of trends
• Recognition of anomalies
43. 3D Cameras and Smart Carpets
• No Image, nothing to wear
• Micro Movements (breathing,
seizure, self-harm, chocking,
violence, skin temp)
• The 2nd Stumble alarm (the 3rd is
the fall)
• Prediction through algorithms
• Adults with Learning Disabilities,
Mental Health, Care Homes, Extra
Care
46. Physical Web: Virtual
Keysafe/Navigation
• Door Release Via a secure app
(auditable and No Keysafe Needed)
• Navigation around the building
• Data sharing with relevant professionals
47.
48. How do you feel?
• Digital Survey:
• Worn Devices:
50. increases activity, wellbeing and social
inclusion
Connecting service users with providers and payers
Telecare Gas + Electric safety solutions for vulnerable people
Safer Homes
2015 National Finalist
Test Beds Innovator
Telecare Services
Association
Driving Digital
Challenge 2015
Finalist
52. Pulling data from Medical Record and pushing to housing and
repackaging the data and sending it to the social services
assessment
53. • Information
• Preferred carer
• Who is coming?
• Tasks
• Seamless Support
• Key safes could disappear
• Gamification and Nudges
• Digital and Meds
• Mobile Alarm (GPS)
• Video Calling
• Wellbeing ---------
• Loneliness
54. What do you want to tackle?
• Prediction
• Decline in functional Ability
• Loneliness
• Cooking Issues
• Matching Tenants to properties and partners
• Engagement with activities and professionals
• Connectedness and re-assurance for families
• Detection of Urinary Tract Infections earlier
• Safer Walking and Geo-fencing
• Supported Employment
• Supported Meaningful activities and trips
• Reducing onsite staff levels
• Reducing Admissions' and GP visits
• Staff and Customer flow and modelling
• Digital Mars
• Sustainable Transport
55. Presentation 1
To keep the right tenant
In the right property
Living with the right people
With the right support
With the right social interactions
Increasing Activity
Increasing Connections
And
Reducing staff workloads
Reducing Tenant losses to other
accommodation types
Effectively Manage Assets
Email: Richard.harding@innovationagency.nwc.nhs
Twitter: @ricardohardinio
Notes de l'éditeur
Detail the new methods that you didn’t use before: LOMC, payment per outcome, co-design, …
Or if you already use them mention it also.
Lewin, K (1951) http://www.change-management-coach.com/force-field-analysis.html
Gould and Lewis (1985) https://hannazoon.wordpress.com/tag/usability/
http://en.wikipedia.org/wiki/Failure_mode_and_effects_analysis
http://en.wikipedia.org/wiki/Poka-yoke
http://www.inclusivedesigntoolkit.com/betterdesign2/examplepersonas/examplepersonas.html
http://www.inclusivedesigntoolkit.com/betterdesign2/exclusioncalc/exclusioncalc.html
http://universaldesign.ie/What-is-Universal-Design/The-7-Principles/
Marshall, A (2015) “StEAM”
Mair et al (2012) “Factors to promote or inhibit the the implemetation of e-health systems: an explanatory systematic review
Murry et al (2011) “Why is it difficult to implement e-health initiatives”
Connect the technology
Internet of things
Applying AI that has been used to navigate shipping in the Mersey estuary, combining information from the tides, ship locations, docking times and learning the most efficient way, the system sped up or slowed down the ships to get them in and out more efficiently. It even navigated the ships around the whales in the channel using sonar to spot them…….. How do we apply this to our systems?
Digital health is a disruptive technology.
It has the potential to radically alter the way healthcare is delivered.
Our systems need to change to make it work