Innovative Welfare Technology for the 21st Century

About Patient@home

• Danish strategic research and innovation platform• Novel welfare and health technologies• Patient in own home– Reduces pressure on public sector– Reduces number of hospitalizations– Shortens duration of hospitalizations – New secure treatment methods

Internet Hospital

Interdisciplinary Innovation Collaboration

• More than 40 national and international partners – Private enterprises– Research institutions– Health sciences personnel– Patients

Patient Empowerment

User-centred Innovation

Health Systems Innovation

Patient Empowerment

• User-driven development of new products and services

• Supports patient responsibility for own health and treatment

• Enables patients to be treated and attended to in their own homes

User-centred Innovation

• Targeted development of technologies and services• Interdiciplinary collaboration– Enterprises– Health sciences personnel– End-users – Research institutions

Innovation within Health Care Systems

• Technology-supported treatment • Monitoring and data processing• Rehabilitation in own home• Treatment before, during and after hospitalization

Mindmap

Innovation Model

MAST - Evaluation

TASK

patient

OUTCOME

streamlining

METHOD

innovation

SOLUTION

home

Resources

Interdisciplinary collaboration

Chronic patient Feeling secure by staying in own home – or

feeling uncertain about being ”outbound”.

Monitoring

Treatment Hospitalised

Citizen

Research

Savings/fewer expenses

Quality

Homebound

Diagnosing

Known settings

Remote treatment or more frequent check-ups?

Growth

Development

Value

New hospital system

Fewer beds

Problem solving

Rehabilitation

physician/patientrelationship

Certification

TestingEvidence

Sick

Institutionalised

Close to family and friends

New ways through the system for the patient

Monitoring

Increased stability in the patient’s day-to-day life

Medical elucidation

Innovative thinking

Techn. development

Rehabilitation

Foresight

Active participation in treatment

Reduced pressure on hospitals and family members

Shared responsibility for own health and treatment

Maintain social networks

Shorter treatments

Social responsibility for rational use of public means

Rethink (entire) health care sector

New progress methods

More out-patient ”treatments”

Smarter treatments

Optimised working routines

Active involvement in treatment

Lesser ”patientialisation”

Patient empowerment

New markets

Enterprises sidestepping pitfalls

Novel welfare technological products and services

Self-reliant

New knowledge for enterprises

User involvement

Improved quality of life

Unique, Danish development platform

Increased Danish exports

Developmental leadership New patient concept

More ”power” to the patient – less ”power” to the hospitals

New patient role – changed relationship between

patient and therapist

Combat senior-boom problems

Consultation

Change of culture/ shift of paradigm

Consultation

Security

Quality

Social relevance

Effect

Public Private Innovation

Validation

Telemedicine

G1 G2 G3 G4 G5ConceptNeed Proof of concept

Product/service

Test and evaluation

MAST G2 MAST G3 and Reality Check MAST G4 MAST G5

Uncovering needsTechnology screeningMarket screeningPartner analysis

Partner identificationIdea generation Idea screeningMarket screeningMock-upsTesting and adjusting

Business modelFormFunction User interface PrototypesTesting and adjusting

Clinical tests/other testsImpact evaluation

AL 1 Researchers

AL 3 Enterprises

Design and constructionTesting and adjusting0-series/Beta version EconomyMarketing and sales strategy

Innovation Model

40Products/Services

MAST – Model for ASsessment of Telemedicine

• Evaluation of telemedicine and welfare technology• Descrives results• Contributes to quality in treatment• Produces a basis of decision making

A multi-disiplinary proces,that combines information on medical, social, economic and ethical aspects when using the technology in a systematic, unbiased and robust way.

The Three MAST Steps

Prior evaluation:

• Is the technology mature?

• Legal, economic prerequisites?

STEP 1

Multi-disiplinary evaluation - 7 domains

1. Health problem and characteristics of technology

2. Patient safety 3. Clinical effect 4. Patient perspectives5. Economic aspects 6. Organisational aspects 7. Socio-cultural, ethical and legal aspects

STEP 2

Generalisability: • Cross-border• Scalability

STEP 3

SELECTED PROJECTS

Home training aimed at slipped disc in neck

Identification of high-risk patients

Monitoring diabetic foot ulcer

Monitoring heart patients

Monitoring Heart Patients

• Heart-function monitoring in own home• Wireless platform for telemedicine monitoring• ePatch• Record and send data to hospital • Happy and secure patients• Free up hospital beds and doctors’ time

Evaluation of clinical relevance and safety on the use of ePatch

Diabetic Foot Ulcer Monitoring

• Tools to classify and characterise foot ulcer • Targeted treatment effort • Sensors and 3D optical scanning • Digital images for own GP• Treatment suggestions or appearance

Web-based solution that enables patients to contact their own GP in several ways without having to show up physically for a consultation

Identification of High-risk Patients

• Identification of risk patients• Model that can predict and warn on potential

life-threatening complications • Triage• Tools to create an overview of the many

details produced by monitors

Who must stay at the hospital and who is assumed well enough to be sent home?

Home Training of Slipped Disc in the Neck

• Training technologies and exercise programmes • Guide the patient on training programme • Measure pain and efforts• Motivate and stimulate efforts• Sensors, cameras, videos, smartphones etc.• Communication between patient and therapist

Efficient training with fewer consulations and less transportation to and fro place of treatment

Contact

• More information on Patient@home is available at www.patientathome.dk