kevin auton, activ8rlives. presentation at health-tech innovation labs conference 18.09.2015
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Aseptika Ltd (Activ8rlives)Kevin A Auton Ph.D
Finalist
The Patient as the Consumer
www.activ8rlives.com
Only when the individual takes responsibility and is taught the skills to manage their own health, will healthcare become affordable and available for all.
www.activ8rlives.com
We know the problems:
• 1 million more pensioners now than in 2010.• Another million retiring by end of this Parliament.• Rising expectations.• New technologies and medicines increase costs.• 1.7 million NHS employees (65 million citizens).• Rationing of healthcare becoming evident.
www.activ8rlives.com
Deficit of £1.2 million each WEEK.
www.activ8rlives.com
GP services will collapse by 2019 in Cambridgeshire (local CCG information).
• Need another 435 beds at Addenbrooke’s by 2018.• Can’t recruit clinical staff fast enough.• GP services starved. Non-viable as partnerships.• GP’s provide 90% contact but get 8% funding.• Hospital-centric care not sustainable.
Patient at the centreSelf-care/managementAdoption / deployment technology
NHS Test Beds
Greater Manchester to control £6bn NHS budget
www.activ8rlives.com
www.activ8rlives.com
We have all changed the way we do things.
www.activ8rlives.com
Engagement, Education and Empowerment.Moving responsibility to patient/carerI am the
CarerI supplied his iPad, broadband and monitors.I can check his data remotely because I am too far away to visit everyday.I take on the NHS and Social Services for him.I have an iPhone 6, iPad and a laptop for work.
My Dad is the
UserHe is very independent.It took him a while, but he is getting really good with the iPad.He did have a laptop with Windows XP but finds it too much now with Windows or a Mac.We Skype all the time now from his iPad.He likes watching the BBC News on it in hospital.
www.activ8rlives.com
Tools to support our families and ourselves in maintaining health and wellbeing.
Training and technical support for all ages.
Vertical focus on respiratory disease.
Community, family and self-help group focus.
Self-care in respiratory disease
www.activ8rlives.com
Tools, training, coaching: move responsibility to patient/carer
www.activ8rlives.com
A patient suffering respiratory distress Ambulance called and trial halted. Patient admitted for 2 weeks but survived. Left intervention too long.
www.activ8rlives.com
www.activ8rlives.com
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www.activ8rlives.comPseudomonas aeruginosa predictive diagnostic
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www.activ8rlives.com
Dad is looking much better.
His NEWS was 6 (usually 1 or 2). The Community Nurse gave him IV antibiotics at home rather than admit him again. He had lost weight and was less active but is recovering now.
Blood Pressure Monitor
Body Analysing Scales
FingerBand SpO2
BuddyWOTCH
Hospital at homeSelf-care plans
National Early Warning Score system
www.activ8rlives.com
Hospital CliniciansNurse PractitionersGPsDieticiansPsychologistsSocial workersTeachersCommunity leadersFamiliesParentsYoung carers
Self-monitoringSelf-managementSelf-relianceIndependence EmpowermentOwnershipResponsibility
Hospital at homeSelf-care plans
97% adherence in clinical trials Median age 67
www.activ8rlives.com
Prioritisation and pre-meeting review
General Contact Remote mentoring
www.activ8rlives.com
Patient becomes the consumer. Carer pays.
• Tendency to build data silos for “security.”• NHS-operated telehealth too expensive?– only justifies prevention of hospital admissions.
• Patient to become the consumer.– share DIY data with HCWs reducing costs.
• Significant cultural issues for the EU policy makers.
Confidential
Death (~80yrs)Hospital Care
Late Stage
Diagnosis (~55yrs)
£
www.activ8rlives.com
Acceleration of contact with HCWs prior to admission and death.
General Contact
www.activ8rlives.com
Cross-over devices. 3rd Generation.
• Medical certification for acceptance by HCWs.• Attractive to consumer. • Medical +. Cross-over device.• Rental with airtime not capital model. • Always Connected. • Smartphones/Tablets/TVs/Game Stations– view information, not transmit data.
www.activ8rlives.com
www.activ8rlives.com
Remote mentoringClass 2 Medical devices can look good.Purchase decision maker is not the wearer.Consumer Apps segregated from medical function.
6 axis accelerometerTemperatureHR and SpO2Camera for polypharmacy adherenceWiFi, 3G99.5% wearabilityInclusive for older user Patent applied for.
BuddyWOTCHTM continuous self-monitoring.
www.activ8rlives.com
BuddyWOTCHTM continuous self-monitoring.
6 axis accelerometerTemperatureHR and SpO2WiFi3G99.5% wearabilityInclusive for older user
Confidential
EyKos HealthHubTM
www.activ8rlives.com
Self-monitoring by patient. Self-management.
Small changes. Big differences. “Marginal Gains” ethos.“Respiratory disease is the poor relation of the big three.”Educate the family and patient to self-manage to save costs. Hospitalisation
unsustainable.
Engage with certified medical devices (cross-over) with a consumer-focus.
Empower. Trust the consumer of health services to be savvy. Amazon, Facebook. Manage our money, mortgages, car tax, phone contracts with connected services.
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