driving the technology revolution: challenges ... · data analytics business in order to provide...

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Driving the technology Revolution: Challenges, opportunities and learning so far…. Prof NJ Sebire, CRIO GOSH

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Page 1: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Driving the technology Revolution:

Challenges, opportunities and

learning so far….

Prof NJ Sebire, CRIO GOSH

Page 2: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting
Page 3: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Mapping a digital strategy

Page 4: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting
Page 5: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Medicine will become a

data analytics business

in order to provide

personalised, safe and

effective care

New capabilities required

for digital healthcare

innovation

Page 6: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Clinical and

research data

infrastructure

Establish skilled

people and training

programme

Establish high

quality partnerships

Page 7: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Wachter / Topol Report

and recommendations

Development of clinician

informaticists

Page 8: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting
Page 9: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Maximising future health data use

Infrastructure

Unite the data and deidentify / clean / extract

EPR Legacy PersonalDevicesOMIC Other!

DRE / data store

Analysis to extract intelligence

DRE / analytics platform

Visualise / secondary useFeedback to patient / EHR

Personalised medicine Research advances

Page 10: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Slide 10DRE

GOSH DRIVE CLINICAL INFORMATICS

DIGITAL RESEARCH ENVIRONMENT (DRE)

Legacy data

Clinical Care Mandatory Reporting

De-identification

WORKSPACES

Secondary use of data (Research/Operational)

HLZ

Page 11: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Extensible

Research

Tools

Data

Wrangling

Global

collaboration

Protecting

privacy - GDPR

Secure data

management

Team work

& data sharing

DREDigital Research Environment

Self-service

Platform approach

Page 12: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Slide 12DRE

Usability! Eg Simple table analytics

Page 13: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Slide 13DRE

Renal failure app development

Page 14: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Digital Research,

Informatics

and Virtual

Environments

Great Ormond

Street Hospital and Industry

partnership.

Page 15: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Core Facility to maximise benefit from EPR and health data Academic Research

Operational translation

Strategic

DRE

DRIVE

Clinical research

Clinical informatics

research programme

Operational development

Microsoft Marquee

Flow, DNA, etc

Training Patient experience

R&D CIRP/PhDs IXN/LSE

Microsoft IXN/UCL HEE IXN/CIRP

Page 16: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting
Page 17: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Team and skillset

Page 18: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Mindset and skills

Innovation is different to BAU!

Space & PlaceDo you have the space

capable of operating as an

incubator for innovation?

People StrategyDo you have the skills and

people available to

support the journey?

BrandHow well perceived is the

corporate brand as an

innovator? New brand

needed?

Ramp StrategyWhat will happen once the

experiments and sprints

are completed?

ReadinessIs the organisation

capable of supporting

additional products or

services?

ServicesDo practices already exist

which enable an iterative

design-focused thinking?

What should be in the

innovation capability

Tools & TemplatesWhat tools and templates

can or will be leveraged

within activities?

CommsHow will the progress and

outcomes from

experiments be

communicated?

PackagingHow will the outputs from

the experiments be

released?

[email protected]

Page 19: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Mindset and skills

Innovation is different to BAU!

Strategic criteria

Strategic criteria

Opportunities

1

2

3

Concepts Prototypes Product

1

2

1. Screen relevant

market and

technology trends

2. Collect ideas of

relevant business

opportunities

3. Prioritize ideas

1. Conduct Design

Thinking/Co-

Creation

workshops

2. Build a pitch –

financial model,

go-to-market

strategy,

technology,

customer/user

acquisition

1. Evaluate technical

infrastructure

requirements

2. Specify estimates

for investment

3. Select candidates

for Proof of

Concept

1. Gather customer

feedback and

document success

& failure factor

2. Develop and

launch minimum

viable product

1. Implement

service/product

2. Implement

organi-zational

structure and

support

Screen & Discover Ideate & Prioritize Concept & Evaluate Pilot & Test Refine & Release

[email protected]

Page 20: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Publish

De-

identification

& consent

Find

Select

Approval

Prepare

for re-use

Data science

GOSH research

cycle

Model

Develop

Test

Deploy

FHIR

App and model

deployment in the clinic

Page 21: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Meaning

of data

Volume and

change Common

requirementsClinical

specialties

EthicsGovernance

Diversity of

analysis

Diversity

of users

Learning

path for all

Future of

Ethical AI

Data Citizen

Data

Professional Data

use

Page 22: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

• How should NHS work with industry?

• Student collaborations are great! but…….

• ..How do NHS organisations move from PoP to operational grade tech?

• How does NHS recruit software engineers/ designers / ML curators etc?

• How do we encourage open sharing / investment incentives?

Questions arising….

BCH

Page 23: Driving the technology Revolution: Challenges ... · data analytics business in order to provide personalised, safe and effective care ... Data Wrangling Global collaboration Protecting

Clinical Informatics @ GOSH

[email protected]

‘Improving child health with digital technology’