stitch.md
DESCRIPTION
stitch.md. Turn Flowcharts into Apps. Overview. stitch.md Problem 1: Safety Problem 2: Quality Problem 3: Quantity Secret Sauce. stitch.md. - PowerPoint PPT PresentationTRANSCRIPT
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stitch.md
Turn Flowcharts into Apps
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Overview• stitch.md• Problem 1: Safety• Problem 2: Quality• Problem 3: Quantity• Secret Sauce
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stitch.md• We help untrained health workers
ACCURATELY IMPLEMENT practice guidelines by simplifying the navigation of complex guidelines into single Q&A screens.
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Why tackle this problem?
Because it affects the safety, quality, and quantity of healthcare
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People hate being sick• Health worker jobs– Assess patients– Formulate diagnoses– Create management
plans– Take Action
• Limitations– Technology– (Tele)Communication– Time– Training
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Problem 1: Safety
First, do no harm
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Australian
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Swiss Cheese Model
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Horsham
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Solution 1: Clinical Pathways
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“We don’t have the ability or money.”
stitch.md brings checklists and clinical pathways to mobile, affordably
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Examples of stitch.md Use• Acute STEMI• Acute ischaemic stroke
• Pre-operative screening• Post-operative
management
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Problem 2: Quality
(and cost-effectiveness)
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Australia’s healthcare is great!
We need to make it more cost-effective.
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Solution 2: Task Shifting
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Nurse PractitionersCommon Illnesses Skin Conditions Vaccines
Allergies Athlete’s foot DTP (diptheria, tetanus, pertussis)
Bladder infections (females)
Cold sores Flu (seasonal)
Bronchitis Deer tick bites Hepatitis A (adult)
Ear infections Impetigo Hepatitis A (child)
Pink eye and styes Minor burns Hepatitis B (adult)
Sinus infections Minor skin infections & rashes
Hepatitis B (child)
Strep throat Minor sunburn Meningitis
Swimmer’s ear Poison ivy MMR
Flu diagnosis Ringworm Pneumonia (Oct – Dec)
Mononucleosis Wart removal Polio (IPV)
Pregnancy testing TD (tetanus, diphtheria)Conditions managed by
MinuteClinic
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INTERNET
NURSE NURSE NURSE NURSE NURSE NURSE
NURSE NURSE NURSE
NURSE NURSE NURSE
DR DRWITH STITCH.MD
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Examples of stitch.md Use• ED triage• Outpatient clinics• GP rooms• Nurse practitioner
clinics
• Allied health– Physiotherapy– Occupational therapy– Dietician
• Mental health services
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Problem 3: Quantity
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INTERNETNURSE
DR
PT
DR
PT
DR
PT
INTERNET
PT
NURSE
INTERNET
PT
NURSEDR
STITCH.MD
PT
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Capturing ideas
How doctors think about problems
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Enabling Technologies
Mobile Devices Sensor proliferation
Cloud Computing
QuantifiedSelf
Standardized platforms• iPhone• Android• Pebble• Google Glass• iWatch• Etc…
Plugins or standalones• HR• Pulse oximetry• BP monitoring• BSL checks• Point-of-care labs• Etc…
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Solution 3: Automation• Traditional Model– Sessional assessments– Interval assessments– Limited feedback
– Patient Passivity
• Future Model– Continuous assessments– Risk based assessments– Rich analytics
– Patient Engagement
ULTIMATELY
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Examples of stitch.md Use• Management of chronic
conditions– Diabetes– Hypertension– Congestive cardiac
failure
• Disease Prevention– Fitness– Diet
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Secret Sauce
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Disruption = Trend of convenience = elimination of limitations
• stitch.md uses technology to eliminate the– Limitation of time– Limitation of training– Limitation of (tele)communication
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Medicine is about people
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stitch.md EMPOWERS people
by DECOUPLING Knowledge from Practice
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stitch.md
Turn Flowcharts into Apps
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References• http://www.npr.org/blogs/health/2013/09/20/224507654/how-many-die-from-
medical-mistakes-in-u-s-hospitals• http://www.abc.net.au/worldtoday/content/2013/s3778256.htm• http://www.oecd.org/els/health-systems/Health-at-a-Glance-2013.pdf• http://grattan.edu.au/publications/reports/post/budget-pressures-on-australian-
governments/• https://www.mja.com.au/journal/2004/181/8/using-checklists-and-reminders-
clinical-pathways-improve-hospital-inpatient-care• http://healthcare311.com/news/?p=2321• http://blog.healthecareers.com/blog/medical-careers/report-finds-hiring-nurse-
practitioners-and-physician-assistants-a-smart-decision