This presentation describes the risks and benefits of health IT in patients with diabetes

1. What business are we in?
Diabetes Therapies and Technology Conference
5th
and 6th
November 2016
Professor Steven C. Boyages
The University of Sydney, Wednesday 19th
October 2016
Diabetes Therapies and Technology Conference Sydney NSW Australia
This presentation cannot be reproduced without permission
steve.boyages@gmail.com

2. • The Challenging Health Care System: Is Technology
a solution
• The Promise and Pitfalls of Technology
• Will the role of the health professional change and
that of the consumer/patient change in this new
world
• Understanding Data and Information
• Connected or Disconnected Health
Agenda

4. Health is a knowledge based profession

5. Health Services are about..
Care
Communication
Collaboration
Coordination
Clinical Care
Models

6. Constants of Health
TO RECHON him who taught me this Art equally dear to me as my parents, to share my
substance with him, and relieve his necessities if required; to look up his offspring in the
same footing as my own brothers, and to teach them this art, if they shall wish to learn it,
without fee or stipulation; and that by precept, lecture, and every other mode of
instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers,
and to disciples bound by a stipulation and oath according the law of medicine, but to
none others. (Hippocrates 460-370 BC)

7. Principles of Investment in Health
Technology
1. Improve patient
experience and
outcomes
2. Improve patient
safety
3. Improve provider
experience
4. Create value for
money

10. Insulin Pump Therapy and CGM
Technology Trigger
Peak of
Inflated Expectations
Trough of Disillusionment Slope of Enlightenment
Plateau of
Productivity
time
expectations
Positive
Hype Negative
Hype
Source: Gartner, 2013
Insulin Pump
CGM
Telehealth
Bionic pancreas
Health Apps
IBM Dr Watson

11. What business are we in?
How do we get the balance right
between negative and positive hype?
Healthcare
Education
Research
Health
Wellness
Sales
Coaching

12. The Balanced Matrix

13. What’s driving this
changing role?

14. New Technology Triggers
The Nexus of IT Forces:
Social, Mobile, Cloud & Big Data/Information
Source: Gartner, 2013

15. We need to embrace social media

16. Information
Someone somewhere is capturing and
storing

17. Nearly every transaction or interaction
leaves a data signature

18. Data, Big Data and
Information

19. Sheer scale has far exceeded
human sense-making
capabilities

20. At these scales patterns are often too subtle and
relationships too complex or multi dimensional to
observe by simply looking at the data

21. It helps us see the forest without
getting lost in the trees

22. Data mining is a means of
automating the process to detect
interpretable patterns

23. Using Data
Business Intelligence

25. Predictive, planning
analytics
Visualization
Level of Business Impact
Business Intelligence/Analytics Shifts Gears
Just as Clinical Data Emerges
Ad hoc query,
OLAP, data mining
Skill
Levels
Required
Reporting,
dashboards
Prescriptive
process
optimization
Information
Patterns
Adapt and Evolve
What will
happen?
What will
happen?
Why did it
happen?
Why did it
happen?
What happened?What happened?
What should
happen?
What should
happen?
Retrospective Concurrent Prognostic
Source: Gartner, 2013

26. New methods of scientific inquiry
11/07/16 26

27. 27

28. Next Generation EHR/EMR

29. Function
Impact
Minimal
Full
Availability of Products
2020+2012200519981993
Generation 1:
The Collector
Generation 2:
The Documentor
Generation 3:
The Helper
Generation 4:
The Colleague
Generation 5:
The Mentor
Health and Clinical ICT
Becomes the Challenge of
Knowledge Management
Today
Source: Gartner, 2013
Tomorrow:
Awareness,
Action, Agility

30. Pace-Layering:
Structure for Innovation
Systems of Record
Systems of Differentiation
Systems of Innovation
Common
Ideas
New
Ideas
Source: Gartner, 2013

31. What’s Next?:
Patient-Facing ICT Explodes
Source: Gartner, 2013
Care Coordination Applications
“Quantified Self” Applications
Patient Engagement/Portals

33. The changing role of the health
professional in the digital age: The
Digital Doctor
Embrace technology but don’t lose sight of the patient
Will Dr Tech ever replace the human doctor?
Understand BIT: Business (workflow), Information flow and the Technology
 Understand privacy
Develop your skills
 Understand security of technology, mitigate risk

34. Efficacy and security of technology
implementation to ensure patient
safety
1. How do we protect our
patients in this age of
technology?
2. How do clinicians understand
enough of the problem to avoid
risks?
3. How do we assure patient
privacy?
4. A day does not go past without
a major cyber attack on large
enterprises. How do we avoid
these in health systems?
5. Digital health identity theft?

35. Connected or Disconnected Health

38. • patient
• Provider

41. High Touch
“I tell them that their first reflex should be to look
at the patient, not the computer,” Dr. Heineken
said.
And he tells the team to return to each patient’s
bedside at day’s end. “I say, ‘Don’t go to a
computer; go back to the room, sit down and listen
to them. And don’t look like you’re in a hurry.’ ”

42. Conclusions
1. Patients expect their endocrinologists to be
up to date with the latest technology for the
treatment of diabetes
2. Sometimes as the healthcare professional
you need to sell the outcomes of using the
technology to the patient, rather than just offering
an alternative therapy
3. High touch, Great Communication and High
Tech are the key