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Managing New Technology In the Military Health Paradigm N-QLD Military Medicine Conference 4 Aug 2007 By LCDR Bob Curtis, RAN.

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Presentation on theme: "Managing New Technology In the Military Health Paradigm N-QLD Military Medicine Conference 4 Aug 2007 By LCDR Bob Curtis, RAN."— Presentation transcript:

1 Managing New Technology In the Military Health Paradigm N-QLD Military Medicine Conference 4 Aug 2007 By LCDR Bob Curtis, RAN

2 Aim Ensure that new medical technology is introduced to ADF DHS based on efficacy, cost-effectiveness and evidence. Harness the advancement in medical technology for better clinical quality and patient satisfaction in service delivery.

3 “In a survey of 3 large hospitals in Houston, Tx with a combined bed capacity of about 1400 beds, the avg No of medical devices being used per bed has increased between 1982 to 2002 from 4 devices per bed to 17 devices per bed” IEEE Engineering in Medicine & Biology; Jun 2004

4 Technology Phases Cutting (sometimes bleeding) Edge State of the Art Advanced Mainstream Mature In Decline (Popper & Buskirk, 1993)

5 Class 8 (Health) Ref: ADFP 703 Management procedures for Medical & Dental materiel DMO HMLP Single Service Logistics Branches DNSDC

6 “There exists a significant relationship between flexibility, technology management and the various phases of technology management”. Khamba JS, Flexible Management of New Technology

7 Health Tech Innovators DSTO CSIRO ADF Capability Development Executive DHSD Capability Development Directorate RPDE (Rapid Prototyping, Development & Evaluation) Tertiary Institutions e.g. UQ Centre for Health Innovation Solutions (CHIS)

8 JP-2060 ADF Deployable Health Capability 4 Phases (so far) - 0 thru 3 ($ M) Phase 3 - Deliver optimum quality services for the prevention, treatment and evacuation of casualties by the adoption of a 'whole of system’ approach to the delivery of health support, addressing each of the following five Health Operating Systems: –preventive health; –treatment; –medical evacuation; –health information systems (C4IS); and – health services logistics.

9 JP-2060 ADF Deployable Health Capability Facilitator – Delivery Mechanism: –Defence Materiel Organisation Good or Bad? Tried & True! All Class 8 Health Logistics

10 Systematic but Innovative Managing Technology requires discipline Ability to think ‘laterally’ Combination of both concepts Systems Development Life Cycle (SDLC) “Delivering capability – not just equipment!”

11 SDLC Planning Phase Analysis Phase Design Phase Construction Phase Implementation Phase Post Implementation Review Maintenance

12 Rapid Applications Development Alternative to SDLC Phases: –Prototyping –Iteration –Time Limit (  requirement, not  deadline) –Rapid development (multiple players) –Practical acceptance as a key measure of success

13 RPDE model

14 Triple Helix model Involving Innovative Enterprises Create Innovative Environments Create Disruptive Technologies Accelerate Technology Advancements Promote Tech transfer and commercialisation Provide value US DoD TATRC

15 Systems Healthcare is a system of systems Now - even down to the nano-level! Equipment level (i.e. technology) – in very near future – all be systematised! Each item will be ‘networked’ with their own ‘IP’ address.

16 Systems Synergistic relationship of: –Doctrine –Human resources –Training –Facilities –Equipment (technology) For the best results!

17 System Examples Hospital Information Systems Electronic Patient Records Pathology analysers

18 System Examples Radiology processors & PACS In / Outpatient Pt data capture Ancillary services

19 In conclusion DMO – will remain lead Agency No requirement to ‘reinvent the wheel’ Improve the existing model Make it more dynamic & adaptive Greater awareness of ‘systematisation’ Cutting edge but not necessarily bleeding edge!!


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