1. Innovative Practice In Using ICT Working Together To Improve The Patient Journey Dr Roy Harper Consultant Physician and Endocrinologist The Ulster Hospital (SET) Visiting Professor, School of Computing and Mathematics, University of Ulster

2. I Cant Function Now Without ICT

3. Passionate About ? e-health / telehealth / telemedicine will transform healthcare (chronic disease) Admired exemplars Feel for this future Pilots up and running Integrating new approaches into clinical care Developing and testing prototypes

4. University of Ulster Faculty of Computing & Engineering School of Computing and Mathematics Using ICT effectively to enhance patient care In collaboration with -

5. Diabetes in the UK is Increasing Adapted from: 1. Diabetes UK. Diabetes in the UK 2004. Diabetes UK, London, 2004. 2. Diabetes UK. State of the Nation 2005. Diabetes UK, London, 2005. EHSSB 3.1% Ards 3.4% North Down 2.9%

6. The News is Good Complication rates can be reduced using current treatments Shortfall in life expectancy can be reduced Patient self-management is the key Supported by well organised local diabetes care services

7. The Answer Lies in Self- Management Patient Empowerment through Patient Education & Training leading to Patient Experts Reliable up-to-date information and regular feedback on progress – essentials in enabling effective self-care in diabetes

8. The Challenge of Diabetes Sheer numbers Care now complex Too little time No intensive ongoing input / support Large amounts of self care data but………… Limited ability to achieve therapeutic targets Infrequent therapeutic interventions

9. ICT can help in so many ways Supporting Patient Education Direct Patient Monitoring and Support Clinical Information and Management Systems Promoting Healthy Living / Disease Prevention

10. Patients increasingly need (and demand) ready access to feedback on their progress with advice from HCPs Ongoing Support and Regular Feedback on Progress

11. Home (self) monitoring technologies can transform episode driven health services into a relationship based continuum of care E A Balas 1999

12. Evidence that Telehealth works? Improves outcomes - prevents hospitalisation, improves QOL, improves health status Economically viable Improves patient (and HCPs) satisfaction The time for pilots is over

13. Transformation from Industrial Age Medicine to Information Age Connected Healthcare Source: Adapted from Malaysian Telemedicine Blueprint Industrial Age MedicineInformation Age Medicine Transformation Through Cost-Effective Use of Information & Communication Technologies Person Community Primary Secondary Tertiary Individual Self-Care Friends and Family Community Networks Professionals as Facilitators Professionals as Partners Professionals as Authorities

14. Lets Develop Better Solutions Diabetes portal – web Virtual diabetes clinic Linked (intrinsic) Glucometer E-glucose diary with feedback Store and forward Decision support Alerts to carers / HCPs Physical activity monitor Medication reminders Phone, Music, Camera, Health Monitor Etc…..

15. Lets Get Connected See e-health / telehealth / telemedicine transform healthcare (chronic disease) Share the feel for this future Stop talking about getting pilots up and running Integrate new approaches into clinical care Develop, test, and promote better solutions Seek out collaborators Seek out support Share our expertise

16. Thanks For Your Attention Jonathan Wallace jg.wallace@ulster.ac.uk Roy Harper roy.harper@setrust.hscni.net