03-11-16 Menu 1. What is Connected Health Cities? 2. What are the - PDF document

03-11-16 Menu 1. What is “Connected Health Cities”? 2. What are the elements of the programme? 3. What is specific to Greater Manchester? The Greater Manchester Connected Health City 4. What are the opportunities for business Niels Peek engagement? Director , Greater Manchester Connected Health City Health e-Research Centre Farr Institute of Health Informatics Research The University of Manchester GM Connected Health Ecosystem meeting, 3 rd November 2016 Health North Connected Health Cities • 2016 – 2019 Objectives : • £20m • social license to use health Health North • Four regions data for service redesign – Greater Manchester Powering UK Health and Wealth Transformation • produce actionable – North West Coast information from health data – Yorkshire and the Humber • accelerate business growth – North East and North Cumbria in the digital health sector • One coordinating centre • ~2 pathways per region Population densities: North England 2012 • Arks for clustering intelligence A proposal from the Northern Health Science Alliance How to learn: “virtuous cycles” What is a learning healthcare system? interpret Charles P. An integrated healthcare system which results Friedman harnesses the power of data and analytics to learn from every patient, and feed the analyse decision knowledge of “what works best” back to data support clinicians, public health professionals, a problem of interest patients, and other stakeholders to create cycles of continuous improvement. collect take data action Key metric: data–action latency Friedman C et al. Sci Trans Med 2010 Nov;2(57):57cm29. Friedman C et al. Sci Trans Med 2010 Nov;2(57):57cm29. 1

03-11-16 The LHS infrastructure is the platform Menu that supports learning 1. What is “Connected Health Cities”? Different Problems 2. What are the elements of the programme? 3. What is specific to Greater Manchester? 4. What are the opportunities for business engagement? Slower Cycle Rapid Cycle SUPPORTING PLATFORM Friedman C et al. Sci Trans Med 2010 Nov;2(57):57cm29. 13 CHC Programme elements Civic partnerships 1. Civic partnerships Informa(on Governance 2. Care pathway redesign projects Privacy Impact Assessment � 3. "Arks” for clustering intelligence Data sharing Agreements � 4. Learning health system methodology 5. Growth of the digital health economy Social Licence � for re-use of 
 health data � Public Ci(zens Engagement Portal #datasaveslives � Dynamic consent � Citizen Juries � Data feedback � Data Donation � Care pathway redesign projects “Arks” for clustering intelligence North West Coast North East & North Cumbria 2015: Dilute, Duplicated Data Processing 2020: Ark Integrated Data Processing Dementia and frailty • Alcohol misuse • Literature Literature Preventing unscheduled • Troubled families • One size fits all Raw Raw care in COPD • Forecasting emergency Data Data Policies Policies unplanned care Extract, clean, describe x 5 Extract, clean, describe x 1 Yorkshire and the Humber NHS Targeting Ark Greater Manchester • Urgent and emergency care Commissioning System • Antibiotic stewardship Public Involvement Healthier child growth • NHS Quality NHS Commissioning Intelligence Stroke • • Self-management care Transparent NHS Quality Intelligence Interface Public Health for frail older people • Community wound care Public Health Intelligence with Industry Intelligence Social Care Management Social Care Self-care and Personal Health Management For details see www.connectedhealthcities.org Research and Combinatorial Innovation Research and Innovation 2

03-11-16 Menu Greater Manchester • 2.7M people with low life 1. What is “Connected Health Cites”? expectancy and high inequalities 2. What are the elements of the programme? • £56 billion GVA (fasted growing city region) 3. What is specific to Greater Manchester? • £6 billion annual care budget 4. What are the opportunities for business • moved out of England’s economic engagement? control from April 2016 (“DevoManc”) • Farr Institute / HeRC • existing and emerging infrastructures for data sharing (Datawell, GM Connect) • Internet of Things demonstrator (CityVerve) GM-CHC Ark ARK Governance Secure Data Analy?cs Ark Offices, Board HeRC TRE DSCRO, Public Engagement HSCIC Space N3 Janet HAN N8 HPC - CityLabs Secure Remote Access Ops, Data Admin, NHS eLab Storage Mngmnt Data Archive Datawell Storage Virtual AAAI Machines NHS : NHS IGTK Virtual Spin –in space, eLab Machines TRE : PSN ISO27001 ISMS Industry co-lab 2 factor auth 2 factor auth -CityLabs Figure 1 Schematic of the GM CHC Ark Menu Opportunities for business engagement 1. What is “Connected Health Cites”? • Pre-competitive collaborative consortium 2. What are the elements of the programme? • Spin-in lab 3. What is specific to Greater Manchester? • Enrichment of care pathway redesign projects [ today ] 4. What are the opportunities for business engagement? 3

03-11-16 Opportunities for business engagement Opportunities for business engagement • Pre-competitive collaborative consortium • Pre-competitive collaborative consortium – Led by the CHC coordinating centre • Spin-in lab – E.g., interoperability / standard messaging – Specific to GM knowledge exchange – Controlled access to health data distributed ledger technology – Focus on product development and validation IMO-Salford Automation of Clinical Coding IMO-Salford Automation of Clinical Coding Aim: To automatically extract clinical codes from semi- structured and unstructured clinical texts William Dixon Hospital No. 0123456 Date/Time of Appt: 28 th July 2015 at 09:00 Organisations involved: Clinic: RHEUMATOLOGY Type of Appt: Follow_Up Intelligent Medical Objects Rheumatological Diagnoses: Osteoarthritis Salford Royal NHS Foundation Trust Fibromyalgia Anxiety and depression The University of Manchester Previous vitamin D deficiency Fractured R humerus 2010 Symptoms of CTS: NCS –ve No sign of inflammatory change on MR spine 2014 Pilot study: ANA +ve 1:1000 Non-Rheumatological Ischemic heart disease leading to ST • 100 outpatient letters from rheumatology unit elevation MI 2006 Diagnoses: Type II diabetes • semi-structured lists of diagnoses Migraine Restless legs Previously elevated LFTs ?cause • comparison with manual coding by clinical experts Medication: Naproxen Bisoprolol • narrative will follow later Simvastatin Amitriptyline 30mg Adcal D3 forte Mr Dixon attended the clinic today with ongoing symptoms of fatigue …. Opportunities for business engagement Partnership (or: Why bother?) • Pre-competitive collaborative consortium What you get from us: • Spin-in lab • Funded development of infrastructure to support learning health system • Enrichment of care pathway redesign projects [ today ] • Expertise in health informatics (data flow) – Specific innovations within selected care pathways • Expertise in data analytics – Focus on marketable/commissionable products – Should extend scope of projects • Expertise is decision support technologies – Will require investment from industry partner • Shared interests in digital health to support care – Soft procurement +/- NHS partnership 4

03-11-16 Thank you Niels Peek GM Connected Health City The University of Manchester, UK niels.peek@manchester.ac.uk @NielsPeek 5