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

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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


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The Greater Manchester Connected Health City

Niels Peek 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, 3rd November 2016

  • 1. What is “Connected Health Cities”?
  • 2. What are the elements of the programme?
  • 3. What is specific to Greater Manchester?
  • 4. What are the opportunities for business

engagement?

Menu

Objectives:

  • social license to use health

data for service redesign

  • produce actionable

information from health data

  • accelerate business growth

in the digital health sector

Health North

Health North

Powering UK Health and Wealth Transformation A proposal from the Northern Health Science Alliance

  • 2016 – 2019
  • £20m
  • Four regions

– Greater Manchester – North West Coast – Yorkshire and the Humber – North East and North Cumbria

  • One coordinating centre
  • ~2 pathways per region
  • Arks for clustering intelligence

Population densities: North England 2012

Connected Health Cities

An integrated healthcare system which harnesses the power of data and analytics to learn from every patient, and feed the knowledge of “what works best” back to clinicians, public health professionals, patients, and other stakeholders to create cycles of continuous improvement. Key metric: data–action latency

What is a learning healthcare system?

Charles P. Friedman Friedman C et al. Sci Trans Med 2010 Nov;2(57):57cm29.

How to learn: “virtuous cycles”

Friedman C et al. Sci Trans Med 2010 Nov;2(57):57cm29. a problem

  • f interest

collect data analyse data interpret results decision support take action

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The LHS infrastructure is the platform that supports learning

Friedman C et al. Sci Trans Med 2010 Nov;2(57):57cm29.

13

Different Problems Rapid Cycle Slower Cycle SUPPORTING PLATFORM

  • 1. What is “Connected Health Cities”?
  • 2. What are the elements of the programme?
  • 3. What is specific to Greater Manchester?
  • 4. What are the opportunities for business

engagement?

Menu

  • 1. Civic partnerships
  • 2. Care pathway redesign projects
  • 3. "Arks” for clustering intelligence
  • 4. Learning health system methodology
  • 5. Growth of the digital health economy

CHC Programme elements Civic partnerships

Informa(on Governance

Privacy Impact Assessment Data sharing Agreements

Public Engagement

#datasaveslives

  • Citizen Juries
  • Data Donation
  • Ci(zens

Portal

Dynamic consent Data feedback

Social Licence for re-use of 
 health data

North West Coast

  • Alcohol misuse
  • Preventing unscheduled

care in COPD Yorkshire and the Humber

  • Urgent and emergency care
  • Healthier child growth
  • Self-management care

for frail older people

Care pathway redesign projects

North East & North Cumbria

  • Dementia and frailty
  • Troubled families
  • Forecasting emergency

unplanned care Greater Manchester

  • Antibiotic stewardship
  • Stroke
  • Community wound care

For details see www.connectedhealthcities.org

2015: Dilute, Duplicated Data Processing 2020: Ark Integrated Data Processing NHS Commissioning Research and Innovation Public Health Intelligence Social Care Management Raw Data NHS Quality Intelligence Extract, clean, describe x 5 One size fits all Ark Public Involvement NHS Commissioning NHS Quality Intelligence Public Health Intelligence Social Care Management Self-care and Personal Health Raw Data Extract, clean, describe x 1 Combinatorial Research and Innovation Literature Policies Literature Policies Targeting System Transparent Interface with Industry

“Arks” for clustering intelligence

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  • 1. What is “Connected Health Cites”?
  • 2. What are the elements of the programme?
  • 3. What is specific to Greater Manchester?
  • 4. What are the opportunities for business

engagement?

Menu

  • 2.7M people with low life

expectancy and high inequalities

  • £56 billion GVA (fasted growing city region)
  • £6 billion annual care budget
  • moved out of England’s economic

control from April 2016 (“DevoManc”)

  • Farr Institute / HeRC
  • existing and emerging infrastructures for

data sharing (Datawell, GM Connect)

  • Internet of Things demonstrator (CityVerve)

Greater Manchester GM-CHC Ark

Figure 1 Schematic of the GM CHC Ark

ARK Ark Offices, Public Engagement Space

  • CityLabs

Secure Data Analy?cs HeRC TRE

Secure Remote Access

Governance Board

TRE : ISO27001 ISMS NHS : NHS IGTK Data Storage Virtual Machines NHS eLab Virtual Machines eLab

2 factor auth 2 factor auth

Data Storage Archive AAAI N8 HPC Janet HAN N3 Ops, Admin, Mngmnt

Spin –in space, Industry co-lab

  • CityLabs

DSCRO, HSCIC Datawell PSN

  • 1. What is “Connected Health Cites”?
  • 2. What are the elements of the programme?
  • 3. What is specific to Greater Manchester?
  • 4. What are the opportunities for business

engagement?

Menu

  • Pre-competitive collaborative consortium
  • Spin-in lab
  • Enrichment of care pathway redesign projects [today]

Opportunities for business engagement

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  • Pre-competitive collaborative consortium

– Led by the CHC coordinating centre – E.g., interoperability / standard messaging knowledge exchange distributed ledger technology

Opportunities for business engagement

  • Pre-competitive collaborative consortium
  • Spin-in lab

– Specific to GM – Controlled access to health data – Focus on product development and validation

Opportunities for business engagement

IMO-Salford Automation of Clinical Coding

William Dixon Hospital No. 0123456 Date/Time of Appt: 28th July 2015 at 09:00 Clinic: RHEUMATOLOGY Type of Appt: Follow_Up Rheumatological Diagnoses: Osteoarthritis Fibromyalgia Anxiety and depression Previous vitamin D deficiency Fractured R humerus 2010 Symptoms of CTS: NCS –ve No sign of inflammatory change on MR spine 2014 ANA +ve 1:1000 Non-Rheumatological Diagnoses: Ischemic heart disease leading to ST elevation MI 2006 Type II diabetes Migraine Restless legs Previously elevated LFTs ?cause Medication: Naproxen Bisoprolol Simvastatin Amitriptyline 30mg Adcal D3 forte Mr Dixon attended the clinic today with ongoing symptoms of fatigue ….

Aim: To automatically extract clinical codes from semi- structured and unstructured clinical texts Organisations involved: Intelligent Medical Objects Salford Royal NHS Foundation Trust The University of Manchester Pilot study:

  • 100 outpatient letters from rheumatology unit
  • semi-structured lists of diagnoses
  • comparison with manual coding by clinical experts
  • narrative will follow later

IMO-Salford Automation of Clinical Coding

  • Pre-competitive collaborative consortium
  • Spin-in lab
  • Enrichment of care pathway redesign projects [today]

– Specific innovations within selected care pathways – Focus on marketable/commissionable products – Should extend scope of projects – Will require investment from industry partner – Soft procurement

Opportunities for business engagement

What you get from us:

  • Funded development of infrastructure to support

learning health system

  • Expertise in health informatics (data flow)
  • Expertise in data analytics
  • Expertise is decision support technologies
  • Shared interests in digital health to support care

+/- NHS partnership

Partnership (or: Why bother?)

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Thank you

Niels Peek GM Connected Health City The University of Manchester, UK niels.peek@manchester.ac.uk @NielsPeek