Technology for Preventative Healthcare David Carty, Product Owner, - - PowerPoint PPT Presentation

▶
technology for
SMART_READER_LITE
LIVE PREVIEW

Technology for Preventative Healthcare David Carty, Product Owner, - - PowerPoint PPT Presentation

Jun 19, 2023 169 likes •508 views

Technology for Preventative Healthcare David Carty, Product Owner, CM2000 Adrian Smales, PhD Researcher, Edinburgh Napier University Technological Changes The journey so far . Introductions with Interface as the conduit

slide-1
SLIDE 1

Technology for Preventative Healthcare

  • David Carty, Product Owner, CM2000
  • Adrian Smales, PhD Researcher, Edinburgh Napier University
slide-2
SLIDE 2

Technological Changes

slide-3
SLIDE 3

The journey so far….

  • Introductions with Interface as the conduit organisation to various

Universities, Edinburgh Napier was selected and relationships commenced with their School of Computing

  • Digital Health & Care Institute (DHI) e-Frailty project across 2016

researching risk prediction & early intervention through the use of wearables

  • Continuation of DHI funding for e-Frailty research supporting medical view of

non-medical device data

slide-4
SLIDE 4

What we are using…

MEASUREMENTS:
  • Weight
  • Segmental body fat %
  • Segmental muscle mass
  • Body fat % (age 5 – 99 years)
  • Healthy body fat indicator
  • Total body water %
  • Muscle mass in kg
  • Bone mineral mass
  • Visceral fat indicator
  • Daily Calorie Intake
  • Metabolic age
  • BMI
slide-5
SLIDE 5
slide-6
SLIDE 6

Edinburgh Napier University

Adrian Smales, BEng(Hons), MBA PhD Research Student

#technologytoprevent

slide-7
SLIDE 7

Demographics

Image: https://d2v4zi8pl64nxt.cloudfront.net/1334098615_034ecf98fb8442224372017246526c9b.gif
slide-8
SLIDE 8

Population Demographics

Projected change in proportion of population aged 75 and over from 2010 to 2035 taken from National Records for Scotland inquiry submission to the Scottish Parliament Finance Committee, 2013. 2nd Report, 2013 (Session 4): Demographic change and an ageing population, The Scottish Parliament.
slide-9
SLIDE 9

Demographic and Societal Challenges

slide-10
SLIDE 10

Homeostatic Stasis

Old (simple) diagram New “Dynamic” Diagram

slide-11
SLIDE 11

Risk Stratification Abstraction

High Level Metrics Metrics Mood Device Question Data Body Fat (%) Muscle Mass Bone Mass Body Mass Index (BMI) Daily Calorie Intake (DCI) Metaboli c Age Body Water (%) Visceral Fat Weight Grip Strength Reading 1 Grip Strength Reading 2 Grip Strength Reading 3 Date Resting Sitting Low medium high Total sleep restfull sleep Restless sleep inactivity stamps Distance walked Steps taken How is service user feeling today Heart rate BPM R-R Interval (ms) IoRN v2 score Beginnin g IoRN v2 score Middle IoRN v2 score End Mobility Daytime Activity Wellness/ Frailty Body Composition Grip Strength Cardiac Activities of Daily Living Performance Sleep Pattern Activity Level Physical Condition CM2000 InForms Tanita Scales Grip strength meter H7 Polar loop

Trust Level

  • Tier 1 – Mandatory Public Sector Data Stores
  • Tier 2 – Personal Data store (Devices, IoT, Non-Medical equipment)
  • Tier 3 – Personal Data store (Subjective information, how do you feel?)
slide-12
SLIDE 12

Wellness/Frailty Scale - Physical Condition

High Level Metrics Metrics Device Data Body Fat (%) Muscle Mass Bone Mass Body Mass Index (BMI) Daily Calorie Intake (DCI) Metaboli c Age Body Water (%) Visceral Fat Weight Grip Strength Reading 1 Grip Strength Reading 2 Grip Strength Reading 3 Date Body Composition Grip Strength Physical Condition Tanita Scales Grip strength meter
slide-13
SLIDE 13

Wellness/Frailty Scale - Activity Level

Mo Qu th ng Date Resting Sitting Low medium high Total sleep restfull sleep Restless sleep inactivity stamps Distance walked Steps taken H se f Mobility Daytime Activity

Wellness/ Frailty

Sleep Pattern Activity Level Polar loop
slide-14
SLIDE 14

Wellness/Frailty Scale - Performance

Mood

Question Steps taken How is service user feeling today Heart rate BPM R-R Interval (ms) IoRN v2 score Beginnin g IoRN v2 score Middle IoRN v2 score End

y Cardiac Activities of Daily Living Performance

CM2000 InForms H7
slide-15
SLIDE 15

E-Frailty Research Analysis – Identifying Risk

The Story of Person 10 #technologytoprevent

slide-16
SLIDE 16
slide-17
SLIDE 17

InForm Assessment Builder / CMBI

  • Assessment developed to capture

Tanita scale information

  • Assessment developed to capture

Strength Grip information

  • IoRN 2 information captured directly via

an InForm assessment

  • Data extracted and presented within CMBI for

Provider and Service User/Family members

slide-18
SLIDE 18

E-Frailty Results

slide-19
SLIDE 19

Using Quantitative Monitoring Data – person 10

D a t e
  • f
v i s i t P l a n n e d s t a r t t i m e p l a n n e d e n d t i m e P l a n n e d d u r a t i
  • n
A c t u a l S t a r t t i m e A c t u a l e n d t i m e A c t u a l d u r a t i
  • n
1 / 3 / 2 1 6 1 7 : : 1 7 : 3 : 3 1 7 : 2 4 : 3 5 1 7 : 4 8 : 1 6 2 4 2 / 3 / 2 1 6 9 : : 9 : 3 : 3 8 : 4 9 : 7 8 : 5 9 : 5 1 3 / 3 / 2 1 6 9 : : 9 : 3 : 3 1 : 1 : 2 2 1 : 2 8 : 3 1 1 8 4 / 3 / 2 1 6 1 7 : : 1 7 : 3 : 3 1 7 : 1 5 : 1 7 1 7 : 3 1 : 1 2 1 6 5 / 3 / 2 1 6 1 7 : : 1 7 : 3 : 3 1 7 : 1 : 2 7 1 7 : 1 4 : 5 6 1 3 6 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 1 8 : 5 7 9 : 4 4 : 1 6 1 8 7 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 1 : 1 7 9 : 2 6 : 7 1 6 8 / 3 / 2 1 6 1 7 : : 1 7 : 3 : 3 1 7 : 5 5 : 2 8 1 8 : 1 2 : 1 3 1 7 9 / 3 / 2 1 6 9 : : 9 : 3 : 3 1 : 3 : 2 7 1 : 4 8 : 5 9 1 8 1 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 1 5 : 6 9 : 3 4 : 3 5 1 9 1 1 / 3 / 2 1 6 1 7 : : 1 7 : 3 : 3 1 7 : 4 7 : 4 1 8 : 2 : 2 3 3 3 1 2 / 3 / 2 1 6 9 : : 9 : 3 : 3 1 : 1 4 : 3 7 1 : 4 2 : 2 8 2 8 1 3 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 7 : 2 4 9 : 3 9 : 4 1 3 2 1 4 / 3 / 2 1 6 1 7 : : 1 7 : 3 : 3 1 8 : 4 6 : 1 9 : 1 : 1 1 5 1 5 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 5 9 : 2 2 1 : 3 4 : 7 3 5 1 6 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 3 9 : 5 3 9 : 5 5 : 1 3 1 6 1 7 / 3 / 2 1 6 1 7 : : 1 7 : 3 : 3 1 8 : 2 : 3 9 1 8 : 1 5 : 4 5 1 3 1 8 / 3 / 2 1 6 9 : : 9 : 3 : 3 8 : 3 4 : 1 3 8 : 4 8 : 4 1 4 1 9 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 5 9 : 2 7 1 : 2 7 : 2 3 2 8 2 / 3 / 2 1 6 9 : : 9 : 3 : 3 1 : 1 5 : 3 2 1 : 3 6 : 1 4 2 1 2 1 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 2 8 : 5 5 9 : 5 8 : 1 4 3 2 2 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 3 3 : 5 1 9 : 5 6 : 2 2 3 2 3 / 3 / 2 1 6 1 7 : : 1 7 : 3 : 3 1 7 : 2 : 3 3 1 7 : 1 4 : 5 1 2 2 4 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 1 : 1 3 9 : 3 6 : 2 9 2 6 2 5 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 4 3 : 4 9 1 : 1 2 : 4 3 2 9 2 6 / 3 / 2 1 6 1 7 : : 1 7 : 3 : 3 1 8 : 3 1 : 1 1 1 8 : 4 7 : 1 1 1 6 2 7 / 3 / 2 1 6 9 : : 9 : 3 : 3 9 : 3 : 6 9 : 5 4 : 1 7 2 4
slide-20
SLIDE 20

Risk Identification

  • Identification of client who was significantly de-hydrated
  • Identification of risk trends through client weight loss
  • Identification of client restlessness at night therefore ongoing risk during the day
  • Reduction in muscle mass
  • Reduction in strength grip
  • Increasing risk identified by the client themselves
slide-21
SLIDE 21

Target Patient Groups - Where Risk Identified

  • Known fallers
  • Patients going through a reablement process
  • Patients on the periphery with some low level telecare equipment e.g.

community alarm

  • Younger adults with mental health /memory problems
  • Learning Disability/ Supported Living where the challenge has been in

a person expressing how well / unwell they are feeling

slide-22
SLIDE 22

Technology to Support

David Carty, CM2000

#technologytoprevent

slide-23
SLIDE 23

Working in partnership with:

  • East Dunbarton Health & Social Care Partnership
  • Inverclyde Health & Social Care Partnership
  • West Lothian Health & Social Care Partnership
  • Dumfries & Galloway Health & Social Care Partnership
  • NHS Highland
  • HRM Home Care
  • Loreburn Housing Association (Dumfries & Galloway)

Advanced Risk Modelling for Early Detection

slide-24
SLIDE 24

CM2000’s Analytical Platform

slide-25
SLIDE 25 Recipient Reports CMBI InForm Builder Smart Devices Tanita Scales & Grip Strength Service User / Citizen Polar Loop Smart Devices Flags Service User Citizen Family Member Practitioner
slide-26
SLIDE 26
slide-27
SLIDE 27
slide-28
SLIDE 28
slide-29
SLIDE 29
slide-30
SLIDE 30
slide-31
SLIDE 31

PLAY

slide-32
SLIDE 32

Q&A

Technology for Preventative Healthcare #technologytoprevent

slide-33
SLIDE 33

Thank you!

#technologytoprevent

Contact: brian.brown@cm2000.co.uk www.cm2000.uk