Additionally, 43.7 percent achieved remission, compared to the 26.4 percent receiving traditional counselling.61. Provider organizations find novel ways to use HIT to tackle inefficiencies and improve quality. View in article, My Health Record, “What is My Health Record?” accessed September 5, 2019. Start-ups are utilising well-established devices from technology firms like Microsoft and ... › Url: https://pharmaphorum.com/views-analysis-oncology/digital-health-technology-has-potential-to-transform-cancer-care/ Go Now. View in article, Deloitte Center for Health Solutions interview with the SPARX team, May 15, 2019. She has spent more than 10 years in market research serving health care clients. The SPARX initiative has resulted in multiple successes. MHR started in 2012 as the Personally Controlled Electronic Health Record. View in article, Sofia Widén and William A. Haseltine, The Estonian eHealth and eGovernance system, ACCESS Health International, October 2015. Improve communication and coordination of care among members of a health care team and a patient. For instance, achieving interoperability requires changes in clinical documentation practices at the organization and user level, as well as complex interfaces among clinical IT systems, even when standards are in place. Australia and the Netherlands represent a more typical scenario where multiple legacy systems, EHR platforms, and organization-specific conventions have evolved as barriers to interoperability. The understanding of your business, clinical, and patient needs, and the role technology can play in meeting them is a foundation of Deloitte’s enterprise health systems work. Funded by the Prime Minister’s National Youth Mental Health Initiative, the SPARX app uses cognitive behavioral therapy to assist teenagers with mild to moderate depression and anxiety. The fee-for-service (FFS) model has been replaced with the value-based model of treatment, thanks to the Affordable Care Act. View in article, US Department of Health and Human Services, “HHS Acting Secretary declares public health emergency to address national opioid crisis,” press release, October 26, 2017. The CANImmunize app is designed to increase immunization rates and accuracy of immunization records in a fragmented system by giving individuals control of their records and equipping them with evidence-based information. Going forward, Sheba and Aidoc are exploring the use of AI in: Many countries are exploring AI’s potential in diagnostic imaging. England’s National Health Service (NHS) trialled a system in 2017 which prescribed apps to patients with chronic conditions such as chronic obstructive pulmonary disease (COPD) and gestational diabetes. Forty percent of all people and 80 percent of the chronically ill should have electronic access to their own medical records. NICTIZ’s research suggests changes in culture and care processes are needed to accelerate adoption of e-health:23, Despite the setback, as of 2016, 92 percent of health care providers were connected to AORTA, some 11 million Dutch people (almost two-thirds of the population) opted to having their health data shared among providers, and around 150,000 messages were exchanged daily.24, Patient centricity moved to the top of the e-health agenda in 2014, with ambitious goals set for completion by 2019:25. Three case studies showcase the potential of consumer engagement in improving outcomes. If scores remain low, the app prompts the player to use SPARX’s telephonic or text messaging service or seek face-to-face counselling. With providers, incentives and regulatory mandates are common approaches, whereas with consumers, opt-out is a good first step. Initially, mental health professionals were skeptical about SPARX’s effectiveness. › Url: https://www.fda.gov/medical-devices/digital-health-center-excellence Go Now. Consumers can authorize and restrict access for certain providers, restrict access to portions of the record, and close the record altogether. Stakeholders include doctors, patients, payers and providers. We found examples of public and private programs with demonstrated results that offer creative approaches to common problems or lessons for others. View in article, Riina Sikkut, “Learning from the Estonian e-health system." Now, EHR integration with the state’s Prescription Drug Monitoring Program makes it possible to know if a patient has received or sought opioid prescriptions elsewhere. Health information and digital technologies can help meet these challenges, support population health goals, improve consumer experience, and drive insights into health conditions. The CANImmunize app enables Canadian consumers to manage vaccination schedules for their families and navigate complex vaccination requirements across provinces. View in article, Scicchitano, “State of emergency.” View in article, Robert J. McDonald et al., “The effects of changes in utilization and technological advancements of cross-sectional imaging on radiologist workload,” Academic Radiology 22, no. And gamified e-therapy app (SPARX) helps improve emotional resilience among New Zealand youths with depression by teaching them how to apply learnings from the game to real-life situations. The MyMDA case study from Israel demonstrates that making individuals a part of the care team can increase the quality and efficiency of the emergency response. Initially, the e-health system had four major components: Availability of technical expertise, continued commitment from the government, and the public’s digital literacy and trust in the government enabled Estonia to realize its e-government vision. To assess clinical impact, AccuHealth conducted a study of 4,000 diabetics using its solution and measured A1c blood sugar and blood pressure levels at study start-up, monthly, and after a year. Due to long wait times for face-to-face counselling, SPARX is used to build emotional resilience before teenagers see a counsellor. Software developers spent weeks shadowing radiologists to understand their work, pain points, and communication flows. The following are common types of digital media. View in article, Ibid; SPARX team, email correspondence, June 2019. Health Details: Examples of Appropriate Digital Health and Wellness Limit the amount of time on the Internet and consideration to other responsibilities. When AI detects bleeding in the brain, that image pops up on a radiologist’s screen, pushing that case to the top of the work list so that the radiologist can review and confirm the diagnosis and return the results to the ordering physician, who can initiate immediate treatment. But the data in patients’ MHR gave pharmacists all the information necessary. Digital Health and Wellness Companies. Health Details: The following translation, excerpted from a Chinese government think tank report on China’s use of digital health technology to fight COVID-19, describes several examples of how PRC AI companies are using AI technology to improve COVID-19 prevention and treatment. View in article, Catholic Relief Services, Mapping mHealth Success: The ReMiND project, 2016, accessed September 5, 2019. Statistics services that use anonymized population-level data for public health research and policy recommendations. However, even with these tools, patients who self-monitored followed their protocol only 40 percent of the time. Virtual guides instruct players on how to apply these new learnings to feel better and solve problems in real life. View in article, Pim van der Beek, “Hoe staat het met het LSP?” Computable, September 21, 2016. The company has added a full-time psychologist and nutritionist to provide holistic care. Availability of evidence, proof of effectiveness, Size of the health system, size of the population affected, Public health impact, either current or potential, The initiative is part of a comprehensive population health strategy as opposed to a one-off effort; there is commitment to sustain and scale the initiative. In parallel, we performed additional secondary research to supplement findings from the environmental scan. Deloitte refers to one or more of Deloitte Touche Tohmatsu Limited, a UK private company limited by guarantee ("DTTL"), its network of member firms, and their related entities. View in article, My Health Record, “What is in a My Health Record?” View in article, Rainer Thiel et al., #SmartHealthSystems, Bertelsmann Stiftung, November 2018, p. 71. See Terms of Use for more information. has been removed, An Article Titled Digital health technology 6 (2016): p. 143. Global case studies of health care transformation. This includes recognizing some of the limitations of modern technology. Due to the generational nature of the SPARX user base, the marketing approach needs to keep up with teenagers’ evolving media preferences. Care will shift away from illness to prevention and well-being. Health Details: For one example, wearable digital technology will start to enter the mainstream market and begin generating vast amounts of new consumer data from which companies will be able to draw new meaningful insights. Deloitte envisions that health care of the future will be different from today’s in three distinct ways: Our research lends support to Deloitte’s view of the future of health. Digital health is the use of digital technologies and accessible data, and the associated cultural change it induces, to help New Zealanders manage their health and wellbeing and transform the nature of health … 1 (2011): pp. At the Sheba Medical Center in Israel, efficiencies created by AI support quality improvement by prioritizing critical cases in the radiologists’ workflow, reducing time to treatment and improving outcomes for patients with critical pathologies. Geisinger may be in a better position than others to absorb the added cost, as most of its patients are customers for life and 40 percent are also insured through Geisinger. The CVC is a standardized vaccine terminology and regularly updated database of all vaccine products in Canada that can translate vaccine information for EHRs and information systems used by different provinces. The medical center looked to AI to improve efficiency. Trained as paramedics and first-aids,56 first responders use their own transport and typically take less than five minutes to arrive, which is several minutes before the ambulance.57. Mobile health technology also faces some of the same issues of privacy and data ownership as other digital health innovation. Get the Deloitte Insights app. Visit website Using laptop computers on a surface that would hinder a person's posture (ex: bed) Examples of Appropriate Digital Health and Wellness. MDA can identify other MyMDA users carrying emergency medicines (such as EpiPens or insulin). Completed in 2011, AORTA contained records of one in two Dutch patients.22 However, in response to political pressure, the system moved from patient opt-out to opt-in, the records collected up to that point had to be destroyed, and the responsibility for e-health implementation was transferred to the industry. To support interoperability, all three countries have implemented a system of unique IDs for patients, providers, and organizations, as well as strict authentication rules. The term “digital health” broadly describes the technologies and networks used by all stakeholders in the healthcare delivery ecosystem to enhance collaboration and individual wellness, and reduce overall costs. Initiatives in this section are early experiments that target large segments of the population and demonstrate the potential of mobile technologies to meet population health goals, by actively engaging and empowering consumers. The digital healthcare ecosystem must include well-designed and effective apps like mySugr, if self-managed healthcare is going to be more than a buzzword. With 140 deaths per day from drug overdoses, the US Health and Human Services declared the opioid epidemic a public health emergency in 2017.33 In the years that led up to it, it had become increasingly apparent that prescription opioids played a big role.34 In 2012, the Geisinger health system, serving more than 1.5 million patients in Pennsylvania and New Jersey, decided to take a close look at the prescribing patterns of its own physicians. We supplemented this final set with three mini-examples (see sidebar, “AI in diagnostic imaging shows promise around the world”) identified during the environmental scan. This study would not have been possible without our research participants who graciously agreed to being interviewed and were generous with their time and insights. In the United States, for example, caring for individuals with chronic conditions accounts for up to 66 percent of all national health care expenditures and 98 percent of total Medicare expenditures.8. Building its e-health system from the ground up, before providers had a chance to invest in their own electronic systems, Estonia may have benefited from early adoption. Results showed a 1.5-point reduction in A1c from the sixth month onward. Deloitte provides strategic advice, offers insight from heath care subject matter professionals, and helps make certain that you not only select the right technology for you, but that it’s implemented and managed in the most efficient and effective way possible. Israel’s emergency response service (MDA) has built a suite of apps to match a user in an emergency with emergency response teams, trained volunteers able to reach the scene before the ambulance, and with other people who carry emergency medicines the consumer in emergency may need. Stephanie has worked closely with eminent health and research institutions on complex planning, clinical, financial and operational transformation programs and on large scale technology implementations. These three examples represent the best of them. In the future, CANImmunize has the potential to improve vaccination rates and surveillance among adults, and serve as a digital immunization passport. In the context of this Global Strategy, Digital Health is understood to mean “the field of knowledge and practice associated with any aspect of adopting digital technologies to improve health… Initial criteria were: Novel, interesting use of technology, future orientation, Variability of types of technology and data sources, diseases/conditions, inpatient and outpatient focus, types of stakeholders involved (private, public, academic, etc. Teenagers sign up and play as avatars exploring a 3D world to complete quests, meet new characters, play mini-games, and solve puzzles. Ongoing public awareness campaigns serve as reinforcement. to receive more business insights, analysis, and perspectives from Deloitte Insights, Telecommunications, Media & Entertainment. Examples of such technology include apps, telemedicine, electronic medical records, ‘connected medicine’ and ‘smart homes’. View in article, Sally N. Merry et al., “The effectiveness of SPARX, a computerised self help intervention for adolescents seeking help for depression: Randomised controlled non-inferiority trial,” BMJ 344, (2012). › Url: https://www.ahrq.gov/ncepcr/tools/health-it/index.html Go Now. Australia’s move from opt-in to opt-out was a solid course correction that should lead to higher usage, whereas the Netherlands may see a decline in usage after switching to an opt-in model.14 To gain public and political support for opt-out, legal and technological safeguards of data privacy and security are necessary. AccuHealth estimates this translates into a 20–40 percent decrease in medical complications for chronic patients and a 30 percent decrease in costs over the next 10 years.12, AccuHealth reports its solution has led to a 32 percent reduction in inpatient and 15 percent reduction in emergency visits in a payer’s population. Artificial intelligence (AI), blockchain, voice search, chatbots and virtual reality (VR) are among the most promising health technologies in 2020. The Centers for Disease Control and Prevention has also ... › Url: https://www.covingtondigitalhealth.com/2020/03/the-potential-benefits-of-digital-health-technology-in-managing-covid-19/ Go Now. We have organized the case studies in three sections, according to the future of health themes that they represent best: For each case study, we also highlight the nontechnological enablers that contributed to the success. After applying the criteria below, our set had 15 examples. While ReMiND was implemented at the community level, its benefits are potentially replicable at all levels of the health system (community, district, state, or even national). An overall vision, strategy, and specific goals should be clearly defined for a technological solution to be successful. Health Details: Health technologies encompass all the devices, medicines, vaccines, procedures and systems designed to streamline healthcare operations, lower costs and enhance the quality of care. ReMiND has two key components that strengthen community-level systems around maternal and newborn health: In the first two years since the launch of ReMiND, 15 percent more pregnant women received a visit from an ASHA, and the percentage of low‑performing ASHAs decreased from 61 to 19 percent between 2011 and 2013.6 After the introduction of the app, women were 28 percent more likely to receive a counseling visit from ASHAs on twice as many topics.7. How Technology Can Transform Digital Services. With controls in place to minimize the risks for new addictions, the focus is shifting to treatment, which may prove the biggest challenge yet. Unlike traditional disease management companies, AccuHealth performs real-time remote monitoring, as its AI stratifies patients to ensure that health coaches focus on high-risk patients and those in immediate need of intervention. But once a health coach called and nudged them, adherence doubled to 80 percent, typically within one hour of an out-of-range reading. In doing so, we begin to see some of the possible features and capabilities for a health system of the future. For the supervisors, the app serves as a tool to monitor ASHAs’ workloads and identify performance gaps so they can help ASHAs close those gaps. Read a brief version from Deloitte Review, issue 27, Create a custom PDF or download the issue, Go straight to smart. View in article, Empirica, “Estonian EHR case study,” Pro-eHealth, accessed September 5, 2019. This change in the treatment model explains the immense inflow of investments in a number of digital healthcare companies. 3. Health Details: Digital health has a special suite of security challenges most industries don’t face such as keeping up with HIPAA compliance and being able to securely collect, transfer, and analyze patient and health data. AccuHealth runs five full-scale and 10 pilot programs across five provinces and intends to expand its reach to 100,000 Chileans in the medium to long term, by working with more public and private payers. It took one or two years of clinician education for things to start changing. Radiologists serve internal clients, such as physicians in the ER and other departments, and imaging test results affect those physicians’ workflow. The project team thanks Deloitte practitioners from the global firm for their support: Rohan Hammett and Ellen Derrick in Australia; Murilo Salomao Barini and Enrico Moraes De Vettori in Brazil; Michael Partridge in Canada; Antonio Martinez Colorado in Chile; Veiko Hintsov in Estonia; Arod Balissa in Israel; Mathieu Van Bergen and Merik Seven in the Netherlands; Thorsten Engel in New Zealand; Hisham Badaruddin and Kavita Rekhraj in Singapore; Bon Oh in South Korea; Karen Taylor, Francesca Properzi, Peter Wallace, and Sara Siegel in the UK; and Jeff Kannas in the United States. View in article, Geisinger, “Multidisciplinary pain management program (MPP),” accessed September 5, 2019; Daniel D Maeng et al., “Impact of a multidisciplinary pain management program on patient care utilization and cost of care,” Journal of Pain Research, 11: 2,375–83 (October 2018), DOI: 10.2147/JPR.S177231. With 75 percent of patient care involving imaging and a conventional first-in-first-out workflow, radiology became the bottleneck, delaying diagnosis and treatment.41. Between 45 and 60 percent of health care providers are unaware of their organizations’ e-health vision or concrete objectives on usage and deployment. Emergency medical teams (EMT) across the world spend considerable time—a crucial resource in emergency situations—to gather this information, which leads to a delay in emergency response.53, Magen David Adom (MDA), Israel’s national emergency service, built a mobile app known as MyMDA to increase its efficiency in emergency responses. Health Details: Telehealth is the use of digital information and communication technologies, such as computers and mobile devices, to access health care services remotely and manage your health care. People requiring care at home should be able to communicate with their provider 24 hours a day via a screen. › Url: https://healthadvances.com/digital-health/ Go Now. With physician education aimed to encourage pain management approaches that do not rely heavily on opioids,37 opioid prescriptions fell from 60,000 per month in 2014 to 31,000 in 2017 and to under 22,000 in 2019.38 This would not have been possible without the organization’s dashboard obsession, powered by cradle-to-grave health data and the ability to turn that data into usable information. © 2020. › Url: https://www.beckershospitalreview.com/healthcare-information-technology/10-biggest-technological-advancements-for-healthcare-in-the-last-decade.html Go Now. Mobile health technology also faces some of the same issues of privacy and data ownership as other digital health innovation. View in article, Deloitte Center for Health Solutions interview with AccuHealth executive, April 29, 2019. Figure 1 offers a geographic snapshot of the featured case studies. Two examples hospital systems, from the United States (Geisinger) and Israel (Sheba), boast large improvements in quality and efficiency through traditional analytics and AI. The added value is unclear: While half of all consumers would like access to their medical records, two in three physicians experience or expect negative effects from such access. Timely emergency medical response is often hampered by a lack of critical information, such as the precise location of the emergency, the patient’s medical history, and a clear understanding of the nature of the emergency. › Url: http://www.differencebetween.net/technology/difference-between-ehealth-and-digital-health/ Go Now. Health Details: The classification of digital health interventions (DHIs) categorizes the different ways in which digital and mobile technologies are being used to support health system needs. Making the move promises a higher calibre of care across the board. After its initial launch in Ontario, the app was rolled out nationally in 2014, with support from the Public Health Agency of Canada. Health Details: The health sector is living a real digital revolution with the inclusion of technology in all its processes. The EHR also limits the quantities and doses for new opioid prescriptions.39. Usage has been low among Pacific Island youths, another indigenous population impacted by poor mental health. Health information and digital technologies are helping to create the necessary foundation for the future of health. Together with other organizational capabilities, technology can help improve behaviors, augment our thinking, and optimize processes, leading to better health and lower costs. With Aidoc, a technology startup, the team focused on time-sensitive and potentially life-threatening conditions that can benefit from a quicker diagnosis.42 They started with brain imaging. › Url: https://www.medicalnewstoday.com/articles/negative-effects-of-technology Go Now. The SPARX mobile game from New Zealand reveals how youth engagement can drive improvement in mental health. A basic mHealth application has elevated community health worker performance and contributed to significant improvements in maternal and infant health outcomes in India’s rural communities. View in article, World Health Organization regional office for Europe, “E-health in practice,” October 3, 2016. DTTL and each of its member firms are legally separate and independent entities. An opt-out approach has been shown to increase adoption. Health Details: The combined market of mobile health apps, mobile solutions via connected devices (such as cardiac monitoring, diabetes management devices), health and wellness apps (focusing on exercise, weight loss, women’s health, sleep and meditation) and medical reference apps is expected to grow to $20.7 billion by 2018. As of 2018, only 2 percent of all patients had online access to the patient records kept by their GP, and 8 percent for medical specialists. Voice search. The Deloitte Center for Health Solutions extends special thanks to Lucien Engelen, David Betts, Neal Batra, Hanna Patterson, Jamie Baron, Ellen Gartner Philips, and Elizabeth Docteur for their expertise, support, and guidance. Health Details: Digital health is one of the most popular verticals in tech right now. View in article, Matt Sloan, “MDA becomes sole dispatcher for all first responders in Israel,” American Friends of Magen David Adom, January 22, 2019. It can cover everything from... › Url: https://www.zdnet.com/article/what-is-digital-health/ Go Now. Marc serves as a leader in Deloitte’s Digital Care and Enterprise Resource Planning (ERP) practices and is a Global Business Development leader for the US member firm. Upon arrival, the EMT team replaces their medicine. Systemwide platforms are huge undertakings, particularly in view of numerous legacy systems that impede interoperability, and certain basic capabilities must be in place to create a foundation for data-sharing. These three examples represent the best of them. Health Details: DTx products present the market with evidence-based technologies that have the ability to elevate medical best practices, address unmet medical needs, expand healthcare access, and improve clinical and health economic outcomes. View in article, Deloitte Center for Health Solutions interview with an Australian Digital Health Agency official, May 23, 2019. CHI’s 2nd Annual Digital Biomarkers: Biosensors, Wearables, and mHealth conference will focus on the clinical utility of cutting-edge biosensor technology and its impact on drug development. Health Details: What is eHealth? For both organizations, several important factors contributed to success: an integrated data and analytics infrastructure already in place; clearly defined goals a new solution would meet; culture that supports innovation and data-driven decision-making; and change management—such as user engagement, education, and feedback—to help achieve desired behavior change. › Url: https://healthcareweekly.com/health-technologies/ Go Now, Health Details: Learn about digital health (mHealth, eHealth, etc) multi-disciplinary domain involving frontline health workers, technologists, and government staff using information and communication technologies (ICT4D) to address problems, challenges in developing country Ministry of Health healthcare systems, › Url: https://www.ictworks.org/tag/digital-health/ Go Now. Details: Examples of such technology include apps, telemedicine, electronic medical records, ‘connected medicine’ and ‘smart homes’. View in article, Cho Mu-Hyun, “Samsung applies AI to medical imaging,” ZDNet, November 26, 2018. Deloitte has the largest professional services health care practice in the world. Remote monitoring enables interventions almost in real time: Health coaches contact monitored patients within one to four hours of an abnormal biometric reading. What has been missing is a clear road map for making this vision a reality—until now. Leadership commitment to clinical quality and public health, Public support grounded in digital and health literacy and trust in institutions. As technology becomes more powerful and pervasive, HIT departments inside leading health care organizations are evolving from a supporting to a strategic function, enabling the foundational changes that can support future models of care. digital health platforms, › Url: https://www.digitalauthority.me/resources/state-of-digital-transformation-healthcare/ Go Now, › Get more: Digital health platformsShow List Health, Health Details: Digital health technology: Global case studies | Deloitte . Of this research, project management, and augmented and virtual reality a user-friendly interface for ASHAs and supervisors... How to apply these new learnings to feel better and solve problems in real time: LifeShow! Monitor adherence smartphones sold in corresponding geographies lessons for others user base, the EMT team replaces medicine! Prescribing behavior the EMT team replaces their medicine more effectively monitor and manage the coronavirus.. 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