The eHealth Industry Project

1
The e-Health Industry Project Bringing
Innovations to Market - Examples in Action - Dr.
Penny Jennett Project Lead Brandon Powell
Project Manager TESS Seminar June 29, 2006
www.ehealthindustry.com
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Overview

• Introduction and Background
• Members, Services, Customers
• Value Chain Return on Investment
• Evaluation and Impact
• Impact Studies
• Prototype testing Proof of concept
• Field trials
• Evaluation
• Progress and ongoing work
• Summary

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The e-Health Industry Project Our Mission

• To be a catalyst in connecting industry with
  health/wellness decision-makers to help bring
  industry products closer to market and assist the
  health/wellness sector in finding high tech
  solutions.

Funding Sources AIS WED
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Business Concept

• Concept
• Bridging the industry and health sectors
• Connecting business-to-business
• Enabling small to medium sized e-health
  businesses to move more readily to the e-health
  market
• Informing industry and key health decision/policy
  makers regarding the impact, use, safety,
  feasibility and sustainability of e-health
  solutions

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The e-Health/Industry Project Team

• Dr. Penny Jennett, Project Director
• Brandon Powell, Project Manager
• Trish Hafra, Project Coordinator
• Elisia Teixeira, Impact Studies Coordinator
• Terri Brophy, Volunteer

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Advisory Committee Representatives

• Alberta Innovation and Science Ken Langhorn,
  Director Technology Commercialization
• Western Economic Diversification Archana Singh,
  Senior Business Officer
• Alberta Health Wellness - Sharlene Stayberg,
  Director Telehealth
• Calgary Health Region William Trafford,
  Vice-President Advanced Technology
• Kerby Centre Pat Allen, CEO
• Canadian Healthcare Information Technology Trade
  Association (CHITTA) -
• Al Hildebrant, Representative
• Meta4hand Frank Wong, President
• Dynastream Innovations Inc. Paul Lockington,
  Account Manager Commercial Team
• Elluminate, Inc. Shakeel Hirji, Vice-President
  Business Development
• Health System, Policy, and Technology Linkage -
  Dr.Eldon R. Smith
• Alberta Science and Research Authority -
  Dr.Marvin Fritzler
• Calgary Technologies Inc. John Masters,
  President
• University of Calgary Dr.John Toews,
  Co-Interim Director, HTU
• - Dr.Dennis Salahub, Vice-President
  Research

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Services

• Customers Industry, Public Sector, Research
  Community
• Unique Niche and Service
• e-Health networking, brokering and information
• e-Health showcase opportunities demos,
  workshops, static and interactive displays
• Impact Studies
• Prototype Testing
• Field Trials
• Office space rental

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e-Health Industry Project MembershipJune 13,
2006 44 Industry Members and growing
www.ehealthindustry.ca

• Small Business Membership (21)
• lt 100 employees within Alberta
• Canadian Sleep Institute
• Clarity
• Clinicare
• Dynastream Innovations
• Elluminate
• EMIS
• Filbitron West
• Great Big Solutions
• IRIS Systems
• Med Access
• Meta4hand
• Microquest
• National Medical Solutions
• Nightingale
• NT Consulting
• Practice Solutions Software
• Teilhard Technologies

• Small Business Membership (15)
• lt 100 employees outside Alberta
• Bankix Systems
• Branham Group
• Campana Systems
• Coronaria Feedback Oy
• Digital Group of Telehealth Companies
• Even Technologies
• Identita Technologies
• KATSI Canada
• Med2020 Healthcare Software
• MedShare
• Momentum Healthware
• PHD Medical
• VaaSah
• VIQ Solutions
• Xact Solutions Group

• Corporate Membership (8)
• gt 100 employees
• Bell Mobility
• CGI
• Lifeline Systems Canada
• Pfizer Canada
• Siemens Canada
• Sony of Canada
• Stryker Canada
• Telus Communications

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Examples of e-Health Technology
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Examples of e-Health Technology
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e-Devices and Technologies

• Hardware Examples
• PDAs
• Sensor Devices
• Desk Top Technologies
• Cameras
• Workstations
• Carriers
• Wireless Technologies,
• Broadband Technologies
• Cellular Technologies
• Internet Protocol Technologies
• ISDN

• Software Examples
• Electronic Health Records
• Electronic Medical Records
• Visual Compression
• Privacy, Security
• e-Learning
• e-Databases
• Sensor Technologies
• Networked Technologies
• 3rd 4th Generation Technologies
• Emerging Technologies

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Value Chain
Applied
Concept
Commercialization
Labs
Simulated Care Environment
Field Trial
Prototype Testing Proof of Concept Conformance
Testing e.g. EMR/EHR, Smart Camera
Corporate Wellness Physical Activity
Monitor e.g. Prescription Alert Device, Smart
Camera Device, Telementoring
RD (aß) e.g. Robotics, Visualization, Virtual
Reality
SUPPORT FUNCTIONS
Trade Associations, Econ. Dev. Organizations
Educational Institutions
Funding Agencies
Infrastructure
Policy Development
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ROI Certainty
Technology
Magic
Relative Proportion
Technology
Magic
Inception
Prototype
Product
Market
Mature
Ref. B Bergeron, MD., Achieving Clinician Buy-in
to Technology. www.medscape.com
Time
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Evaluation

• Impact on
• Healthcare, health management, health utilization
• Workflow, work processes, cost management, and
  resource utilization
• Efficiencies, productivity, cost and time
• Prototype / proof of concept ventures / field
  testing
• Iterative and multiple stage testing
• User and work-place based questions
• Usability, connectivity, interoperability,
  scalability, quality performance, and
  user-interface issues
• Product Development Engineering and Heuristic
  Approaches
• Action and participatory inquiry
• Contract Research / Evaluation, Revenue Sharing,
  Intellectual Property
• Returns on Investment Certainty

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Impact Testing

• Involve iterative and multi-stage testing
• Can focus on issues such as functionality,
  usability, connectivity, interoperability,
  scalability, quality of performance, user
  interface, and technology standards
• Can incorporate user and work-centered product
  development, engineering and heuristic approaches
  including action and participatory inquiry

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Impact(Social and Contextual Processes)

• Patient/Public/Consumer
• Providers
• System (Layers)
• e.g. Work Processes, Workforce Issues, Change
  Management, Efficiencies, Quality Care
• Technology Infrastructure
• Industry
• Internet Service Providers
• Community and Context
• Research Community

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Prototype Testing

• Ease of set up
• Ease of use
• Conformance (privacy security standards)
  Interface Issues
• Interoperability
• Feasibility
• Human Factor issues
• Activities
• Customizes the device or technology to meet the
  needs of the user
• Functional testing
• Deliverable
• Device or technology available for field study
• Functional test documentation specifications
  configuration feedback

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Field Trials

• ROI (benefits/costs)
• Sustainability
• Productivity Outputs
• E-learning
• Resource Planning (Compared to usual or previous
  practice)
• Management Treatment Outcomes (access, privacy,
  safety, quality of care, efficiencies)
• Wellness self responsibility for care
• Policy decision making impacts
• Activities
• Installed measure impact in the field
• Impact outcomes
• Deliverables
• Function test documentation
• Impact Outcomes

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Impact Studies To Date

• EMR Evaluation
• Evaluation Clinical Functionalities, usability,
  technical integrity, vendor presentation and
  pricing.
• Format Clinical Outpatient Objective Structured
  Clinical Examination
• Pan Canadian Bone Joint Oncology e-Rounds
• Evaluation Views on impact of networked
  connections of practice (i.e. telementoring,
  knowledge sharing, contributions to quality care
  and best practices).
• Format Clinical Case Conference Rounds
• Corporate Workforce Wellness
• Evaluation Activity monitor data base,
  questionnaire physical activity, motivation,
  workplace.
• Format Wearing of ankle physical activity
  monitor, internationally validated activity
  questionnaire, local questionnaire.

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Impact Studies To Date (contd.)

• Smart Camera
• Evaluation Ease of use, functionality,
  acceptability patient use, workflow impact,
  policy impact, applicability and uses.
• Format Demo, guided interviews (focus group),
  semi-structured questionnaire.
• Smart ORs (presentation only)
• Training Movement error, movement efficiency,
  performance times, task efficiency, equipment or
  device adjustments, structured orientation.
• Ergonomics Lighting, table positioning, pumps,
  image viewing.
• Practice Surgical time efficiencies, surgical
  team stress, time between surgeries,
  peri-operative communications, OR theatre
  cleaning, building capacity recruitment
  retention.

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Evaluation Progress

• The ability to
• Differentiate between scientific research and
  evaluation
• Articulate the level of inquiry, i.e. system,
  program organization, provider, patient,
  encounter, community, society
• Take into consideration the maturity of the
  application
• Define the value propositions for all players
• Outline and define appropriate and possible
  outcomes, including economic frameworks
• Document lessons learned, as well as unintended
  consequences
• Take into consideration sustaining funding models

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Evaluation Ongoing Work

• Target a broader inquiry focus
• (To date impact on health, health management,
  and health utilization outcomes)
• Move to workflow, work processes, change
  management, and resource utilization
• Recognize the need to consider efficiency,
  productivity, costs and time
• Measure the impact on social determinants of
  health
• Measure the impact on the social economic
  perspectives
• Conduct quality prototypes and proof of concept
  ventures, as well as field trials
• Facilitate and/or operationalize contract
  research/evaluation, questions related to
  commercialization, and revenue sharing
• Balance, bridge, and understand the gap between
  RD and applied research

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Summary

• Introduction and Background
• Members, Services, Customers
• Value Chain Return on Investment
• Evaluation and Impact
• Impact Studies
• Prototype testing Proof of concept
• Field trials
• Evaluation
• Progress and ongoing work

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Questions and DiscussionThank you
Dr. Penny Jennett jennett_at_ucalgary.ca