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Digital health can improve the lives of people with diabetes
Anders WeilandtCEO of Diabetes Tools
Åsa WallinHead Nurse of the Diabetes Unit, Astrid Lindgrens Children’s Hospital, Karolinska University Hospital (Sweden)
How digital health improves the lives of children with diabetes
Anders Weilandt, CEO Diabetes Tools
Åsa Wallin, Innovator and Head Nurse at Astrid Lindgrens Children’s Hospital in Stockholm, Sweden
A case study
Diabetes Tools Sweden AB © 2015
Anders WeilandtCEO, Diabetes Tools
Diabetes Tools Sweden AB © 2015
Healthcare is out of money, out of staff and out of time
1. Chronic disease care is increasingly expensive
2. Type 1 diabetes is one of the most common chronic diseases among children and adolescents in Sweden. Diagnosis rates are rising…
3. Demographic shifts mean fewer taxpayers support health services where, in turn, there are fewer healthcare workers
4. Typically diagnosed early in life, patients with insulin-dependent diabetes face life-long medical complications
Sources• The Swedish Agency for Health and Care Services Analysis. Report 2014:2 “VIP – about change in care of chronic patients”• Statistics Sweden (SCB)
Chronic disease care =
80-85%
Other conditions 15-20%
Healthcare costs in Sweden, 2014
What is the problem?• Children and teenagers who are insulin
dependent risk costly medical complications later in life if their blood sugar is poorly controlled
• Doctors, nurses and families agree that having accurate information instantly available is key to managing type 1 diabetes
• For children, parents, teachers, nurses and doctors alike, it is:
• time consuming and stressful• difficult to share information
Diabetes Tools Sweden AB © 2015
A smarter way to work
Need
Solution
Effect
Care driven by incidents and calendars
replaced by
self-care apps for early intervention and prevention
Diabetes Tools Sweden AB © 2015
Collaborate to make the solution have an effect
Innovation Center
Åsa WallinInnovator and Head Nurse,
Astrid Lindgrens Children’s Hospital in Stockholm, Sweden
Child Diabetes Unit at Astrid Lindgrens Children’s Hospital at Karolinska University Hospital, Stockholm
Why do we need to work more efficiently in diabetes care?
Type 1 diabetes is common in children and diagnosis rates are rising
Sweden
• 8,000 children <18 years
• 800 new cases every year
• 15–20% need intensive care when diagnosed
• Youngest under 1 year of age
Astrid Lindgrens Children’s Hospital
• 140 new cases per year
• Diabetes school for all parents and department staffYear
Number of new cases per 100,000
78 80 82 84 86 88 90 92 94 96 98 00 02 04 06 08 100
10
20
30
40
50
60
70
10–14 years
5–9 years
0–4 years
11
Common question: How much insulin should I have with my meal?
• What is my blood glucose level?
• How much carbohydrate (g) does the food contain?
• Measure?• Weigh? • Number?• Read the label?
• Is a ”correction dose” needed?
• Am I going to exercise after the meal?
• Have I exercised before the meal?
• What time of day is it?
How are insulin doses controlled today?
Using the paper insulin form:
→ Patient or relative calls the clinic
→ Nurse fills in the insulin form
→ Doctor is contacted who prescribes the insulin
→ Nurse calls the patient or relative back to inform them about the insulin dose
Remember:
• Shared custody families
• Many adults who must cooperate and share information
Can you read this handwriting?
The whispering game: exchanging papers and making phone calls
Pardon? Please repeat that
These numbers don’t add up!
Where is Simon’s form?
Hmm… what did she say?
• Errors and risks• Inefficiencies• Time consuming• Unnecessary costs
The app idea
Quickly involve the family using a pedagogic tool
Streamline life for the child, family and supporters
Streamline workflow at the clinic
Improve safety and accuracy of the information flow
Increase patient-caregiver communication in a two-way conversation
Criteria for long-term change
Security
High quality
Easy to use
Availability
• Legally secure communication, complying with the Patient Data Act
• Reduce errors to improve efficiency and safety
• Eliminate problems instead of creating more complexity
• Long-term solution with data accessible to everyone
Paper & calls
Securemailbox
TriabetesClinic
✔ ✔ ✔✗
Normalemail
✗ ✗ ✔✗
✗ ✗ ✔✔
✗ ✔ ✔✔
App replaces insulin form
From paper to iPad app, on ward and at bedside
Replaces paperwork
• No time-consuming form-filling
• Automates every carbohydrate quantity and insulin dose calculation
Intervene when needed
• Data from iPad synchronizes with the TriabetesClinic system, updating the medical team yet keeping patient information accessible
• Set, change and see alerts for each patient
Uses time better
• Spend time with the children who need the care the most
Mobility in clinic with iPad app
Diabetes Tools Sweden AB © 2015
Smartphone app for children and families at home
From paper to TriabetesGo iPhone app, connecting with the medical team
Daily companion – personalized app
• TriabetesGo app handles the reality of day care, school, sports, vacations and other activities
• Quickly involves the child – along with parents, relatives, teachers and sports instructors – in their own care
Calculates insulin doses
• Personalized, in-app insulin dose calculator set by child’s doctor
Everyone knows more
• Information flows between nurse, child and family. And vice versa
• Maintains contact with the medical team between clinic visits
Confidence for families
Diabetes Tools Sweden AB © 2015
The solution: TriabetesClinic for Children
Optimized for insulin-dependent children and teenagers. At home and in hospital.
Three connected parts:
1. TriabetesClinic diabetes management system via web
2. TriabetesClinic iPad app for mobility at the clinic and on the wards
3. TriabetesGo iPhone app for patients, families and supporters
In summary
For healthcare
Makes better use of time
Timely and accurate information
Automated, secure calculations
Reduces risks and mistakes
Reduces stress
For children and families
Simplifies family life
Easy to share information
Boosts confidence
Know more at the right time
Reduces stress
Diabetes Tools Sweden AB © 2015
Live data. Know more. Care better.
At Astrid Lindgrens Children’s Hospital, the care process is becoming more time efficient and family friendly
… thanks to TriabetesClinic apps and online services
Go beyond diabetes
Other chronic diseases are equally costly to treat
Apply the same digital health model, so:
Patients are firmly in the center of their own care
Healthcare providers get productivity gains and decision support tools
Healthcare payers control costs and long-term risks while improving care
Diabetes Tools Sweden AB © 2015
Questions?
Thank you for your attention
www.diabetestools.se
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