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Challenges and opportunities in healthcare technology of dealing with long term care

Personal Opinion: Stephen McComb

1. Current Wastes

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• For Assessment

• For Diagnostic procedure

• Test Results

• Activity Speed

• Meds or Equipment

• Value Stream

Healthcare Wastes: Waiting

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• Readmission

• Avoidable Infection

• Medication Error – drug/dosage

• Medication – wide spectrum

• Repeated Procedures

• Missing Info

• Wrong Care Plan – Poorly informed

Healthcare Wastes: Quality

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• Stress/Overload

• Co-ordination

• More appointments than necessary

• Demand Failure

• Readmission

• ALOS

Healthcare Wastes: Staff

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• Cost driving wrong behaviour

• Care Complexity rising – fallout

• No data for risk profiling

• Lack of technology

• Opinions unquantified

• Integration with care providers

• Medication - Risk

• Dementia/Cognitive Decline

• Conditions - UTI

Care Providers Wastes

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• Outcomes difficult to quantify

• Overdependence on Public Grants

• Lack of alternative funding models

• Lack of good infrastructure

• Loneliness known to have negative

health outcomes

• Closest to self care/management

3rd Sector Wastes

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2. Opportunities in Tech for Long Term Care Revolution

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• Precision Data – what works for me?

• Real time Diagnostics

• Mobile or remote data capture

• Real time feedback/prediction

• Integrated Data

• Bio/Genetics

Seeing the Future: Tech

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3. Unexplored Models in Long Term Care Revolution

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• Don’t understand real patient value

• Peer support

• PAYG for care – step up/step down

• Business-Community: Consumer and

client

• Charity-Business Linkage:

Seeing the Future: Models

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4. Closing Remarks • Step change • Room to create commissioner

evidence in SBRI • Must address challenges – lots

available• Personal View – focus on defining

value for a condition group

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sj.mccomb.mccomb@ulster.ac.uk

+44 (0)7870 500172

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