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Challenges and opportunities in healthcare technology of dealing with long term care Personal Opinion: Stephen McComb 1 1. Current Wastes 2 Healthcare Wastes: Waiting • For Assessment • For Diagnostic procedure • Test Results • Activity Speed • Meds or Equipment • Value Stream 3 Healthcare Wastes: Quality • Readmission • Avoidable Infection • Medication Error – drug/dosage • Medication – wide spectrum • Repeated Procedures • Missing Info • Wrong Care Plan – Poorly informed 4 Healthcare Wastes: Staff • Stress/Overload • Co-ordination • More appointments than necessary • Demand Failure • Readmission • ALOS 5 Care Providers Wastes • 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 6 rd 3 Sector Wastes • 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 7 2. Opportunities in Tech for Long Term Care Revolution 8 Seeing the Future: Tech • Precision Data – what works for me? • Real time Diagnostics • Mobile or remote data capture • Real time feedback/prediction • Integrated Data • Bio/Genetics 9 3. Unexplored Models in Long Term Care Revolution 10 Seeing the Future: Models • Don’t understand real patient value • Peer support • PAYG for care – step up/step down • Business-Community: Consumer and client • Charity-Business Linkage: 11 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 12 [email protected] +44 (0)7870 500172 13