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|Initiative Title:||Innovation and Technology|
Future of Manly Hospital Site – Innovation and Technology
Over the past decade (medical) science and technology have developed a healthy incestuous marriage. The way science (propositional knowledge) and technology (prescriptive knowledge) support each other has led to the most outstanding advances in human productivity. Just as scientific breakthroughs can facilitate technological innovation, so too technological advances enable scientific discovery, which drives more technological change. It comes as little surprise that our Manly community also included “affiliated research and education” as a sought after capabilities for inclusion at their Hospital site.
Today towards 5 billion people are generating digital information. The volume of data uncovered through genomics and stored in hospitals, pharmaceutical organisations and compiled by medical research is massive. Health care data is growing at the rate of 48% per year and likely to exceed 2,300 exabytes by 2020. Data pours in from new research, electronic medical records (like eHealth), imaging, wearables and epidemiological monitoring. One of the most promising business opportunities in the future is the Internet of Medical Things (IoMT). All this data and technology can be quite overwhelming for GPs. Today Dr. Google has no filter on the medical data currently being accessed by lay people. The giant data bases of medical and health information needs ownership, storage accessibility, with robust security and integrity checks on false data and news. For in all that authenticated data lies clues to the next medical breakthrough, curers and efficiencies. The prediction is that the current model of patients seeking medical help to rescue them from illness will be replaced by “doctorless patients”, who are digitally literate, tapping in on this authenticated data in a meaningful way to keep healthy on a daily basis. Instead of going to hospital, the hospital may come to them, with sophisticated technology monitoring their vital signs. At their home hospital, they will be surveyed constantly by specialist medical staff able to zoom in on their health problems in both predictive and current timeframes.
We are trending from healthcare being delivered from centralised facilities (such as hospitals and clinics) to a much more decentralised model where healthcare can be delivered at any place (including our home). The industry is moving from episodic care to more holistic care. The big brake throughs are likely to come from the integration of wearable technologies and artificial intelligence (AI), in the areas of chronic disease management, diabetes, cardiovascular disease, obesity and sleep disorder. Just 15 years ago it cost $100 million to map one human genome, now it costs $1,000. In 10 years time this is likely to be reduced to $100, thanks to the advances in modern technology. Weightwatchers share price went down 95% in 3 years simply because the company completely missed the Fitbit and wearable craze. Break throughs are occurring everywhere, like Thriver – an app where a home finger-prick test put onto a swab can be sent off to get the results immediately. CrowdMed, another app, where you enter your symptoms on-line and a crowd of on-line clinicians provide its diagnosis. 3D printing can print human parts (ear, bones, cartilage, etc. to produce completely transplantable replacement tissue.
Unlike other industry sectors (eg. Banking), the Health sector itself in Australia is lagging seriously behind when it comes to innovation and technology, especially as technology shifts more and more into the hands of people (be they customers, patients or consumers). Our Health sector is extremely siloed and lacks effective integration, is drowning in regulations, hamstrung by legislation limiting the flow of important medical information and data pertaining to the wellbeing of patients, thereby impacting clinical outcomes. Rather than managing the information and data revolution, in Australia healthcare is in catch-up mode. Health care is 10% of Australian GDP – $154 billion is spent annually. We are number 2 behind China in medical technology. The biggest risk to our industry is losing confidence of practicians (like GPs) and users (like patients) through poor security and privacy plus inaccurate readings and targeting the wrong problem or patient audience.
The vertical integration of related research, big data analytics and the transparency afforded by information sharing, can facilitate more consistent health payments & billing, improved patient care, diagnosis & clinical decision making and through predictive analytics reduced health insurance premiums, etc. All very real possibilities. With the Manly Community’s preference for using the Hospital site to fill the gaps in our health care capabilities (aged care, palliative care, addiction rehab, etc.), it is not just about community health care benefits that will take the pressure off our hospital system but also the shift self-help and home hospitals that will generate the greatest savings. While medical research delivers innovative productivity breakthroughs, improvements in health education and better synergetic communication between all involved parties involved at the site (be they residents, carers, workers or members of the broader community) can generate immediate benefits. The more empowered these people become through innovation and technology, the more they are able to maximise the extent of self-help applied to their own health care and the care of others.
Below are some existing technology innovations worthy of consideration for early adoption across the site to support health care productivity, governance and administration.
6.1.1 A renowned Australian innovator Dr. David Sinclair (discoverer of the anti-aging molecule – resveratrol) has designs apps that support solutions to serious problems associated with the aging process – like obesity, type 2 diabetes, genome disorders and Alzheimer’s disease.
6.1.2 An American Dr Topol has developed powerful innovative tools for sequencing a person’s genome to predict the effects of any drugs, through the provision of adaptors (connected to conventional Smart Phone) and new apps to effect the imaging, diagnostic testing and printing of results. These apps enable a patient to display and print images of their own organs on demand, in order to monitor the progress of drugs that have been prescribed by doctors. This approach empowers people, as patients, to participate in their own self-diagnostic monitoring of the effects of the drugs being taken; drugs that have been prescribed for their health (for good or not so good).
“The health care industry in Australia is challenged by fiscal pressures, a growing population that is living longer and with increased complex health needs. The industry acknowledges the pain points and is focused on innovation to meet consumer expectations and drive efficiencies for better outcomes.’ Julie Hunter, MD Health Education & Government CBA.
|Contact Name:||Darryl Dobe|
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