We look at some examples of the new focus in healthcare and ask; really?
The recent announcement of the upcoming HIMSS Impact 2018| Leading Digital Transformation and Big Data in Medicine – conference in Berlin later this year, coincides with an announcement in the uk from the Government, that it is now investing zillions into “AI”, to combat various troublesome diseases.
In theory, and indeed in reality, a new focus on a different way of handling patient information, will save time, not necessarily save money, but enable our services to do lots more. And it comes about because there are just too many people, needing too many services. And as one clinical director told me; ‘we can hardly put a new clinic in the hospital car park..”
But at a time when most Hospitals are still coming to terms about moving from Windows XP, there are three major stumbling blocks, and it is important to spell these out before we all get too excited.
First – if the UK Gov attempts to roll out this Finance in the same way as it has done for previous bjg deals, let’s say such as COGDE or Scan 4 Safety, etc.. then nothing much new will happen at all. Those hospitals that did take up either of the above, have largely spent money on things they were already doing – so it just became a way of getting finance but not improvement; or they embark on a lengthy process of milestones that alas could have been done cheaper and faster with existing tech in the private sector.
The result is that those Hospitals that did not make the cut, so to say, have become confused, and do nothing, as opposed to at least try to do “something”. What we have found is that if the management of a hospital wants to advance its healthcare performance, it will do so, regardless of Gov announcements.
Second – AI is not a Hospital process, but a Community process. This means that the data from a patient does not require said patient to come to a clinic or be seen by anybody in a place called a hospital. The data is patient driven and comes from his/her smartphone, his Apple Watch, her Fitbit, etc – without anybody doing anything much. In other words, AI in health is consumer driven, and there are already plenty of Apps that harness very specialist health data from each and everyone of us, that can already be viewed by our GP or Hospital. The secret to AI health is by increasing patient engagement.
But finally – we need to understand what all this will do to our actual lives. What AI means, is that our diabetes, our heart, our fitness, can be monitored remotely – and we ourselves will take greater ownership of our lifestyle.
This means that conventional financial models of where money comes from and for what – have to change. The focus will be empowering the community, and paying hospitals to monitor that – rather than get paid only when we physically make a visit.
Because if this does not happen, then health provision will move to pharmacies, etc, who will provide this monitoring for us – and we will pay them money to do so, because it will be immediate and in real time – instead of waiting to see our local GP or clinic appointment.
Which in turn will distance us from the very organisations we already pay money to, to look after us.