In my last post, Thinking Digital - part 1, I gave some quick thoughts on the event and promised to write more. Thanks for coming back! This post is more inspired by the event than directly related to it. There are plenty of other great blog posts out there on that; so...
The focus this time (as it's been on my mind quite a bit) relates to how government provided services (specifically the NHS in the UK) could harness technology more effectively to deliver better health outcomes, whilst reducing cost. Very much a key topic right now. Let's start with...
A typical patient journey
My experiences with the NHS as a patient have been fairly middle of the road. I've been to A&E a couple of times, had some minor surgery, and picked up a couple of prescriptions. Most of these episodes were way back in time, but heading to my GP recently I was surprised at how little the process had changed.
I made an appointment by phone, waited a few days for my slot, arrived, took a seat, waited, waited some more, waited even longer, got to see the GP, was in there for 2 minutes, discharged with a slip of paper (prescription), and a goodbye. All fine. All very 1970, not that I'm that old ;-)
So what’s your point?
First off, this is pretty inconvenient to me. I'm time short (who isn't these days), yet I spent ages waiting for my appointment in the first place, then another long while at the surgery on the day of my appointment. I got checked professionally and courteously, got some aftercare advice verbally and was sent on my way. An average transaction. My point exactly.
Can you imagine however, if a company operating in the commercial space failed to change a core transaction to adapt to a changing market place? Without innovation for many, many years, it's highly likely that the competition would have a more remarkable experience to offer up and that original company would have, well, at best, lost a lot of business.
How could well implemented technology improve this interaction?
Let me monitor my health information online. Information such as blood pressure, cholestrol, qualified quantitative information that would allow warning signs to be picked up and for me to be provided with advice when I most need it.
I could also have been recording qualitative information, such as a simple, I'm good today or I don't feel so good today - it's my stomach (clicks on body part), severity 1 to 4, rated. Think ‘Like’, ‘Dislike’ from Facebook, re-purposed.
This information pumped through a CRM, linked to some key health information could result in automatic appointment offering, electronic information appearing in my own health portal advising me how to self-treat. A lot of the algorithms for diagnosing certain conditions already exist, right? Think how ‘H1N1 diagnosis’ online played out in the UK.
I could also be receiving some great data visualisations through my personalised health portal, that really help me ‘get’ the facts, causes of my condition, my current holistic health, and I could be allowed to set relevant targets to achieve in collaboration with a practitioner, that may help me alleviate any condition or at least prevent it from getting any worse. The ‘Patients Like Me’ website http://www.patientslikeme.com/ does a great job at some of this.
Of course, all of this is no substitute for seeing a GP, but shouldn't we only be using valuable GP resources when absolutely necessary?
Real benefits
Taking this a step further, think how all of this information could be used to help predict epidemics (a more insightful version of Google’s great Flu Trends app: http://www.google.org/flutrends/), resulting in more cost effective and accurate allocation of resources; insight into whether health targets were going to be hit for certain conditions way ahead of time, which could result in motivational messages or the like being delivered through a personal health portal to sufferers of certain conditions, just in time, so they could make key lifestyle changes.
Local support group information could be presented, and health consumers could even be incentivised to meet local PCT targets for any given condition, there could even be a leaderboard! Look, I’m getting healthier quicker than you! Yes, that doesn’t seem quite right, but think of the insights you’d gain from it. Why are you getting healthier quicker, what are our physiological differences, lifestyle differences and so on.
Crucially, there’d be social interaction and engagement around health issues between patients and from and to local health providers.
The results could be outstanding: Patients feeling more empowered to look after themselves, social networks of support between patients and with healthcare professionals further increasing empowerment leading to a revolution in preventative care with health professionals only seeing those most in need. The ability for health professionals to act with greater insight, intelligence, and confidence. Reduced financial costs, less strain on the system and increased, informed R&D.
This might sound like Utopia, a win win (win). It is achievable however, and certain studies in the US are already proving this. More specifics to come in a later post.
So how do we get there?
Times of change are sounding in the NHS right now. The public, health professionals and politicians are clamouring to see real benefit delivered. Visible, tangible benefit that will improve our nation’s health, whilst reducing cost at the point of care.
Of course, some of the ideas I have mentioned, have been in the pipeline before within the NHS. However, in my opinion, they’ve never gained the groundswell needed to be anything more than 0.0000001% realised.
The will exists however to make this happen and achieve the vision. The NHS has some fantastic professionals, some real visionaries working within its ranks, and access to a lot of technical know how. Some of what is needed to help moving the NHS with pace, toward a vision like I’ve described.
Of course, we need to start small, as we’re in tough financial times and therefore we need a cost effective quick win, whilst the bigger picture builds. And the NHS is ripe for change, and change looks like it's coming, real change that’ll reshape public sector services, because it has to happen.
Next post coming soon…
In my next post, I’ll be looking at how Social Media is currently used within the NHS and at some independent social channels of feedback used to improve healthcare delivery in the UK, including Patient Opinion: http://www.patientopinion.org.uk/ @patientopinion.
Until then, thanks for reading and please comment.