Who wants computational medicine?

1. Dr Charles Gutteridge Clinical Informatics
Who wants
computational medicine?
Patients in your heart
Patients in mind
Patients and families
Dr Charles Gutteridge Clinical Informatics

2. Culture
Dr Charles Gutteridge Clinical Informatics

3. www.thelancet.com
Dr Charles Gutteridge Clinical Informatics

4. People expect…..
Dr Charles Gutteridge Clinical Informatics

5. Social media
Dr Charles Gutteridge Clinical Informatics

6. Medical anxiety
Dr Charles Gutteridge Clinical Informatics

7. Policy drivers
Health service reform
Health services
not affordable
Wealth leads to
health
Dr Charles Gutteridge Clinical Informatics

8. The wager
Keeping people well
Exercise
Eat well
Drink moderately
Don’t smoke
Dr Charles Gutteridge Clinical Informatics

9. ….and drive employment policies
Dr Charles Gutteridge Clinical Informatics

10. Technology develops
Dr Charles Gutteridge Clinical Informatics

11. Self knowledge
Dr Charles Gutteridge Clinical Informatics

12. Co-create health using technology – data
Personal health and fitness Care record
Personally collected data EHRs
Interoperability
Dr Charles Gutteridge Clinical Informatics

13. Issues
Operating at scale
Outcome measurements
Analytics
Connecting finance
Dr Charles Gutteridge Clinical Informatics

14. Our local strategy
Dr Charles Gutteridge Clinical Informatics

15. Population Health development in East London
 National web based data on performance is available
 General practitioner has most influence on choice
 EHR data exchange is being implemented
 50%+ patients are referred by digital channel
 100% risk stratification of chronic disease in general
practice
Hospital EHR content powering up
Dr Charles Gutteridge Clinical Informatics

16. Single enterprise wide EHR
• Results
endorsement
• Problem
listing
• Messaging• Allergy
recording
Safety
Patient
centredness
Effectiveness
Health
information
exchange
Dr Charles Gutteridge Clinical Informatics

17. Health information exchange
Dr Charles Gutteridge Clinical Informatics

18. Flagging risk
Dr Charles Gutteridge Clinical Informatics

19. Big data
Dr Charles Gutteridge Clinical Informatics

20. Big data - Determinants of health
Dr Charles Gutteridge Clinical Informatics

21. Computational medicine
Dr Charles Gutteridge Clinical Informatics