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Mr James Ferguson
Consultant in Emergency
Medicine and Clinical Lead,
The Scottish Centre for Telehealth
and Telecare
                           www.sct.scot.nhs.uk
INNOVATION AWARDS 2020

   Nominations Meeting
Background
• 2015 – “Holocaust Action”
ED Door to medical team time
                  30-day adjusted mortality
                          P < 0.0001


    20.0
                                                       17.4
    16.0
                                              12.6
    12.0
                                  8.6
     8.0    5.8         6.4

     4.0

     0.0
%
m
A
e
a
y
o
u
c
s
r
t
)
(
i
l




           <2.5 hr     <4 hr     < 6 hr       < 9 hr   >9 hr
Whole System Demonstrator reported
•   a 15% reduction in A&E visits.
•   a 20% reduction in emergency admissions.
•   a 14% reduction in elective admissions.
•   a 14% reduction in bed days.
•   an 8% reduction in tariff costs.
•   a 45% reduction in mortality rates.
“Holocaust Action”
• Corporate Manslaughter
• Professional Bodies
• Individual Clinicians
Crooks Report 2017
• SCTT- expanded powers
• Hospital Admission Act- based on Mental
  Health Act
• SASM- Scottish Audit of Seniors’ Mortality
Nomination 1
        Category: Health Screening
• Based on the “Who’s the Daddy App”

• iMAPurDNA
Nomination 2
           Category: Diagnostics
• Further development of iUltrasound
Hand-DRUMS®
Multi-dimensional acoustic views




Adding multiple acoustical views increases the diagnostic capability of HAND-DRUMS® to
recognize and discard imaging artifacts. By adding a sense of “touch” to each sensor the
elasticity of soft tissue can be imaged as an additional diagnostic measure of tissue health.*

   (Fetal ultrasound images from www.imaging.robarts.ca/~fenster)
                                                                                                 16
   Used with Permission
Acoustic Blanket
•   Sensors                                       A
     – Acoustic (A)
     – Pressure (P) (tactile,
                                          A                         A
       elastic properties)
     – Position (R)                           R

                                      R           P
•   Mesh
    Communications
    Network Links                             R
     – Data acquisition                   A                         A
     – Control                                        Sensor Cell
     – Multiplex over fibre                       A
       at edges of network
                                                                        17
Nomination 3
            Category: Dying Well
• Longevity Prediction Tool

• Regression analysis
Parallel Session 3.1.2 Emerging Technologies - Horizon Scanning
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Parallel Session 3.1.2 Emerging Technologies - Horizon Scanning

  • 1. Mr James Ferguson Consultant in Emergency Medicine and Clinical Lead, The Scottish Centre for Telehealth and Telecare www.sct.scot.nhs.uk
  • 2. INNOVATION AWARDS 2020 Nominations Meeting
  • 3. Background • 2015 – “Holocaust Action”
  • 4.
  • 5. ED Door to medical team time 30-day adjusted mortality P < 0.0001 20.0 17.4 16.0 12.6 12.0 8.6 8.0 5.8 6.4 4.0 0.0 % m A e a y o u c s r t ) ( i l <2.5 hr <4 hr < 6 hr < 9 hr >9 hr
  • 6.
  • 7. Whole System Demonstrator reported • a 15% reduction in A&E visits. • a 20% reduction in emergency admissions. • a 14% reduction in elective admissions. • a 14% reduction in bed days. • an 8% reduction in tariff costs. • a 45% reduction in mortality rates.
  • 8.
  • 9. “Holocaust Action” • Corporate Manslaughter • Professional Bodies • Individual Clinicians
  • 10. Crooks Report 2017 • SCTT- expanded powers • Hospital Admission Act- based on Mental Health Act • SASM- Scottish Audit of Seniors’ Mortality
  • 11. Nomination 1 Category: Health Screening • Based on the “Who’s the Daddy App” • iMAPurDNA
  • 12.
  • 13.
  • 14. Nomination 2 Category: Diagnostics • Further development of iUltrasound
  • 15.
  • 16. Hand-DRUMS® Multi-dimensional acoustic views Adding multiple acoustical views increases the diagnostic capability of HAND-DRUMS® to recognize and discard imaging artifacts. By adding a sense of “touch” to each sensor the elasticity of soft tissue can be imaged as an additional diagnostic measure of tissue health.* (Fetal ultrasound images from www.imaging.robarts.ca/~fenster) 16 Used with Permission
  • 17. Acoustic Blanket • Sensors A – Acoustic (A) – Pressure (P) (tactile, A A elastic properties) – Position (R) R R P • Mesh Communications Network Links R – Data acquisition A A – Control Sensor Cell – Multiplex over fibre A at edges of network 17
  • 18. Nomination 3 Category: Dying Well • Longevity Prediction Tool • Regression analysis

Notas del editor

  1. A new organisation embedded in NHS Grampian.