The Digital Health Validitron can help design and evaluate devices, models of care, and ways of working, in rapid cycles of continuous improvement. The Validitron can help create a learning health system and accelerate adoption of successful innovation.

1. Towards a Learning Health System
Innovation Hub for Aged Care
Wendy Chapman
@wendywchapman
Daniel Capurro
Kit Huckvale
Victor Pantano

2. Imperative of Digital Transformation
Overwhelming number of
technologies that could be
applied in aged care
Very few providers can
adopt
Many unanswered questions

3. Learning Health System
• Measure outcomes and KPIs
• Design and implement effective interventions
• Generate evidence

4. Drug development
process
Discovery and development
Pre-clinical research
Animal testing, safety
assessment
Clinical Research
Phase I-IV
clinical trials
Review by government
regulatory agency
TGA, FDA review
Post-marketing safety
monitoring
Digital health
innovation process
Discovery and development
Review by government
regulatory agency
Post-marketing safety
monitoring
There is a gap in
implementing
and evaluating
digital health
innovations
Credit: Daniel Capurro

5. Learning Health System Innovation Hubs
• Make collective or individual decisions around which
technologies to adopt
• Customise with users
• Generate evidence for their effectiveness and under
what conditions
• Monitor and scale
• Potential mark of certification for the industry of
different technology platforms
Test and evaluate
devices, models of
care and ways
of working, in rapid
cycles of continuous
improvement

7. Put tools together like ‘Lego bricks’:
- Support demos, rapid and iterative co-design, dev
and test
- Model and evaluate human-computer interactions
and workflows
- Pilot standards-based information exchange
(focus on HL7 FHIR)
- Support evaluations/research studies
- Clarify partnership/integration opportunities
SIMLAB
SANDBOX

8. Apps for
entering
& viewing
data
Devices for
capturing
data
Patient-controlled
integrated
data hub
Hospital
& specialists
GP
Telehealth
visit
Aged care
centre
Person
Digital Sandbox: Supporting Realistic Discussions & Design

9. Apps for
entering
& viewing
data
Devices for
capturing
data
Patient-controlled
integrated
data hub
Hospital
& specialists
GP
Telehealth
visit
Aged care
centre
Person
User
friendliness
of platforms
Access to
required
technology
Proactive
monitoring
of data
CALD use
of virtual
care
Stakeholder-driven design and validation of innovative solutions to known challenges
Governance
of care
Capture of
assessments
Data control
& sharing
mechanisms

10. Sandbox Example
Remote Monitoring with Telehealth

11. 1
2
3
SANDBOX
Virtual ED
How does the physician review remote monitoring data in a telehealth visit?

12. VCHRI project: Initial Use Case for Telehealth demonstrator
Casey Lee: 73 yrs, retired textile worker, ex heavy smoker
• Established COPD…. but not oxygen Rx dependent
• 3 hospital admissions for exacerbations of COPD last year
• Resting post-discharge SaO2 levels 92-94%
Primary management goals
• To maintain current post-discharge function
• Identify any deterioration early to intervene, as necessary
Current situation
• Lives at home
• Self-sufficient with daily activities
• Limited in exercise tolerance by dyspnoea on exertion

13. 13
Casey sees
concerning
decrease in
oxygen
saturation

14. 14
Casey logs onto
Virtual ED
Patient Portal
Waiting Room

15. Staff portal
patient queue
15

16. Staff portal
review panel
16

17. Casey and
physician drill
into data
together on
the telehealth
screen
Staff portal
call screen
17

18. 18
View survey
filled out while
in waiting room

19. Conclusion
LHS Innovation Hubs

20. Output of Innovation Hub
ü Interoperability
ü Usability
ü Health technology assessment
ü Clinical and patient workflows
ü Regulatory compliance
ü Pilot evidence of clinical outcomes
Scalability

21. Future Directions
MRFF RART grant
Virtual care for older adults in regional and rural areas
Bringing the Sandbox to your lab
Anna Peeters

22. Thank you!