2 December 2020
The event was presented by Sharon Boundy, associate director for system transformation from Frimley Health and Care ICS and Mark Sellman, CIO for Frimley ICS and programme director for Connected Care, and chaired by Jon Hoeksma, CEO and founder of Digital Health.
Sharon Boundy started the session with an introduction of the Connected Care digital ecosystem, provided by Graphnet, which encompasses the shared care record, person health record, and population health intelligence platform.
The Connected Care ecosystem is used across Frimley Health and Care ICS and Berkshire West ICP and was described as a key enabler of the ICS’s ‘Creating Healthier Communities’ strategy which focuses on two main priorities: increasing healthy years lived and reducing inequality.
The shared care record element of Connected Care holds data on the area’s 1.34 million residents and is accessed 30,000 times per month by authorised health and care professionals across 139 different organisations. Sharon said the shared record was a fundamental building block for the Connected Care infrastructure, where additional information such as national, lifestyle and operational datasets, could be drawn together to generate a “flow of integrated datasets into a population health platform”.
Drilling down from the population level to patient level
Mark Sellman then gave an overview of their intelligence platform, jointly developed by Graphnet and Frimley ICS. The platform comprises of a number of real-time or near real-time ‘dashboards’ that visualise the different data insights and includes tools to “drill down from the population level to patient level”.
To illustrate this point, Mark provided a live demonstration of the Covid dashboard and Enhanced Case Finding tool. He showed how you could identify high risk cohorts within the ICS (e.g. Slough residents that tested positive for Covid and are at high risk of a more severe form of the disease) and share these lists of individuals with care providers, such as GPs, for targeted and proactive care.
Care@Home Virtual Ward
This led to Sharon explaining their Care@Home Virtual Ward which is providing pulse oximeters to vulnerable residents, identified by the population health platform, for them to self-record their oxygen saturation levels. Information is input into the Connected Care Person Health Record (PHR) app which will then be added to the shared record. “It’s a simple front-end for residents, supports self-care and well-being,” said Sharon.
Another example of actionable insight was their use of data intelligence to inform actions relating to mental health. Looking at how the working age population has been affected by Covid 19, you could see how some areas were disproportionally affected by increasing job losses/furloughed staff and that demand on mental health services was disproportionately higher for younger white and deprived adults.
Please contact us for more details on any of the topics covered by the webinar or for a general conversation on how we can support your integrated care objectives.
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