Connect to Healthy Demonstrator 2017

Designers: Philips HealthTech Accelerator supported by Philips Design, Philips, Philips Medical Systems International B.V., Eindhoven, The Netherlands Eindhoven The Netherlands
Manufacturer: Philips Medical Systems International B.V., Eindhoven, The Netherlands

Connect to Healthy demonstrator

Concept of a personal health environment that enables people to aggregate and share their clinical and personal health data. Using this record, they can receive personalized health services and collaborate with their care network, e.g. they can be guided in self-management or be monitored in ambulatory care settings. 

Users are enabled to own the most holistic health record possible giving them unprecedented insight in their own health. They can share this data with people they trust from their care network in order to facilitate collaboration throughout their health journey. 

Global health systems will benefit from better insight in the health of patients over time and beyond the hospital, leading to better and more efficient healthcare.

Innovation:

This interface makes abstract concepts like empowerment, control, privacy and consent very tangible. These concepts are critical to a Personal Health Record (PHR) solution, yet the art is in the execution.

Many novel ideas are introduced already, e.g. the representation of a person health journey as way to navigate through a longitudinal record, the data exchange and consent flow, the split between daily dashboard and historical health record. Our professional interface (see the YouTube video) shows how we enable professionals to request access to high-frequency personal health data and have health consumers provide consent. Access to this data will lead to unprecedented insight in the relationship between lifestyle and health and how the behavior of patients impacts the effectiveness of the care plan. Enabling patients and professionals to tap into this new source of health insight together, in a responsible and ethical way is critical to ensure sustainable global healthcare systems.

The way we enable patients to stitch together their PHR from so many sources with full control and transparency is critical also. 

Impact:

Global healthcare systems are under pressure of cost and performance; and are segregated and not optimized for collaboration around the patient. Empowering the patient with full insight in their health and giving the patient the ability to orchestrate this collaboration is effective. Patients are the owner of the data (in many countries enforced by law), the key beneficiary of better care and therefore motivated to play this role. 

Providing professionals with ethical ways to gain access to high-frequency health data will deliver unprecedented insight in the relationship between lifestyle and health on the one hand and lifestyle and care plan on the other hand. This high-frequency personal health data is a far better basis to monitor patients outside of the hospital. Outpatient monitoring will become ever more important as a mechanism to improve healthcare, lower risks at lower costs.

In a digital future, the role of these kinds of propositions is going to be ever greater and promise to transform the healthcare industry. Consumerization has already transformed the finance and media industry, healthcare will be next. These propositions will need (empathetic and people centric) design and beyond the pure technical and functional, also deliver an emotional experience that enables trust and provides confidence to the user.

Background

Your health is multi-facetted and needs to be considered holistically. It is complex. To make it manageable we divided the interface into multiple segments, which not only structure and declutter the complex information, but also make it attractive to interact with.  

• The daily dashboard: helps you manage your health and care plans from day-to-day, only showing data and information relevant to consider daily. You can find actionable content and the timeline of your care plan as well as key metrics you need to perform against (targets / healthy ranges). In case you want to learn or investigate more, you can dive into these elements, e.g. open graphs and detailed content.
• The historical health record: it reads as one long holistic record in a single page categorized in intuitive sections that together give great insight in your clinical health at a certain moment in time. You can easily go back in time and see how your situation was before.
• Data exchange: shows an overview of all data requests submitted to you, from within your care network as well as potential commercial requests that you are eligible to participate in. 
• Settings: shows what data (points) you are aggregating and sharing. Giving you full transparency on how you are using your record. 

Quality:

There are many considerations making this an ethical piece of software; safeguarding privacy and control of the patient and ensuring the software is as compatible as possible with global healthcare information systems. 

We ensure the patient is the rightful and sole owner of all data stored in the PHR record; the entire record is private key encrypted and not accessible for anyone unless the patient provides explicit consent to share. Sharing happens at a very granular level: not lump sum access to a record but access to a particular data point, at a particular frequency for a particular period in time for 1 particular person or organization. This provides incredible control over privacy for the end user, enabling trust in the system and therefore adoption of the system.

The system itself is compatible with global standards for healthcare data exchange, e.g. adopting the FHIR standard. This will make it cheaper and more sustainable for other software systems to interface.

Concept:

Connect to healthy is a demonstrator showing elements of Philip's future propositions; not a proposition by itself. We use this demonstrator in public events (like Dreamforce 2016 in San Francisco, Himss2017 in Orlando) and in private sessions with (potential) customers to learn about requirements and acceptance criteria for personal health records and services we can build on top. 

Through this feedback, we continue to evolve the concept and define how those learnings can be embedded in the product roadmaps. Because the prototype / demonstrator is so tangible it really brings the conversation to the next level, makes the discussion on critical topics surrounding the PHR like privacy and security, ownership of data and the benefits of a PHR to the consumer and professional ever so much more concrete.