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Managing New Technology

Managing New Technology. In the Military Health Paradigm N-QLD Military Medicine Conference 4 Aug 2007. By LCDR Bob Curtis, RAN. Aim. Ensure that new medical technology is introduced to ADF DHS based on efficacy, cost-effectiveness and evidence.

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Managing New Technology

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  1. Managing New Technology In the Military Health Paradigm N-QLD Military Medicine Conference 4 Aug 2007 By LCDR Bob Curtis, RAN

  2. Aim • Ensure that new medical technology is introduced to ADF DHS based on efficacy, cost-effectiveness and evidence. • Harness the advancement in medical technology for better clinical quality and patient satisfaction in service delivery.

  3. “In a survey of 3 large hospitals in Houston, Tx with a combined bed capacity of about 1400 beds, the avg No of medical devices being used per bed has increased between 1982 to 2002 from 4 devices per bed to 17 devices per bed” IEEE Engineering in Medicine & Biology; Jun 2004

  4. Technology Phases • Cutting (sometimes bleeding) Edge • State of the Art • Advanced • Mainstream • Mature • In Decline (Popper & Buskirk, 1993)

  5. Class 8 (Health) Ref: ADFP 703 Management procedures for Medical & Dental materiel • DMO • HMLP • Single Service Logistics Branches • DNSDC

  6. “There exists a significant relationship between flexibility, technology management and the various phases of technology management”. Khamba JS, Flexible Management of New Technology

  7. Health Tech Innovators • DSTO • CSIRO • ADF Capability Development Executive • DHSD Capability Development Directorate • RPDE (Rapid Prototyping, Development & Evaluation) -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- • Tertiary Institutions e.g. UQ Centre for Health Innovation Solutions (CHIS)

  8. JP-2060 ADF Deployable Health Capability • 4 Phases (so far) - 0 thru 3 ($250-350M) • Phase 3 - Deliver optimum quality services for the prevention, treatment and evacuation of casualties by the adoption of a 'whole of system’ approach to the delivery of health support, addressing each of the following five Health Operating Systems: • preventive health; • treatment; • medical evacuation; • health information systems (C4IS); and • health services logistics.

  9. JP-2060 ADF Deployable Health Capability • Facilitator – Delivery Mechanism: • Defence Materiel Organisation • Good or Bad? • Tried & True! • All Class 8 Health Logistics

  10. Systematic but Innovative • Managing Technology requires discipline • Ability to think ‘laterally’ • Combination of both concepts • Systems Development Life Cycle (SDLC) • “Delivering capability – not just equipment!”

  11. SDLC • Planning Phase • Analysis Phase • Design Phase • Construction Phase • Implementation Phase • Post Implementation Review • Maintenance

  12. Rapid Applications Development • Alternative to SDLC • Phases: • Prototyping • Iteration • Time Limit (requirement, not deadline) • Rapid development (multiple players) • Practical acceptance as a key measure of success

  13. RPDE model

  14. Triple Helix model • Involving Innovative Enterprises • Create Innovative Environments • Create Disruptive Technologies • Accelerate Technology Advancements • Promote Tech transfer and commercialisation • Provide value US DoD TATRC

  15. Systems • Healthcare is a system of systems • Now - even down to the nano-level! • Equipment level (i.e. technology) – in very near future – all be systematised! • Each item will be ‘networked’ with their own ‘IP’ address.

  16. Systems • Synergistic relationship of: • Doctrine • Human resources • Training • Facilities • Equipment (technology) • For the best results!

  17. System Examples • Hospital Information Systems • Electronic Patient Records • Pathology analysers

  18. System Examples • Radiology processors & PACS • In / Outpatient Pt data capture • Ancillary services

  19. In conclusion • DMO – will remain lead Agency • No requirement to ‘reinvent the wheel’ • Improve the existing model • Make it more dynamic & adaptive • Greater awareness of ‘systematisation’ • Cutting edge but not necessarily bleeding edge!!

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