VISIONAIR Slide 1 / 26 JRA 11: Servitization of GE Vscan pocket ultrasound for primary healthcare Cranfield University Dr. John Ahmet Erkoyuncu Prof. Daniel.

VISIONAIR Slide 1 / 26

JRA 11: Servitization of GE Vscan pocket ultrasound for primary healthcare

Cranfield UniversityDr. John Ahmet ErkoyuncuProf. Daniel Steenstra Prof. Rajkumar Roy

Technion Institute of TechnologyProf. Dov DoriSergey Bolshchikov

VISIONAIRPartner Logo

Visionair- Deliverables

1. Conceptual model (Month 12)– The conceptual modelling of a £1000 scanner for use in primary

care

– Development of associated services to support the end user

2. Demonstrator (Month 32)– Realisation of a demonstrator for virtual and physical assessment

– Realisation of a maintenance program

3. User evaluation (Month 42)– Research visualisation-related ergonomics and usage in the

context of the £1000 scanner

– Assess the social impact of the scanner in the appropriate domains

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Background

Disruptive Innovation required to bridge the gap

Time

£

Costs of needs for healthcare

Fundings from the government

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Context of the project

GE Healthcare Vscan pocket ultrasound scan

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Aim & Objectives

AimDesigning affordable Business Models for ultrasound procedures for use in primary health care.

Objectives• Reviewing current process

• Developing a series of visualized models

• Developing Cost/Benefit analysis

• Validating these models with end-users

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Agenda

• Overview

• Functional design of Business Models

• Visualization tools

• Validation

• Conclusions & Current and future interests

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VISIONAIR

Research Methodology

• Literature review• Define approach

Understanding the context

• Development of questionnaires

• Interview of stakeholders

Interaction with stakeholders

• Business Models• Cost/Benefit tool• Visualization

Development

• Semi-structured interview

• Internal assessment

Verification and Validation

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Business Models

Profit Formula(Assets and cost

structure)

Value Proposition(Products or

Services)

Processes(Ways of working)

Resources(People, Technology)

Functional Design

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VISIONAIR

Patient Record

Patient

Patient Records

Surgery

Hospital

Home

Map of AS-IS Procedure

Information FlowPatient Journey Appointment System

X 2

ReportImages

Admin GP

AdminRadiographer

Server

Radiologist

X 2

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Observations

For a Procedure Lasting 20 minutes:

– Patient travels 24 Miles (typical)

– 18 Service Point Contacts

– 17 Days to Complete from Initial to Final Consultation (non emergency)

Source: Data supplied by sample of Bedfordshire GPs

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Cost Complexity Portability

InsightsHospital

Reduce Patient Journey Time

Simplify

Cost Complexity Portability

Patient

Patient

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VISIONAIR

Model 1 of 4GP Uses Vscan to Complete Scan at Surgery

Patient Record

Surgery

Patient

Home


• Minimum process contacts• No use of external resource

GP

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VISIONAIR

Patient Record

Patient

X 2

Model 2 of 4Radiographer Visits Surgery Every Week

Report

ImagesHome

Surgery


• Maximise GP Availability

Schedule

Radiographer

Radiologist

X 3

X 3

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VISIONAIR

Patient Record

Patient

Final Consultation

Model 3 of 4: Radiologist Visits Surgery Every Week

Report

Home

Surgery


• Further minimise use of external resources

• Minimise patient travelling

Schedule

X 2 X 2

GPRadiologist

Admin

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VISIONAIR

Patient Record

Patient

X 2

Model 4 of 4Mobile Radiographer Visits Patient at Home

HomeVisit

Report

Images

Home

Surgery


• Maximise patient convenience

Schedule

X 2

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• Ability to show interactions

• Ease of understanding

• Ease of learning and implementing

• Capability to generate dynamic visualization

Selection criteria of conceptual modelling languages

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Conceptual modelling languages

UML (Unified Modelling Language)IDEF (Integration Definition)

BPMN (Business Process Modelling Notation) EPC (Event-driven Process Chain)

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Description of Object-ProcessMethodology (OPM)

Object-Process Diagram (OPD)

Hierarchy of in-zoomed layers

Object-Process Language (OPL)

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Example of OPM

Example of process in-zoomed

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VISIONAIR

OPCAT Player Demonstration

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Vivid OPM

Vivid OPM animation snapshot

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Validation of the Business Models

Business Models

GP completes the Scan

Radiographer visits the surgery

each week

Radiologist visits the surgery each

week

Mobile Radiographer

Benefits

• Lowest cost• Lowest patient

journey• Outsource to

two resources

• Outsource to one resource only

• Quick process

• Maximum patient convenience (adapted for patient with limited mobility)

Operational Issues

• GPs’ training

• Radiologist required to complete analysis

• High cost of resource

• Higher cost• Lower

utilization of radiographer time

• Validation with GPs at three surgeries in the UK

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Validation of the visualization tools

Strengths Areas for improvement

• Easily upgradable• Intuitive

• No quantitative data

Strengths Areas for improvement

• High level of explanation for non experts

• Interactions between objects and processes

• Appearance is not user friendly

• Configuration of Vivid

OPM Model

Vivid OPM

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Application OPM: Multi-touch table

• Facilitating implementation of OPM business models (e.g. radiologist and radiographer communicate)

• Linking the iPads with the surface table, where the surface table and the projector could be the central assessment station.

• Application of Mind-Meister facilitating dynamic communication– Ability to share ultrasound images

– Ability to share OPM images

– Ability to also connect to iPad’s

to enhance mobility

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http://www.google.co.uk/url?sa=i&source=images&cd=&cad=rja&docid=4wV14j2KXd73sM&tbnid=ywiC8E1hgzuGoM:&ved=0CAgQjRwwAA&url=http://vis.renci.org/multitouch/&ei=iCMaUf-xM6js0gW594GIBw&psig=AFQjCNEgqrDpg0RVf_sMBB-L9ZuuUtxL_Q&ust=1360753928871450


Conclusions

• Visualisation has a key role in improving the design and delivery of healthcare

• OPM helped to conceptualise the detailed level drivers for business models

• Vivid OPM offers further opportunities to visualise conceptual models

• Validation results show that the findings are suitable and visualisation helps in many ways

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Thank you!

QUESTIONS

?

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VISIONAIR Slide 1 / 26 JRA 11: Servitization of GE Vscan pocket ultrasound for primary healthcare Cranfield University Dr. John Ahmet Erkoyuncu Prof. Daniel.

Documents

visionair slide

validation slide

government slide

appropriate domains

visionair model

patient travels

patient journey time

affordable business