The three words that have been frequently used with regard to CityNext are transform, engage, and accelerate. These follow up rather well to one of my earlier blog posts about the key aspects in the organizations of tomorrow. In this post I thought I would provide some examples of people-first solutions that indeed transform, engage, and accelerate!

Transform the infrastructure – Ensure the connection of information flow and transform information into insights and actionable results to better cope with the aging population and make it possible to provide healthcare in new ways and in new places.

One of our solutions uses Xbox Kinect and Windows 8 to track some of the standard Parkinson’s motoric exercises. The motion sensor of the Kinect makes it possible to track individual results, and the program can be directly interpreted by the doctor or be recorded at the patient’s convenience.

By combining a user-friendly interface that many patients are already familiar with, and by using gamification techniques such as social interaction, in-app rewards, and challenges, we provide a more positive and fun experience.

I have used this healthcare example before to illustrate the CoIT and how one can think Lean. But it is indeed also a great example of how one can transform the infrastructure in healthcare to become more people-centric and relational on the patient’s terms.

Engage with citizens – Move from a system of records to a system of engagement. Ensure that partners and customers can make better decisions based on the data and services provided.

The example I will highlight here, a project for helping refugees become a part of Swedish society, was the winner at the Worldwide Government Forum 2012.

“With the SharePoint deployment, our aim is to promote broader inclusion and democracy in our society as part of the overarching EU Digital Agenda,” said Kirsten Brogaard, process leader, County Administrative Board of Västra Götaland. “The goal of the agenda is to ensure all people in Europe experience the benefits of technology, and that technology is leveraged in such a way to ensure those most often marginalized or disenfranchised in society are included.”

Accelerate Innovation – Ensure that the next generation of innovators and entrepreneurs can contribute to your success. Open up your legacy system and democratize the data.

Together with the National Environmental Agency, we have worked to open their data by establishing an Open Data portal on Azure. We have made the information searchable and accessible both from the web as well as through the use of APIs, thus accelerating the innovation by allowing more people and organizations to participate in the creation of new solutions and apps.

These are all great examples of what I call “The Connected Enterprise.” Common in all these solutions are the use of the cloud, analytics, and devices and sensors.

  • Cloud is a platform for cross-organization information sharing. By allowing the cloud to bridge the gap between different organizations, a more secure and people-centric care can be established. This enables cross-enterprise information-rich processes, so the cloud also ensures that decisions are made based on the right information.
  • Analytics and the Power BI. There will be a lot of data, it will be Big data! With the use of analytics and new tools for visualization, it will be possible to see overall trends and find new patterns. But these techniques can also be applied to “little data.” For further inspiration, read my post from the PASS conference in Chicago earlier this year.
  • Sensors and devices. How can we engage the citizens to take an active part in the creation of a more sustainable society or change the living patterns to become healthier? Here, devices and sensors will play an important role.

When these three aspects are used together, it will be possible to establish solutions that may become disruptive or provide “new with less.” I will end this post with two more examples from my time working within the public sector.

The first one is from “population health management.” With some diseases, it is possible to screen the population for specific indicators and, with a rather high probability, find and provide proactive care to people in the risk zone. In the city of Stockholm, older citizens are screened for colorectal cancer, women for breast cancer, and men for aortic aneurysm.

By the establishment of a solution for handling the total process, the selection of the citizens to be screened and collection of the results. This entails sending out the test kit or a letter with an appointment, receiving the results, and providing the patient with the appropriate care or health advice depending upon the result. The use of products such as SQL Server and BizTalk Server together with analytics enable the establishment of a cost-effective, secure, and scalable solution that makes it possible to provide proactive care.

The second example is a combination of “remote care and case management” and “personal health and wellness.”

By the use of a new type of sensor, mobile technology, a smart app, and the cloud, it is now possible to provide a mobile ECG (monitoring of the heart rhythm). This gives several benefits both from a people-first perspective as well as from a perspective of increased data quality.

  • The monitoring can be done while the patient is at home, making it possible to detect things triggered by the life situation, i.e. both on patient’s terms and through increased data quality.
  • The doctor can, thanks to the cloud, take a real-time look at the values remotely, and then send a message that everything looks fine, which may have a good impact on of the patient’s situation (i.e., a people first principle).
  • By the use of analytics, one can detect if one of the electrodes has fallen off and needs to be refastened. So, instead of realizing this when the patient enters the hospital with the consequence of lost data, the patient can be notified in real-time (i.e., increased data quality).

As these two last examples show, data analysis is an important aspect. The vendor in this position has an excellent opportunity to create new services based on the information flow and the understanding of the data. As healthcare becomes more and more connected, the ability to transform sensor data and patient behavior data into actionable information by applying powerful analytics will become integral. Hence, it will then be possible to transform, engage, and accelerate!

But it is not obvious that this position will be taken by the traditional healthcare vendors. New players will enter the field since in many aspects the challenges around analytics are the same independent of industry. These new players need to find partners with expertise in healthcare to bring new services to life. A great example is from Denmark as illustrated in the film below.