From Diabetes Prevention 1.0 to Prevention 3.0, Hitachi Consulting explains a digitally enabled pathway personalisation when it comes to diabetes
The rising global prevalence of Type 2 diabetes has placed an acute strain on healthcare budgets, attracting the attention of US and UK policymakers. The US National Diabetes Prevention Program established credible evidence linking lifestyle change with reducing the risk of Type 2 diabetes onset, leading policymakers in the UK to establish the NHS Healthier You Diabetes Prevention Programme. The early provision or prevention 1.0 was geared to helping those identified with elevated blood sugar levels to create a lifestyle change plan in face-to-face settings. Prevention 2.0 built on this by leveraging telehealth and nascent digital-enablement to reinforce face-to-face provision with remote support.
Pushing the boundaries of the possible
Hitachi’s diabetes prevention journey started in 2010 when the company developed its first digitally-enabled service to support its employees in meeting their wellness goals. Hitachi’s programme attempted to move provision towards telehealth and digital-enablement, or prevention 2.0. By bringing together a blend of telehealth coaching and digital tools, Hitachi was able to personalise the provision of care, whilst giving their employees the means to effectively self-manage their lifestyle changes. Since 2010, the solution has been rolled out to other Japanese corporates and used as a foundation for Hitachi’s collaboration with NHS partners in England, aimed at leveraging clinical expertise, remote telehealth and digital solutions to create a new model of provision, or prevention 3.0.
Collaborating across organisational boundaries
In 2012, Hitachi looked for opportunities to collaborate with NHS organisations in areas of mutual interest focused on innovative solutions addressing social and healthcare challenges. Since then, Hitachi has collaborated with one of the leading NHS trusts in England, Salford Royal Foundation Trust (RFT), Salford Clinical Commissioning Group (CCG) and the University of Manchester to co-design England’s first digitally-enabled, telehealth diabetes prevention provision. Supported by rigorous academic evaluation, the programme was selected to participate in the NHS Healthier You Digital Diabetes Prevention pilot in 2017.
Hitachi’s Smart Digital Diabetes Prevention solution leverages the collective experience and innovation in technology and clinically-led prevention of Hitachi and our NHS partners in Salford RFT and Salford CCG. By bringing together clinically-led coaching, digital tools and data, we have created a balanced blend of capabilities, assets and insights needed to advance provision towards Prevention 3.0.
Prevention 3.0 – Patient-driven, connected health ecosystem
Hitachi’s vision of prevention 3.0 is geared to creating a clinically-effective, sustainable and scalable model of provision, driven by the patient need set within the context of a connected health ecosystem. The core components and enablers making-up prevention 3.0 include:
- Clinically-led telehealth coaching, providing human support critical to driving positive behaviour change needed to bring about lifestyle change.
- Digital tools including wearables, providing the means for effective self-management and monitoring, establishing the data-points required to create a credible picture of patient needs.
- Data-driven insights, providing the basis for personalising pathways, engagement and the nature of support provided to ensure best lifestyle outcomes.
- Peer support networks, leveraging digitally-enabled solutions to connect the influence that family and friends can bring to bear with patients, thereby giving them the best opportunity to succeed in changing their lifestyles.
- AI-augmented coaching support, leveraging the latest developments in technologies and established data-driven insights to create personalised messaging targeted at identified areas of patient need and progress throughout the pathway.
- Integrated provider data, allowing for acute and community care providers to share appropriate data and insights on the patient’s lifestyle progress, thereby allowing for the best holistic/integrated care to be delivered to the patient.
- Signposting to third-parties, including community, fitness and wellbeing providers as well as food retailers, enabling access to the wider health and wellbeing ecosystem.
- Personalised pathways, leveraging data to drive pathway and digital personalisation to ensure the best possible blended support is provided to the patient.
Hitachi’s vision of Prevention 3.0 blends clinically-led coaching, digital technologies and tools, as well as data-driven insights to create a patient-driven, connected health ecosystem, personalised to patient needs and geared towards scaling.
Digitally-enabled pathway personalisation
Digital technologies, combined with clinically-led pathways, provide the key ingredients needed to establish and sustain patient engagement. This, in turn, allows the patient to effectively self-manage their lifestyle change, whilst generating the data insights needed to build-up a comprehensive picture of their needs. Digitally-enabled pathways leverage this intelligence to provide:
- Enhanced patient choice, providing targeted support based on the needs identified by data-driven insights, allowing the patient to select the range of care options available to them within the programme and the wider health ecosystem.
- Targeted patient support, ensuring that coaching and digitally-enabled support is made available when the patient needs it the most, through the best appropriate channels in the wider health ecosystem.
- Improved patient engagement, providing a foundation for effective behaviour change critical to sustained lifestyle change.
- Better health outcomes, facilitating a sustained reduction in the risk associated with Type 2 diabetes onset and progression to lifestyle-related long-term chronic conditions.
- Improved patient access, allowing the patients to access support in remote settings and on-the-go.
- Reduced cost and improved scalability, allowing resources to be targeted at identified areas of need and patient choice, to reduce costs, optimise resource productivity and provide scalability and sustainable return on investment.
Hitachi’s vision of Prevention 3.0 establishes digitally-enabled pathway personalisation to provide a foundation for enhanced patient choice and support focused on patient needs as a means of securing and sustaining better health outcomes in a cost-effective and scalable manner.
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Hitachi Consulting
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