Page 3 - HA Convention 2016 [Abstracts (Day 1)]

Plenary Sessions HOSPITAL AUTHORITY CONVENTION 2016

P2.1 The Roles of Artificial Intelligence in Modern Healthcare 13:15 Convention Hall B

Singapore’s Telerehabilitation Experience: Preliminary Results and Steps Forward Tuesday, 3 May
Koh GCH
Saw Swee Hock School of Public Health, National University of Singapore, Singapore

A telerehabilitation system was developed by National University of Singapore. The wearable sensors used in the system to
capture range of motion at all joints of upper and lower limbs were validated against a goniometer in both healthy and disabled
adults, and were found to be accurate. The telerehabilitation system is currently evaluated in a randomised controlled trial on
acute post-stroke patients with the intervention group receiving telerehabilitation for three months compared to the control
group receiving standard care. The target sample size is 50 acute stroke subjects in each group and the primary outcome
measure is functional status at three months. The trial is targeted to be completed in June 2016 but interim analysis suggests
that telerehabilitation improves functional recovery at three months and adherence to outpatient rehabilitation after cessation
of telerehabilitation. A time motion study also found that therapists and patients saved time travelling with telerehabilitation
compared to centre-based and home rehabilitation, and therapists spent less time on consultation per patient per week.
These findings were presented at Hong Kong Hospital Authority Convention last year in 2015.

Since then, Singapore’s Ministry of Health has identified telerehabilitation as one of the first telehealth initiatives to be tested
on a large scale basis to assess its suitability as a national telehealth programme. This proposed telerehabilitation pilot
project is to determine if telerehabilitation is a viable cost-effective solution to provide physical rehabilitation to: (1) a range of
nine conditions (stroke, fractures, lower limb joint replacement (e.g. hip and knee), lower limb amputations, pneumonia, falls,
cancer, deconditioning and musculoskeletal conditions) requiring rehabilitation at (2) two settings (e.g. day centre or home),
and (3) two situations (e.g. individual vs. group therapy). The pilot is planned to be implemented in 10 sites (acute hospitals,
community hospitals, nursing homes and day rehabilitation centres) and on at least 1,000 patients over two years.

P2.2 The Roles of Artificial Intelligence in Modern Healthcare 13:15 Convention Hall B

Innovation in eHealth Supporting Hospital Authority Services
Cheung NT
Information Technology and Health Informatics Division, Hospital Authority Head Office, Hong Kong

In recent years information technology has disrupted the entire industries, from retail to transportation to hotels. The adoption
of IT in healthcare (or eHealth) has not generally been as revolutionary. However in HA the widespread use of the Clinical
Management System (CMS) — one of the largest electronic medical record systems in the world — has already wrought
major changes in the way healthcare is delivered in the HA. The recent launch of Hong Kong-wide Electronic Health Record
Sharing System (eHRSS) will further extend the reach of eHealth in Hong Kong.

The stability and security of CMS in the HA are essential, yet we face inevitable change from the increasing capabilities
of information technology in areas such as mobile apps, wearables, big data, machine learning, amongst others. HA has
proposed a new model for fast adoption of IT innovations in HA, working alongside a much more measured approach to the
core CMS development. Will this so called “two speed” model of IT development in HA successfully transform healthcare in
Hong Kong?

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