Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-25T17:03:01.798Z Has data issue: false hasContentIssue false

Selecting digital health technologies for validation and piloting by healthcare providers: a decision-making perspective from ontario

Published online by Cambridge University Press:  04 February 2019

Amarjit Chahal*
Affiliation:
Thunder Bay Regional Health Research Institute
Abraham Rudnick
Affiliation:
Thunder Bay Regional Health Research Institute
*
Author for correspondence: Amarjit Chahal, E-mail: chahala@tbh.net

Abstract

Digital health technologies (DHTs) such as health apps are rapidly emerging as a major disruptor of health care. Yet there is no well-established process of decision making for selecting DHTs that are worthy of investing resources in their validation to determine whether they are ready (safe, effective, and not too costly) for health related use. We report here on an Ontario-based initiative to support such decision making. Specifically, we developed a decision-making algorithm that uses approved criteria including the strategic direction of the health research institute and the hospital, and availability of resources. The Council of Academic Hospitals of Ontario has adapted our approach for other hospitals. We hope that other healthcare organizations, in and beyond Ontario, will consider this and alternative approaches, and that research will be conducted to evaluate such approaches.

Type
Perspective
Copyright
Copyright © Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Acumen. Radiology QA. http://acumyn.com/aqua-radiology (accessed July 24, 2018).Google Scholar
2.MEDITECH. https://ehr.meditech.com (accessed July 24, 2018).Google Scholar
3.VitalConnect. https://vitalconnect.com (accessed July 24, 2018).Google Scholar
4.AdEchoTech. http://www.adechotech.com (accessed July 24, 2018).Google Scholar
5.BioSymetrics. https://www.biosymetrics.com (accessed July 24, 2018).Google Scholar
6.Portable Medical Diagnostics. https://www.pmdxu.com (accessed July 24, 2018).Google Scholar
7.DashMD. http://www.dashmd.co (accessed July 24, 2018).Google Scholar
8.The Council of Academic Hospitals of Ontario. Innovation Broker. http://caho-hospitals.com/partnerships/innovation-broker (accessed July 24, 2018).Google Scholar
9.Canadian Institute for Health Information. Health Spending. https://www.cihi.ca/en/health-spending (accessed July 24, 2018).Google Scholar
10.Health Quality Ontario. A report on Health in the North: A report on geography and the health of people in Ontario's two northern regions by Health Quality Ontario. 2017. http://healthinthenorth.hqontario.ca (accessed July 24, 2018).Google Scholar
11.Majumder, S, Aghayi, E, Noferesti, M, et al. (2017) Smart Homes for Elderly Healthcare—Recent Advances and Research Challenges. Sensors 17, 2496. doi:10.3390/s17112496.Google Scholar
12.World Health Organization. Aging and health. http://www.who.int/en/news-room/fact-sheets/detail/ageing-and-health (accessed July 24, 2018).Google Scholar
13.Statista. Mobile usage in Canada-Statistics and Facts. https://www.statista.com/topics/3529/mobile-usage-in-canada (accessed July 24, 2018).Google Scholar
14.TrinetX. https://www.trinetx.com (accessed July 24, 2018).Google Scholar
15.Lee, JA, Choi, M, Lee, SA, et al. (2018) Effective behavioral intervention strategies using mobile health applications for chronic disease management: A systematic review. BMC Med Inform Decis Mak 18, 12. doi:10.1186/s12911-018-0591-0.Google Scholar
16.Ngwatu, BK, Nsengiyumva, NP, Oxlade, O, et al. (2018) The impact of digital health technologies on tuberculosis treatment: A systematic review. Eur Respir J 51, pii: 1701596. doi:10.1183/13993003.01596-2017.Google Scholar
17.Gambhir, SS, Ge, TJ, Vermesh, O, et al. (2018) Toward achieving precision health. Sci Transl Med 10, pii: eaao3612. doi:10.1126/scitranslmed.aao3612.Google Scholar
18.Deloitte. 2018 Global life sciences outlook. Innovating life sciences in the fourth industrial revolution: Embrace, build, grow. https://www2.deloitte.com/global/en/pages/life-sciences-and-healthcare/articles/global-life-sciences-sector-outlook.html (accessed July 24, 2018).Google Scholar
19.The Council of Academic Hospitals of Ontario. Critical Problems Requiring Innovative Solutions. http://caho-hospitals.com/wp-content/uploads/2017/06/CAHO-Innovation-Broker-Critical-Problems-Requiring-Solutions.pdf (accessed July 24, 2018).Google Scholar
20.FORTUNE. Why startups fail, according to their founders. http://fortune.com/2014/09/25/why-startups-fail-according-to-their-founders (accessed July 24, 2018).Google Scholar
21.Rudnick, A (2014) Principled physician (and other health care) leadership: Introducing a value-based approach. Can J Physician Leadership 1, 710.Google Scholar