1. VISIONAIR Slide 1 / 26 JRA 11: Servitization of GE Vscan pocket ultrasound for primary healthcare Cranfield University Dr. John Ahmet Erkoyuncu Prof. Daniel Steenstra Prof. Rajkumar Roy Technion Institute of Technology Prof. Dov Dori Sergey Bolshchikov

2. VISIONAIR Partne r 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 Slide 2 / 26

3. VISIONAIR Partne r LogoBackground Disruptive Innovation required to bridge the gap Time £ Costs of needs for healthcare Fundings from the government Slide 3 / 26

4. VISIONAIR Partne r Logo Context of the project GE Healthcare Vscan pocket ultrasound scan Slide 4 / 26

5. VISIONAIR Partne r Logo Aim & Objectives Aim Designing 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 Slide 5 / 26

6. VISIONAIR Partne r LogoAgenda Overview Functional design of Business Models Visualization tools Validation Conclusions & Current and future interests Slide 6 / 26

7. 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 Slide 7 / 26

8. VISIONAIR Partne r Logo Business Models Profit Formula (Assets and cost structure) Value Proposition (Products or Services) Processes (Ways of working) Resources (People, Technology) Functional Design Slide 8 / 26

9. VISIONAIR Patient Record Patient Patient Records Surgery Hospital Home Map of AS-IS Procedure Information Flow Patient Journey Appointment System X 2 Report Images Admin GP Admin Radiographer Server Radiologist X 2 Slide 9 / 26

10. VISIONAIR Partne r LogoObservations 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 Slide 10 / 26

11. VISIONAIR Partne r Logo Cost Complexity PortabilityInsights Hospital Reduce Patient Journey Time Simplify Cost Complexity Portability Patient Slide 11 / 26

12. VISIONAIR Model 1 of 4 GP Uses Vscan to Complete Scan at Surgery Patient Record Surgery Patient Home Information FlowPatient JourneyAppointment System Minimum process contacts No use of external resource GP Slide 12 / 26

13. VISIONAIR Patient Record Patient X 2 Model 2 of 4 Radiographer Visits Surgery Every Week Report Images Home Surgery Information Flow Patient Journey Appointment System Maximise GP Availability Schedule Radiographer Radiologist X 3 Slide 13 / 26

14. VISIONAIR Patient Record Patient Final Consultation Model 3 of 4: Radiologist Visits Surgery Every Week Report Home Surgery Information Flow Patient Journey Appointment System Further minimise use of external resources Minimise patient travelling Schedule X 2 GP Radiologist Admin Slide 14 / 26

15. VISIONAIR Patient Record Patient X 2 Model 4 of 4 Mobile Radiographer Visits Patient at Home Home Visit Report Images Home Surgery Information Flow Patient Journey Appointment System Maximise patient convenience Schedule X 2 Slide 15 / 26

16. VISIONAIR Partne r Logo Ability to show interactions Ease of understanding Ease of learning and implementing Capability to generate dynamic visualization Selection criteria of conceptual modelling languages Slide 16 / 26

17. VISIONAIR Partne r Logo Conceptual modelling languages UML (Unified Modelling Language) IDEF (Integration Definition) BPMN (Business Process Modelling Notation) EPC (Event-driven Process Chain) Slide 17 / 26

18. VISIONAIR Partne r Logo Description of Object-Process Methodology (OPM) Object-Process Diagram (OPD) Hierarchy of in-zoomed layers Object-Process Language (OPL) Slide 18 / 26

19. VISIONAIR Partne r Logo Example of OPM Example of process in-zoomed Slide 19 / 26

20. VISIONAIR OPCAT Player Demonstration Slide 20 / 26

21. VISIONAIR Partne r Logo Vivid OPM Vivid OPM animation snapshot Slide 21 / 26

22. VISIONAIR Partne r Logo 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 Slide 22 / 26

23. VISIONAIR Partne r Logo Validation of the visualization tools StrengthsAreas for improvement Easily upgradable Intuitive No quantitative data StrengthsAreas 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 Slide 23 / 26

24. VISIONAIR Partne r Logo 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 Slide 24 / 26

25. VISIONAIR Partne r LogoConclusions 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 Slide 25 / 26

26. VISIONAIR Partne r Logo Thank you! QUESTIONS ? Slide 26 / 26