Slides of my presentation Healthcare digital transformation - How to lead it at the prestigious Official College of Physicians of Barcelona on May, 10th 2023 Healthcare digital transformation is a must worldwide. Learn the best practices to lead such a challenging process. Understand the key success factors. The demographic changes and the lack of human resources, doctors, and nurses, only can be faced using digital technologies.

1. Healthcare
Digital
Transformation
How to lead it.
Agustin Argelich
Telecom Engineer
Principal Consultant Argelich Networks
Intelligent Community Forum
Society of Communication Technology
Consultans International

2. 1) What Digital Transformation means ?
2) What value it add?
4) How to implement
digital transformation
successfully?
3) Why we need it?

3. Which is the challenge we
are facing?
Which strategies can we
apply?
(best leadership
practices)

4. Content
Technology
Strategy
Leadership
How is the current
ecosystem?
How is the digital
ecosystem?
How can we response and
create welfare?
How can we lead
the digital
transformation ?

5. UC2, IP, WIFI, WIMAX, IA, BIG DATA, CPBA,
FTTH, ERP,
Names of Digital transformation in a close past:
Technology is a tool.
A powerful one. Use it
Don’t trust in people who are unable to
explain a concept and use too many
estrange mnemonics.
Telemetry
Digital Transformation is nothing new
Automatization
Remote Control
Informatization

6. 500.000 400.000 300.000 200.000 100.000 0 100.000 200.000 300.000 400.000 500.000
0 años
4 años
8 años
12 años
16 años
20 años
24 años
28 años
32 años
36 años
40 años
44 años
48 años
52 años
56 años
60 años
64 años
68 años
72 años
76 años
80 años
84 años
88 años
92 años
96 años
100 años o mas
Piramide demografica España a 1 de julio de 2022
Datos Instituto Nacional Estadística
Elaboración propia
Hombres Mujeres
Suicidio demográfico: No creemos en el futuro
#BETTERFUTURE @Newcommunities @aargelich

7. Social and Demographic changes
0
50
100
150
200
250
Índice de envejecimiento en España
More needs
Few qualified resources
Only Technology can help us

8. Demographic considerations
new generations,
our teenagers, are
more innovative
and dynamic than
enterprises.
Many directors ask
their kids about IT.
They have always been living with
what we (adults) call “new
technologies.”
Probably, it is the first time in
human history that

9. Let’s take Gaudi’s thoughts.
What’s digital transformation about?

10. Everything comes from the great book of nature.
What’s digital transformation about?

11. Networks are the nervous
system of any organization
The nervous system transports different
kinds of signs and orders, sounds,
images, touch, heat, cold, etc.
An IP telecommunications network
transports in a transparent way different
kinds of information: voice, data, video,
control.
We have evolved from separate service-
specific networks to a single network.
We are moving on to a more efficient and
natural solution.

12. The brain is protected by the skull,
i.e. a Data Center.
Where is your Data
Center located?

13. Our brain is a network
We use a network:
TO THINK

14. How our brain make instinctive decision
Considering all the
information collected by
our sensors + our
expertise
Artificial intelligent try to
work in the same way
our brain does

15. The New Age of Digital Healthcare
You need a wire o wireless
network port everywhere
Symmetric high-capacity
WAN and LAN Ethernet
links.
Sharing information and resources.
Huge computing capacity

16. The Hospital is any place where there is a patient
No more borders, no more
geographical limits in your
network
Voice, data, video and control
signals.
Wireless high capacity data
networks
No more walls in any Hospital

17. Remote monitoring of chronical diseases

18. Sharing information and resources worldwide
Support to local or
regional Hospitals
Main Hospital

19. Infant Protection
LabResults
Nurse call
Security System
Location Tracking
IT System
Monitoring
ADT System
Pager
Remote
Monitoring
Devices
Digital
Signage/
Whiteboard
Smart
Phones
Web
Wireless
Telephony
Enterprise-widedirectory,presence,
preferenceand escalation rules
Deliveryto right
endpoint
Web
Directory
Emergency
Notification
Speech
Recognition
Wireless
Telephony
Dashboard
On-site
Paging
OnCall
Alarms
Integration
E911
Nurse Call
Integration
RFID
Presence
Call Recording
Call Accounting
Operator
Console
Unified
Communications
Services
Universal
connectivity to
data sources
1. Collect the information where it occurs.
2. Apply the rules and procedures. Support decision tools.
3. Processed information is delivered to the key person wherever s/he is.
3 Steps

20. Business Process Automation
✓Shorter processes
cycle of life.
✓Avoid human errors
✓IF … THEN

21. Business process improvement
Introduce data on real time
300 prescriptions per day
x 5 min. to process each
prescription
Each action is done once.
Avoiding mistakes
9.125 hours /year

22. Critical communications in Hospitals
➢ The high level of mobility of medical and technical
management staff
➢ Dynamic and complex directory. Who is available?
➢ Mobile messages. High volumes of short message to mobile devices.
➢ A large amount of machine and system data from two different
origins:
➢ Patient follow-up.
➢ Building management
➢ Group communication is also very frequent. Different specialists
must be consulted in real time. Second opinions are required
➢ Communication traceability and auditing.

23. UC2 Unified Communications and Collaboration
1. The physician needs a
second opinion on an X-ray.
2. He checks availability of
his colleagues on the
collaboration portal.
3. He starts a conference to
share the graph with his
three available colleagues.
If you are interdependent, you are efficient (Stephen Covey).

24. UC2 Unified Communications and Collaboration
Nurse
The physician accepts
the nurse’s call
The physicians are unavailable
1) The nurse needs to contact a specialist urgently.
2) The system’s UC2 application immediately contacts one
of the available physicians by just clicking on “Surgical
team” button on her Wi-Fi PDA/Smartphone.

25. Video remote collaboration
in a surgery
Recording it.
Broadcasting it in real time
Running in 40 operating rooms in
Spain public and private hospitals

26. Accessing data from anywhere.
Collecting patient’s data
Remote monitoring

27. Tele-assistance Solutions Architecture

28. 4
Tele medicine 4 - Modules
+ Medical device
Class IIa or IIb
+ Low cost.
+ Very accurate.
+ Self measure
+ Easy to operate
+ Smartphone
App for patients.
+ Smartphone
App for family
(tutor)
+ Smartphone
app for
Physician
+ Avoiding self-
medication.
+ Process data
received from
patients.
+ Alarms to
patients, family
or Physician.
+ Biggest
database of
illness ever
build
+ Research using
standard tools.
Personal
Medical device
Comm. Patient
Physician
Family
Real - Time
monitoring
Big Data
01 02 03 04

29. 5
Remote monitoring flowchart
Send data to the
portal
Process data on real-time
Data Storage Analysis
01 02 03
05
Capturing Real
Data with
personal
medical device
Big Data Analysis
Artificial Intelligence
Paper Research
Forensic analysis
06
04
Patient
Assisted person
Send alarm to the right endpoint
Tutor / Family
Physician /nurse / caregiver

31. STAT-ON is a medical device that provides objective information about severity and
distribution of motor symptoms in patients with Parkinson’s Disease in daily life.
STAT-ON - PARKINSON
Connecting patients to clinicians with one wearable
Pre-post treatment example
450 active sensors active in 13 countries (2022)

32. + Asistente
personal:
higiene, comida,
paseo,
fisioterapia.
+ Asistente
domésticos.
+ Acompañamiento.
+ Robot asistente
personal para
grandes
dependientes,
en particular
personas
jóvenes.
+ Exoesqueletos.
+ Control de
enfermedades
crónicas.
+ Control de
actividad y
movilidad
+ Control
medicación
+ Creación de una
enorme base de
datos sobre
enfermedades
crónicas y
asistencia a
personas
mayores y/o
dependientes.
+ Investigación
mediante uso
de herramientas
standard de Big
data.
Servicios de
asistencia
personal a
domicilio
Robótica
Monitorización
en tiempo real
de parámetros
biomédicos
Big Data
01 04
03 07
+ Gas
+ Seguridad física
e intrusión.
Control de
accesos.
+ Climatización
+ Agua
Domótica
02
+ Smartphone
App para
personas
asistidas.
+ Smartphone
App para familia
(tutor)
+ Aviso a
servicios
médicos.
Comunicación
Asistido –
Familia -
Asistentes
05
+ Formación de
asistentes
Formación
06
La necesidad de atención a las personas mayores y dependientes es creciente

33. Metaverse is the 3 dimensions Internet
Metaverse BEST application in
healthcare:
Education and Training
Emotional Impact
Metaverse needs high speed telecom
networks and huge computing capacity
Very Low Latency

34. Artificial Intelligence
Helping diagnosis via
pattern comparison/
recognition
Data
Analysis
Data
Visualization

35. Results
✓ Rapid response to incidents and alarms.
✓ Improved response times to patient requirements.
✓ Locating the right person at the right time.
✓ Automating daily work flows, improving efficiency. Avoiding
errors
✓ Improving team work. Facilitating the sharing of information.
✓ Access to resources from other, far-off hospitals. Share
expensive resources.

36. Digital Transformation is the right answer to meet
current challenges
✓ Improving the quality of patient care and in consequence their
level of satisfaction.
✓ Improving the level of satisfaction felt by hospital’s staff
✓ Reducing cost and inefficiencies.

37. What can we do?
Which one is
the right way?
How to lead Digital
transformation?

38. Option I: Ignore the nature of reality

40. The creative process comes
interlinking seemingly
unrelated things.
#BETTERTHANEVER
#INFINITELEARNING
@Newcommunities
@aargelich
“Humans only change when
they actually realize the
consequences of not doing it.”
Why is it so difficult to
implement a change?
It’s easier to do nothing.
Dr. Mario Alonso Puig

41. Authoritas
versus
Potestas
Use soft power.
Leadership is an art.
Hard power must
be the last option.
A Digital
Transformation
projects means a
change in the
structure of power
of an organization

42. 1. Builders
2. Destroyers
3. Vegetables
Indentify all the players
1. Winners
2. Loosers
3. Followers
1. Make things happen
2. Wonder what has happened
3. Watch things happen
Any person involved is important for the success of the
project.

43. 1. DNA
2. By strategy
3. Special circumstances
or situation
You can learn how to
determine why your
interlocutor is an impossible
person.

44. It’s unlikely that “heroism” will be
defined by fighting wars and
capturing real state, or by taking
political risk. Rather, a new heroism
will come from those who restore
heritages and build great places for
people to live
Lou Zacharilla
ICF Co-Founder
@Newcommunities @aargelich

45. • Mobility is the “fall of the
wall” in communications
BE OPEN- MINDED,
MY FRIEND
COLUMBUS
.. was looking for a different
route to India…
.. was trying to optimize an
established procedure…
.. thought globally…
.. was successful because he
was open-minded…
Leadership Skills for the digital
era (I)
1

46. .. As Gaudí imagined
Barcelona’s new Basilica,…
.. Imagine the future.
THE POWER OF
IMAGINATION
GAUDI
Leadership Skills for the digital
era (II)
2

47. WILLIGNESS TO
INNOVATE
JOHN F.
KENNEDY
• We are not saying “if we can”,
of course we do. We are now
talking about: “if we want to”.
We choose to go to the moon
• Are you still thinking
technology is a “commodity”,
or do you believe in a better
future thanks to the right use of
technology?
• Are you still thinking that IT is
only a technical issue?
Leadership Skills for the
digital era (III)
3

48. HOW DO YOU FEEL?
ALIGNED OR ALIENATED?
Leadership is to help others
understand why it is clever to be
aligned with project objectives
Leadership Skills for the digital era (IV)
4

49. ATTITUDES & APTITUDES
Leadership is to help others to
choose the right attitude
You not only can, YOU MUST
choose your attitude
Leadership Skills for the digital era (V)
5

50. Preferred skills to lead
innovation
Renaissance-type. Good communicator. Good negotiator.
Innovative and
imaginative.
Able to delegate. Good at listening.
Able to link differently
in knowledge,
technologies, and
insights.
A little bad-tempered
and moderately rude.

51. Top Ten Best Practices to Lead Innovation
1. Involving representatives of the entire organization, starting with the most influential people,
from the very beginning of the process.
2. Selling the process. Dedicating resources to market the project.
3. Listening, asking, taking time with those most directly affected by the change, accompanying
them while they develop their daily work. Detecting where they have difficulties, where it hurts
them.
4. The analysis and design stages are critical. Designs must not only be accurate and correct,
but, above all, simple.
5. Knowing how to manage meetings. Watch out for large meetings, problems must be solved in
advance. Agreements are reached before starting the meetings.
6. Prioritizing one-by-one contacts. Be careful with email. It is more convenient to use the phone
or, even better, still make video calls. Always improve your own communication skills. Having a
beer, a coffee, or a glass of wine at the right moment helps.
7. Be very strict about testing systems in the laboratory and in an actual situation. Quality control
is very important. Perform load and stress tests.
8. Training should not be left for the very last moment, because it helps to sell an innovation.
Education, selling, setting up an innovative system should run parallel to the project
development and must be refreshed later.
9. Adjust the solution. Excellence can be found in the details: you have to fine-tune adjustments.
10.Celebrate the project completion, take a short break, and start again.

52. STC – COETTC The Power of Collaboration.
Best practices in project management
Avoid any conflict of
interest between
project
management and
systems integrators
Internationals and
Independent
consultants should
join the project
management team
focusing their
collaboration on
quality assurance
task
Requirements
Fees
Investments
Design and Quality assurance
Consultants
Engineers
Project
management
Systems
integrators
Vendors
Builders
Contractors
Owner
Sponsor
Promoter

53. STC – COETTC The Power of Collaboration.
Bad practices in
project
management
Quality
assurance not
guaranteed
Requirements
Fees
Investments
Consultants
Engineers
Project
management
Systems
integrators
Vendors
Builders
Contractors
Owner
Sponsor
Promoter

54. STC – COETTC The Power of Collaboration.
Multinational and
multicultural teams
working on network
from far away
different locations
The present of work is ….
Work on a project
basis
Work on a network

55. STC – COETTC The Power of Collaboration.
To get a great
and
disruptive
idea you
must be
Renaissance

56. Big Data tools
Portal
Home
Automation
Biomedical
senors
Patient / Doctor / Caregiver
The Lego Strategy
Only invest in what really add value
Linking existing “modules” to build a new solution

57. ✓The best technology
✓The best communication
between human
✓A great knowledge of each
other
Better than ever
#BETTERFUTURE @Newcommunities @aargelich
Free download in English http://bit.ly/2GKxMrG

58. Conclusions – Take away
We are better than ever
Never before in history have we
had so many technologies and
tools.
Use it.
Apply it.
There is no other option
Networks are key not only to survive a
crisis but to fuel recovery and prosperity
Leadership and good governance
is the greatest challenge

59. Agustin Argelich
Digital Technologies International Consultant
Leadership & Innovation professor
Author & Speaker
Member Think Tank Intelligent Community Forum
aac@argelich.com
www.argelich.com
@aargelich
About Me
▪ Born in Barcelona on 1963.
▪ Telecom Engineer by Polytechnical University of Catalonia and Ramon Llull
University (Barcelona)
▪ Professor of leadership at Ingenio School (Lleida University).
▪ Spanish Air Force Lieutenant.
▪ Author of Analyze, Act, Advance, a book about how to build a virtuous cycle of
hope, innovation, renewal, and continuous improvement.
▪ Principal consultant of Argelich Networks, an independent digital technology
and management consultancy boutique.
▪ For 35 years, I have been leading significant digital technology projects for
business and for public entities. Expert in telecom infrastructures and Unified
Communications and Collaboration
▪ Technological Director of the IX Paralympic Games Barcelona’92
▪ Member of the Society of Communications Technologies Consultants
International. I served as board member for 8 years, 7 as Chairman International
Affairs Committee and 2 as Vice President.
▪ Member Think Tank Intelligent Community Forum and of its international jury
awarding Intelligent Community of the year.
▪ Before Olympics, I worked as Telecom Manager in Asco Nuclear Power Plant
▪ I am active member of significant professional and civil society associations.
▪ Married with Mª Eugenia for 34 years, we are parents of 2 daughters and 4 sons.
We are grandparents of a granddaughter
www.sctcconsultants.org
www.intelligentcommunity.org
www.linkedin.com/in/agustinargelich

60. 21
Contact Info
Thank You
Don’t hesitate to contact us if you need further information.
I am here to talk with you. We wish to collaborate with you soon
aac@argelich.com
@aargelich
(+34) 610 59 50 50
Agustin Argelich
www.argelich.com
www.sctcconsultants.org
www.intelligentcommunity.org
www.linkedin.com/in/agustinargelich
Digital Technologies International
Consultant
Leadership & Innovation professor
Author & Speaker