Innovation and Entrepreneurship in Healthcare: Implementing Free-Style Libre Device for Monitoring Diabetic Patient

The content is about the implementation of Free-Style Libre device for monitoring the blood glucose level of diabetic patient and the impact of innovation and entrepreneurship in healthcare.

Innovation and
Entrepreneurship in
Healthcare

Table of Contents
QUESTION 1...................................................................................................................................1
QUESTION 2...................................................................................................................................4
REFERENCES................................................................................................................................7

QUESTION 1
There are large number of population who are getting diabetic. Since 1996, it has been
observed that there is increase in the number of diabetic patient within United Kingdom. Number
is about 1.4 million which is getting increase and are estimated to 3.5 million. There are also
many people who have not been yet diagnosed with diabetes. In present there is high
technological development can be observed which have also played their role in the medical
science. Technology has been developed within medical science. Diabetes is one of the rising
diseases which have high impact on the large population which is impacting the country health.
Technology have also their role which impact through finding various technology and option
which can be effective and allow to provide better option which can be used in the medical
science to provide better health impact and response (Seth and et. al., 2019). There is high impact
of technology which is effective in delivering of better health care to many patients. There are
many technologies which have their high role in identifying any disease, diagnose, prevention,
treatment and monitoring of patient health. This is effective and allow to get better
implementation of new technology within patient for improving the patient current health.
Technology is getting develop with time which make prevention and diagnosis and treatment
more easy and reliable (Thewjitcharoen and et. al., 2018). Through using different technology, it
allows to provide better interaction with healthcare professional to use those effective
technologies for better health treatment. Through innovation in field of technology, it allows to
provide better invention of different devices which are effective to deliver better quality of
treatment and services.
Free-Style Libre device is one of the technology which allow to monitor the blood
glucose level of individual and due to connecting with the patient smartphone, this device have
the technology to share the information about their updated health information. FreeStyle Libre
system measure glucose level which is effective and provide this information about the blood
glucose level of patient with diabetes. This measures through the small sensor which is the size
of two stacked quarters. This applied on the back of upper arm where it provides the real time
glucose reading for up to 10 days which includes day and night. This is the sensor which is
highly effective and allows to read glucose level through cloths and making test discreet along
with convenient (Al Amassi and et. al., 2017). This is the device which is highly effective and
allow to provide various critical pieces of data which is effectively scanned. This provide the
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real-time glucose result. An eight-hour historical trend along with directional trend arrow which
show the glucose level. This has the touch screen data which is effective and allow to collect the
data up-to 90 days which is effective can track glucose level over time.
FreeStyle Libre Flash Glucose Monitoring system is the continuous glucose monitoring
(CGM) device which is indicative and allow to provide the information about patient blood
glucose testing along with detecting trends and tracking patterns which are aiding for the
detection of episodes of hyperglycaemia along with hypoglycaemia and able to facilitate the
long-term and acute therapy adjustments within persons. This system is intended for the single
patient use which requires prescription (Ithnain, 2020). There are many factors which are
effective and play their role in the delivery of quality services through using and innovating
different computers and audiovisual devices which have increase the availability of healthcare
services to many people. Technology is one of the factor which is effective and impact the
individual health. Through using the glucose monitoring device diabetes patient can use this
device that can allow to get better health improvement and keep monitoring their blood glucose
level at every time.
There is the implementation of this device which is effective and allow to provide the
better health impact. Through implementing this device within health care services which is
effective and allow to take care of the patient through monitoring diabetic individual which is
effective to take care of the patient with implementing this device to provide better health impact
(Oukes and et. al., 2019). There is various context for implementation of the Free- Style Libre
blood glucose monitoring device which can include cost of care, patient expectation and
changing in demographic.
There is high demographic impact which allows to provide better health impact impact
where about 28% of adults within England are affected through obesity. In this, about 68% are
men and 60% are women. People aged about 45-75 are most likely to obese. This impact the
group of people who are suffering from diabetes. Through this invention of this device it allows
the patient with diabetes to monitor their blood glucose level continuously. This can be effective
and allow to provide the information and help to patient with diabetes to take care and get better
treatment for their improved health. This is an effective device allows large population to use this
for monitoring their glucose level which can help to provide the enough information about the
changing in health (Ogawa and et. al., 2020). While using this monitoring device patient or user
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have the expectation which is regarding its working and values. Patient have the impact which
allows to provide better expectation as the consumer or patient. There is some expectation of
patient or the service user which is regarding using of this device to monitor the blood glucose
level which can help to delivery better and effective care for the patient. This is an important
context and review of service user is highly effective and allows to provide information
regarding any need of improvement. This can be effective to take focus on the delivery of service
to diabetic patient. After getting the information about the effectiveness and it importance, this
can create some expectation to the patient and service user regarding its effectiveness and
responses (Center, 2019). Patient expectation can be that this device can provide the real time
information about the blood glucose level which can be effective and allows patient to monitor
their glucose level to manage negative health impact due to getting information about their
deteriorating health impact. There is some cost of using this device where there are expenses for
implementing this device and for its maintenance.
There is need to expense to use this monitoring device for the longer time. For this, there
are some of the expenses which are effective and create some financial load on individual with
diabetes. There is need to pay about between $0 to $60 per month to use this Free-Style Libre
monitoring device. This is not much but due to paying for it for longer time creates one of the
permanent financial expense for individual which increase the overall health budget for the
patient. In this, there is also some impact on the individual that can impact the individual health.
Cost of care can be expensive that can impact individual budget. For implementing this device
there is need to follow some rules and regulation which can be effective to get better and
effective benefits. There are some of the safety concern which should be follow to avoid any type
of negative health impact or outcomes (O'Neill, (2020). There is an instruction that this device
should use on the person less than 18 years. This should not be used for the critically ill patient.
Pregnant women or any person on dialysis should also not use this device. There is also need to
get the proper information about using this device which can be helpful to avoid any type of
negative health impact. Patient should also need to get some information that should be known
by them before applying the sensor.
There are some of the legislation which includes Care Act 2014, Equality act 2010,
Social Value Act 2012 and Data Protection Act which can have impact in the function and
process of getting applying this device to delivery care and treatment.
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There are some of the ethical dilemma which should be concern before and while applying this
device to people with diabetes. In this, there is need to get ensure about the patient health and
should follow all the instruction and guidelines that are provided for the implementation of this
device on the diabetic patient (Sugawa, (2018). This device should not be used on the person
with less than 18 years. When this device is used on person with less than 18 years can create
illegal procedure which may create negative health impact on the individual. So, there is need to
take care of the rules and regulation about implementing this device to the diabetic patient.
QUESTION 2
Innovation refers to the implementation of ideas which results to introduction of new
goods and services which help to improve the delivery of services for which the innovation is
done. Through entrepreneurship, entrepreneur that uses the innovative product to make their
business more successful. This can be effective and allow to use the innovative product for the
business which can have high impact on the delivery of quality services (Moon, 2017). There are
some of the characteristics like observing, exploring, analysing and implementing ideas. There
are also some characteristic of entrepreneurship which includes adaptability, decisiveness,
structured experimentation, team building which together provides better information while use
of technology for providing better and effective health impact.
While applying the Free-Style Libre device there is need to use of some methodology
while includes the Pivot and persevere which is effective have different meaning. Pivot refers to
changing the old hypothesis and applying the new one to get improved result. Whereas,
persevere approach refers to using of the old hypothesis for better outcomes. This is the start-up
methodology which is effective and allow to provide the better outcome which should be based
on the pivot or Persevere (Nukui, 2019). Farringdon Community Healthcare Trust allows to use
the Free-Style Libre device which is highly effective and provide better response to the health
care professional in order to collecting data and monitoring diabetic patient health about.
There is some theory, model and tool of innovation which should be applied to the case
study. In this, building a culture of innovation theory can have some productive role within case
study. Through building culture of innovation within organisation can be helpful to provide
better information and ability. This can help to allow the innovative idea and through this
organisation should implement the innovative technology for delivery healthcare services to
patient for their improved health. This is an effective model which allow the organisation to
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implement new innovative technology which are helpful to deliver quality services to their
patient. In this, there is need to provide some training to their patient about the use of the Free-
Style Libre monitoring device. There is need to provide some education and training which is
highly necessary for providing better implementation and managing this monitoring device
(Okada, 2019). There is a risk matrix tool which implies the pressure risk assessment scale which
can allow to evaluate the patient’s risk factors that allow the development in the pressure ulcer.
This can evaluate the risk assessment for monitoring of blood glucose level and can evaluate the
cumulative with three different phases of care like intraoperative, preoperative along with
postoperative.
Rogers model includes the diffusion in innovation theory which offers a time tested
framework which have the contribution within innovation success or failure. This can be
effective and allow to get better involve in adopting this Free-style Libre that have impact on the
individual that are related with innovation which acquires. Here, Trialability refers to the degree
of innovation which can be experienced on limited basis. In this, there are many weight which
can have impact on the innovation that can lead to impact the obesity monitoring within
individual.
There is innovating management which are effective that can be helpful in implementing
the new technology within organisation that are effective and allow the organisation to
implement the new technology with the help of management that should have better
implementation plan for providing better impact to the patient that can allow them to use their
service to get the real time information and data about diabetic patient (Broholm, 2019). This can
allow for better implementation for effective monitoring of patient who have diabetes. Through
using different model case scenario can be included.
Fault free analysis refers to the top down deductive failure analysis which includes the
undesired state of system and can be analysed using series of lower level events. This includes
the understanding about the logical leading of top event or undesired state. There is various
conceptual model of management risk which should be associated with using the innovative
technology within Farringdon Community Healthcare Trust. Management attitudes and
principles, qualitative risk cause and effect, quantitative risk assessment, risk response planning.
These are some of the risk which can be there associated with implementing technology within
the organisation which are highly effective that can have high ability for delivering better health
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response which have positive outcome to the patient health. These are highly effective for the
organisation which can have high impact on the diabetic patient that can allow to monitor their
blood glucose level (Jaiswal, 2021). Through using the innovative technology organisation
should take care about the risk which should be there while implementing the new technology.
There is a risk that whether patient will have their consent for use of this innovative technology
or not. Whether this technology is helpful as it is said and many other risk. There is one of the
important risk is that what if there is some negative impact of using this new technology on
patient for their better health monitoring.
Farringdon Community Healthcare Trust should connect with the service user for
implementing the Free-Style Libre device to the patient. For this, there is need to connect with
the service user which is necessary to implement this new innovative technology within FCHT.
For this organisation service user are in large number, they are diabetic patient who need to
monitor their blood glucose level at several intervals. This is required to focus on the health and
allows to provide the impact on patient health. Service user are the diabetic patient and they
should provide the enough information about this latest technique which is innovative
technology and have the ability to measure and monitor patient blood glucose level (Street,
2019). This device also shares the data and information with patient and patient's health care
professional at their device. Patient are capable to on and off the device through using their
smartphone.
There is need to get connect with the service user to the organisation which can be
helpful to get connect for patient consent. This can be more effective and allow to provide the
information about the benefits of using this innovative technology which is helpful in monitoring
patient health. There is also need to take care of the patient which can be more effective that can
be helpful for better sharing of information. Through getting the consent of patient FCHT should
use this technology on the patient with diabetes. Data protection act is effective and allow to get
better care about the individual confidentiality where person information about the individual
should not be shared with others without patient consent. This can allow to get the real time
information of patient about their blood glucose level and help patient and healthcare
professionals should get patient information that can be interpreted further for identification of
the need for the type of treatment. In this, there is need to get connect with service user through
creating awareness about the benefits and function of this innovative technology within diabetic
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patient. Through this, FCHT can influence their patient to use that technology that can help them
to achieve the better health and information about their blood glucose level at the real time
(Bosoni, 2021). There are microneedles which are used in the patch of the free style libre which
are provide information about the glucose-sensing polymer which can encapsulated with insulin.
In this, when it applied on individual skin, there is penetration of needles in skin and this help to
calculate the blood sugar levels. In this, when blood sugar goes up, then polymer get triggered
and cause release in the insulin. There is risk of some potential problem in which skin irritation is
one of the potential problem which can lead to create difficulty at the site of sensor wire is
inserted. This can create issues during sleep where blood glucose is not detected until monitor is
waved in front of monitor.
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REFERENCES
Books and Journals
Seth, A., Attri, A. K., Kataria, H., Kochhar, S., Seth, S. A., & Gautam, N. (2019). Clinical profile
and outcome in patients of diabetic foot infection. International Journal of Applied and
Basic Medical Research, 9(1), 14.
Thewjitcharoen, Y., Sripatpong, J., Parksook, W., Krittiyawong, S., Porramatikul, S.,
Srikummoon, T., ... & Himathongkam, T. (2018). Salient features and outcomes of
Charcot foot–An often-overlooked diabetic complication: A 17-year-experience at a
diabetic center in Bangkok. Journal of clinical & translational endocrinology, 11, 1-6.
Al Amassi, B. Y., & Al Dakheel, R. S. (2017). Oral hygiene practice of adult diabetic patients
and their awareness about oral health problems related to diabetes. Journal of Dentistry
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Ithnain, N., Panting, A. J., Kassim, R., Amirudin, N., & Krishnan, M. (2020). Perception of
Conventional Medicine and Herbal Medicine Usage Amongst Diabetic Patients: A
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Science, 12(10), 122-132.
Ogawa, W., Hirota, Y., Osonoi, T., Tosaki, T., Kato, Y., Utsunomiya, K., ... & Nakamura, J.
(2020). Effect of the FreeStyle LibreTM Flash Glucose Monitoring System on
Glycemic Control in Subjects with Type 2 Diabetes Treated with Basal-Bolus Insulin
Therapy: An Open Label, Prospective, Multicenter Trial in Japan. Journal of Diabetes
Investigation.
Center, K. (2019). Caution is required for the evaluation of the accuracy of continuous glucose
monitoring devices. Journal of diabetes investigation, 11(1), 255-255.
O'Neill, S. (2020). News and Views: Update on technologies, medicines and treatments
including Libre 3, Minimed 780G and Glucomen Day continuous glucose
monitoring. Diabetic Medicine: a Journal of the British Diabetic Association, e14451-
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Sugawa, T., Murakami, T., Yabe, D., Kashima, R., Tatsumi, M., Ooshima, S., ... & Inagaki, N.
(2018). Hypoglycemia unawareness in insulinoma revealed with flash glucose
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Diseases, 28(12), 104346.
Okada, S., Okada, J., & Yamada, M. (2019). MON-147 Variation of Measured Values
Associated with Different Lots of Sensors for the Freestyle Libre. Journal of the
Endocrine Society, 3(Supplement_1), MON-147.
Jaiswal, R., Zhang, M., Zuniga, S., & Myers, A. K. (2021). Integration of Flash Glucose
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Bosoni, P., Calcaterra, V., Tibollo, V., Malovini, A., Zuccotti, G., Mameli, C., ... & Larizza, C.
(2021). Exploring the inter-subject variability in the relationship between glucose
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