DEMONSTRATION OF THE MECHANISM OF ACTION
In this analysis a causal path will be drawn to clarify how the innovation will result in the intended positive effects. These pathways are crucial to determine consecutive studies and relevant outcomes to study to eventually demonstrate the benefits of the innovation.
CONTEXT & CURRENT PRACTICE ANALYSE
During this analysis, an independent portfolio will be built that clarifies which (unmet) needs will be addressed with the innovation. Using literature research, interviews and focus groups it will be assessed which problems can be addressed by the innovation, and how this compares to the current standard.
APPLICATION IDENTIFICATION
What would be the best context to apply the innovation? In which patient group or care pathway will the innovation generate the most impact? During this application identification we will introduce the innovator to experts in potential application areas to understand how they would welcome this type of innovation in their care processes and to eventually identify the most favorable context of application.
LITERATURE REVIEW
Using a systematic literature review, we will identify the current scientific evidence that can substantiate the mechanism of action of the innovation. This will provide the innovator an idea of the theoretical chance of the innovation to be effective and as such to further build the business case. Additionally, it provides valuable input for what studies are needed to fill the identified gaps in the knowledge base to further substantiate the mechanism of action.
PROBLEM/NEEDS ANALYSE
Needs, perceptions and capabilities of the intended end user need to be clear. We will consult experts and intended users to demonstrate how the innovation will bring effect to a certain target group. This analysis is an important step as it reveals the user requirements, which are crucial for successful development.
IDEATION / DESIGN THINKING
After careful consideration of the mechanism of action and the end-user’s expectations, several potential solutions will be identified. This is a creative and hands-on exercise.
PAPER PROTOTYPING
Here we introduce a paper prototype of the innovation to small groups of end-users. Patients or other end-users are challenged to interact with the paper prototype, e.g. by doing a task. This exercise gives essential input in R&D decisions.
EARLY HTA
In an early Health Technology Assessment (HTA) we will research the minimal economic requirements for the innovation to bring added value, compared to the current standard of care. We will focus on the intended costs and the intended effects of an innovation. An early HTA provides an early estimation of the change in healthcare costs after implementing the innovation.
USABILITY TESTING
In a usability test we evaluate the usability and user friendliness of an innovation with end users. Using for example (video) observation and qualitative research, we will be able to quantify how users actually interact with and experience the innovation. This study will give recommendations for optimization and further implementation.
FEASIBILITY TESTING
A feasibility study assesses the acceptance of an innovation for a longer period of usage, in the intended context. Using a mixed method of qualitative and quantitative methods, several aspects will be measured, such as: acceptance, interest, implementation, practicability, adaptation, integration, expansion and preliminary effectiveness.
EARLY HTA
In an early Health Technology Assessment (HTA) we will research the minimal economic requirements for the innovation to bring added value, compared to the current standard of care. We will focus on the intended costs and the intended effects of an innovation. An early HTA provides an early estimation of the change in healthcare costs after implementing the innovation.
METHODOLOGY CLINICAL STUDY
We offer consultancy and advisory activities in setting up a clinical study and writing a study protocol. We can help to answer questions like: What would be the most efficient and appropriate design for the study to validly answer my research question? What aspects need to be covered by the study protocol to comply with rules and regulations? How many participants do I need?
CLINICAL STUDY
In a clinical study, the (clinical) performance, efficacy, effectiveness and/or efficiency of the innovation will be studied. In designing and performing the clinical study, several elements need to be addressed such as the need for a control group, randomization, follow-up time. We will consider the regulatory and ethical requirements as well as the logistics.
HTA
In this extensive quantitative analysis, we will use prospective study data, literature data and expert opinion. Optionally we develop a model to answer several cost effectiveness questions or scenarios. For example: what are the additional costs per gained life year? Does the prevention of a complication result in cost savings?
POST-MARKET SURVEILLANCE
Post market surveillance is a set of activities to monitor the safety and performance of an innovation, once implemented. THINC. has the research and data management techniques (European Guidelines: 93/42EEG) to determine the usability, safety and vigilance of an innovation after implementation. These analyses come with extensive recommendations on product and process improvement.
MRIguidance
MRIguidance
MRIguidance is a spin-off company of the UMC Utrecht, developing the medical imaging technique BoneMRI. BoneMRI is a software solution that generates a CT-like image to complement the soft tissue images derived from an MRI scan, it adds 3D bone visualization to MRI . This innovation is designed to offer better diagnostic information, no radiation and an efficient care pathway for patients and professionals. THINC. partnered with MRIguidance in the methodology for the clinical study.
METHODOLOGY CLINICAL STUDY
We offer consultancy and advisory activities in setting up a clinical study and writing a study protocol. We can help to answer questions like: What would be the most efficient and appropriate design for the study to validly answer my research question? What aspects need to be covered by the study protocol to comply with rules and regulations? How many participants do I need?
FREE Bionics
FREE Bionics
Free Bionics is a Taiwanese company of scientists, engineers and technicians. Free Bionics developed the FREE Walk, an exoskeleton for patients with spinal cord injuries, nerve damage or limb weakness. The first FREE Walk in the Netherlands is currently in clinical trials at Hoogstraat Revalidatie. THINC. partners with Hoogstraat Revalidatie and Freebionics to ensure the research protocol and Dutch research guidelines are met in constructively gathering research results for the FREE Bionics in a Dutch study.
METHODOLOGY CLINICAL STUDY
We offer consultancy and advisory activities in setting up a clinical study and writing a study protocol. We can help to answer questions like: What would be the most efficient and appropriate design for the study to validly answer my research question? What aspects need to be covered by the study protocol to comply with rules and regulations? How many participants do I need?
DeltaScan
DeltaScan
The DeltaScan, developed by Prolira, is world's first objective medical device to detect and monitor delirium, acute brain failure. The DeltaScan enables early detection of delirium and intends to minimize the negative impact of delirium on a patient's life. Together with Prolira, THINC. performs a cost-effectiveness study, a full systematic review and supports Prolira in the methodology for clinical studies.
METHODOLOGY CLINICAL STUDY
We offer consultancy and advisory activities in setting up a clinical study and writing a study protocol. We can help to answer questions like: What would be the most efficient and appropriate design for the study to validly answer my research question? What aspects need to be covered by the study protocol to comply with rules and regulations? How many participants do I need?
HTA
In this extensive quantitative analysis, we will use prospective study data, literature data and expert opinion. Optionally we develop a model to answer several cost effectiveness questions or scenarios. For example: what are the additional costs per gained life year? Does the prevention of a complication result in cost savings?
LITERATURE REVIEW
Using a systematic literature review, we will identify the current scientific evidence that can substantiate the mechanism of action of the innovation. This will provide the innovator an idea of the theoretical chance of the innovation to be effective and as such to further build the business case. Additionally, it provides valuable input for what studies are needed to fill the identified gaps in the knowledge base to further substantiate the mechanism of action.
Philips Healthcare
Philips Healthcare
Philips is a health technology company focused on improving people's health and enabling better outcomes across the health continuum from healthy living and prevention, to diagnosis, treatment and home care. Philips leverages advanced technology and deep clinical and consumer insights to deliver integrated solutions. In collaboration with Philips, THINC. combined prediction modelling results with clinical outcomes and cost data to document the clinical and monetary benefit from innovations. Outcomes of these studies are used for management decisions on future investments in research and development. THINC. also partners in Philips HealthWorks. HealthWorks creates collaboration opportunities between Philips and early-stage companies, as well as ecosystem partners, to accelerate innovation in healthcare.
METHODOLOGY CLINICAL STUDY
We offer consultancy and advisory activities in setting up a clinical study and writing a study protocol. We can help to answer questions like: What would be the most efficient and appropriate design for the study to validly answer my research question? What aspects need to be covered by the study protocol to comply with rules and regulations? How many participants do I need?
Docly
Docly
Docly, known as Min Doktor in Sweden, is the driving force towards digitalisation of primary care in Sweden. Docly has treated 400.000 patients so far. It offers an online service where patients have access to a General Practioner via a mobile phone. Docly offers a solution for a complete care pathway: automated triage, anamnesis, interaction between patient and doctor (videocall or chat), diagnostics (incl. decision support) and doctor's referral. THINC. performed a Content Validity Study for Docly - in which the content of the digital care pathway was validated for the Dutch care context. Secondly THINC. performed a feasibility study in cooperation with HAP Eemland in the Netherlands (out of office primary care) to focus on solid implementation. In this study interactive sessions with professionals, questionaires for patients and professionals, qualitative and quantitative research were all combined to assess the impact of Docly on the Dutch healthcare system.
FEASIBILITY TESTING
A feasibility study assesses the acceptance of an innovation for a longer period of usage, in the intended context. Using a mixed method of qualitative and quantitative methods, several aspects will be measured, such as: acceptance, interest, implementation, practicability, adaptation, integration, expansion and preliminary effectiveness.
CONTEXT & CURRENT PRACTICE ANALYSE
During this analysis, an independent portfolio will be built that clarifies which (unmet) needs will be addressed with the innovation. Using literature research, interviews and focus groups it will be assessed which problems can be addressed by the innovation, and how this compares to the current standard.
Oncode Institute
Oncode Institute
The vision of Oncode is: ‘Outsmarting cancer, impacting lives’. Oncode is an independent institute dedicated to understanding cancer and translating research into practice. Along with performing vital fundamental research, Oncode specializes in cooperating with third parties to guide its scientists’ discoveries towards translational and clinical research for new diagnostics, drugs and treatments. THINC. partners with Oncode in several research topics in which we identify the added value of ideas and innovations in early stages of development.
EARLY HTA
In an early Health Technology Assessment (HTA) we will research the minimal economic requirements for the innovation to bring added value, compared to the current standard of care. We will focus on the intended costs and the intended effects of an innovation. An early HTA provides an early estimation of the change in healthcare costs after implementing the innovation.
GGZ Central
GGZ Central
Uit onderzoek is gebleken dat patiënten die langdurig in GGZ-instellingen zijn opgenomen vaker last hebben van obesitas en aanverwante aandoeningen zoals diabetes en hart- en vaatziekten. GGZ Centraal heeft een activiteitenprogramma ontwikkeld dat de ontwikkeling van deze aandoeningen moet tegengaan. THINC. werkt samen met GGZ Centraal aan een Health Technology Assessment. Uit deze analyse ontstaat een overzicht van de totale zorgkosten die gepaard gaan met een groep patiënten die gebruik maakt van het activiteitenprogramma, op zowel korte als lange termijn. In deze analyse maken wij gebruik van data verzameld door GGZ Centraal in een studie en data verkregen door literatuuronderzoek (belangrijke data in dit onderzoek zijn o.a. kosten van het activiteitenprogramma, woonvorm, medicatiegebruik, ondersteuning van diëtist)
HTA
In this extensive quantitative analysis, we will use prospective study data, literature data and expert opinion. Optionally we develop a model to answer several cost effectiveness questions or scenarios. For example: what are the additional costs per gained life year? Does the prevention of a complication result in cost savings?
Safe@home
Safe@home
Zwangere vrouwen die in een eerdere zwangerschap een complicatie hebben gehad zoals zwangerschapsvergiftiging, hoge bloeddruk of vrouwen die zwanger zijn en hartproblemen hebben moeten extra in de gaten gehouden worden. In het huidige zorgsysteem wordt deze risicogroep gevraagd om met regelmaat poliklinisch onderzocht te worden. Deze controles zijn belastend voor de vrouwen en gaan gepaard met hoge kosten. Safe@home is een thuismonitoring systeem. Met Safe@home kunnen vrouwen thuis gebruiken maken van meetapparatuur en op afstand (door de arts) in de gaten worden gehouden. Dit biedt zwangere vrouwen een comfortabeler zorgpad, en artsen de kans om eventuele afwijkingen tijdig te signaleren. Voor deze innovatie hebben wij een nul-meting in zorgverbruik (poliklinische bezoeken, echo’s etc.) gedaan. Deze meting geeft antwoord op de vraag: hoeveel zorg is er momenteel nodig om deze risicogroep goed te monitoren? Deze nulmeting stelt de onderzoekers in staat om bij implementatie van Safe@home het verschil in zorggebruik vast te stellen.
EARLY HTA
In an early Health Technology Assessment (HTA) we will research the minimal economic requirements for the innovation to bring added value, compared to the current standard of care. We will focus on the intended costs and the intended effects of an innovation. An early HTA provides an early estimation of the change in healthcare costs after implementing the innovation.
Release
Release
Various challenges hamper capitalizing the real potential of eHealth in heart failure patients: insufficient evidence, heterogeneity of technologies and a lack of guidance in quality control and quality improvement. The aim of RELEASE-HF (REsponsible roLl-out or E-heAlth through Systematic Evaluation - Heart Failure) is to realize a responsible and safe rollout and continuous quality improvement of eHealth / telemedicine in Heart Failure patients. THINC. developed a evaluation-model based on maximum use of routine care data, creating a continuously learning environment in order to shed more clarity about which intervention components (WHAT) work for which profile patients (WHO) and in which type of care model / context (HOW and WHERE). This constant flow of knowledge in parallel with the natural roll-out of eHealth provides essential input for quality improvement and is also a catalyst for new innovations
METHODOLOGY CLINICAL STUDY
We offer consultancy and advisory activities in setting up a clinical study and writing a study protocol. We can help to answer questions like: What would be the most efficient and appropriate design for the study to validly answer my research question? What aspects need to be covered by the study protocol to comply with rules and regulations? How many participants do I need?
Wind Tales
Wind Tales
Wind Tales is a breath-controlled game (serious game) designed for children with Cystic Fibrosis. The digital game enables children to use breathing exercises to control an avatar to steer and overcome obstacles in a fantasy world. In close collaboration with Wind Tales, we performed a usability and a feasibility study for their serious game. The goal of these studies was to enable Wind Tales address the opportunities and threats as perceived by the end users with the goal to achieve a flawless implementation of the game.
FEASIBILITY TESTING
A feasibility study assesses the acceptance of an innovation for a longer period of usage, in the intended context. Using a mixed method of qualitative and quantitative methods, several aspects will be measured, such as: acceptance, interest, implementation, practicability, adaptation, integration, expansion and preliminary effectiveness.
Proton Therapy
Proton Therapy
In 2018, the first Dutch patients received proton therapy. Proton therapy is a costly radiation therapy that results in less side effects than the current standard of radiation therapy. In collaboration with a national Proton Therapy research group, THINC. optimized prediction models to select patients who would most benefit from this new type of radiation. This model-based patient selection is unique and is an optimal combination of existing knowledge and transparent substantiation of patient selection.
METHODOLOGY CLINICAL STUDY
We offer consultancy and advisory activities in setting up a clinical study and writing a study protocol. We can help to answer questions like: What would be the most efficient and appropriate design for the study to validly answer my research question? What aspects need to be covered by the study protocol to comply with rules and regulations? How many participants do I need?
NightWatch
NightWatch
The Nightwatch is a detection system for patients with severe epilepsy. The NightWatch detects seizures and alarms caregivers. THINC. partners with SEIN and Kempenhage in a feasibility study for this device. We research if and how the Nightwatch can be used to support parents of children with epilepsy.
FEASIBILITY TESTING
A feasibility study assesses the acceptance of an innovation for a longer period of usage, in the intended context. Using a mixed method of qualitative and quantitative methods, several aspects will be measured, such as: acceptance, interest, implementation, practicability, adaptation, integration, expansion and preliminary effectiveness.