Transcript infrastructure Dr. Nick Guldemond EU Framework for
Greek Presidency Conference: 2014 eHealth Forum, Athens Wednesday May 14 th: 14.00-16.00
EIP parallel session: expert forum on community empowerment and technology: implementing the new paradigm Presentation 1: Nick Guldemond View of meeting convenor
infrastructure Dr. Nick Guldemond EU Framework for development, implementation & up-scaling innovations
Presentation 2: Jim Phillips View of a patient
Presentation 3: George Crooks View of a health professional
Expert Forum on Community Empowerment and Technology Implementing the New Paradigm View from a Health Professional Prof George Crooks OBE NHS Scotland
OUR VISION IS THAT BY 2020:
Everyone is able to live longer healthier lives at home , or in a homely setting. We will have a healthcare system where we have integrated health and social care , a focus on prevention, anticipation and supported self management . When hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm. Whatever the setting, care will be provided to the highest standards of quality and safety, with the person at the centre of all decisions . There will be a focus on ensuring that people get back into their home or community environment as soon as appropriate, with minimal risk of re-admission
INTEGRATION
From Supportive Self Management To Co Production
“Co production means delivering public services in an equal and reciprocal relationship between professionals, people using services, their families and their neighbours. Where activities are co produced in this way, both services and neighbourhoods become far more effective agents of change”.
http://www.coproductionscotland.org.uk/
Themes from community engagement
• Giving back • Caring for others • Recognising resilience • Sharing skills and experience with others • Connecting people and communities • Technology
•
Health, Care & Wellbeing – person focussed
Increasing; 1. Choice 2. Control 3. Connectedness 4. Collaborations 5. Contributions 6. Communities
Presentation 4: David Somekh View of a health policy analyst
eHealth and patient empowerment realigning the paradigm
Dr David Somekh European Health Futures Forum (EHFF) Network Director eHealth2014 Conference Athens May14
Why eHealth -to overcome structures?
IHE
Integrated Healthcare Enterprise
Tele medicine Home healthcare Public health information eHealth Disease management
Martin Denz Vice-President EHTEL Athens
Services and tools for independent living Personal health management
Source: Niilo Saranummi, PICNIC 23 June 2006 29
EU Quality and PS Health Policy to 2015 A helicopter view
eHealth Patient Safety Patient as partner Common Vocabulary + Consensus On Quality Tools Athens Dec. 2005 Education for Quality e.g. communication skills 30
Three main issues
The concepts are sound but the pace is unacceptably slow The paradigm needs to shift. Both for eHealth and for patient empowerment, putting a major player in the centre doesn’t work (in future healthcare the hospital can’t be the focus, in PE the patient
isn’t
central, but has equal status with other stakeholders) We have to find a more effective way to bring about change. Large numbers of players and endless examples of good practice aren’t enough for sustainable change. We need to explore new ways of working together and learning together.
Presentation 5: Floor Scheepers View of an integrated care specialist
PsyNet
Floor Scheepers, MD, PhD, Head of psychiatry| Brain Center Rudolf Magnus | University Medical Center Utrecht May 2014
Background 1 costs
• • • • • Health costs Aging of population (% Gross National Product) (5.5 billion psychiatry) salary of care workers Demand for care/cure treatment/medication costs
Background 2 outcome
• • • • • • • • Life expectancy – 10 years 40% somatic complications (metabolic syndrome) 25% less societal participation (unemployment, homeless…) 20-30% no care 25-50% high care Severity weighting 0.66 (like dementia) 30% no contact with relatives DALY’s 10.000
-30.000 (top 30)
problems
• • • • Patients have different problems in different domains Different laws Different financial systems Health care and community care organizations fragmented (overlap and gaps) and not working together
We need regional and national networks
• • • • Patient centered GP can be in the lead Care/cure from all domains connected in a region Science and knowledge connected on (inter)national level
PsyNet platform
• • • • • • • Efficacy proven in elderly, Parkinson, GP practice… Patient centered, coordination by patient if possible Communication platform for all participants Overview of all activities Possibility of personal health record Possibility to include family member/mediator in network Single sign on connection with different ICT medical files
PsyNet platform
??
Presentation 6: Gianna Tsakou View of a provider company
Gianna Tsakou Senior Project Manager European Projects Dept.
Expert Forum on Community Empowerment & ICT
Presentation Outline
The Company & Our Department
Structure, Products Overview of research activities
ICT as an enabler: Selected Projects in ICT-supported Health & Independent Living
Pincloud Sociable I-DONT-FALL HOMEdotOLD Barrier and facilitators for Community Empowerment Conclusions
45
SingularLogic at a glance
86% owned by Marfin Investment Group
(MIG), Greece’s largest investment holding company
No1
Greek
software Vendor
, with the most complete product offering comprising more than
20 proprietary app solutions
Presence in
700
large domestic corporates and
>100
multinationals
Most extensive
(400-strong)
partner network
across the country Being the largest Greek software vendor, SingularLogic delivers comprehensive IT services that help its 40,000-strong customer base add business value through business innovation and increased efficiency
Full spectrum of IT services
– dominant position in large-scale integration projects in the public and private sector Greece’s
elections manager >300 IT
consultants and
140
top-class developers Local presence through subsidiaries in
Cyprus
,
Bulgaria
,
Romania 46
Vertical market solutions case study “SingularLogic’s Model Hospital Management System” SingularLogic’s Model Hospital Management System is NOT just an IT system … it is a proven business proposal for best-run Healthcare Organizations Hospitals running
5 in Greece 1 in Albania
….comprising General Clinics and Maternity Hospitals A comprehensive IT solution for Hospital Management based on business know-how and international best practices, embedded in the SAP platform Covers the
full spectrum of hospital operations
, both back office: Financial Management, Controlling & Costing, Purchasing & Materials Management, Human Capital Management, etc.
…
and front office: Resource Planning & Scheduling for both Inpatient Clinics and Outpatient Departments, Patient Administration, Payment Handling, Patient Accounting, Medical Documentation, etc.
SingularLogic's Model Hospital Management System received a
“SAP Business All-In One”
qualification, the highest level of accreditation that SAP grants for vertical market solutions developed by its international partner network Offered as an Outsourcing service or on a project basis The solution has been implemented across the Hygeia Group, private hospital group Greece’s largest 47
European Projects Department Participation in subsidized
R&D
programs of the EU and the General Secretariat for Research and Technology of the Hellenic Ministry of Development Established in 1997 as part of the Integrator Division Extensive experience in participating in R&D projects and EU initiatives Bring innovative ideas forward Contribute to the design of future products and improvement of existing ones
48
ICT as an enabler: PINCLOUD: Integrated Care for Personalized Medicine utilizing Cloud Infrastructure
ICT as an enabler: Cognitive Training through SOCIABLE SOCIABLE provides Next Generation Cognitive Training Services to older adults, aiming at strengthening their mental capacity and boosting their social activation through serious gaming. SOCIABLE integrated solution consists of: A set of Cognitive Training Activities (covering all cognitive skills) supported by surface computing equipment (MS Pixelsense and/or tablet) Tools for the Medical Expert to: design the training programme and personalise the cognitive training activities according to the specific level of cognitive abilities of the person monitor the evolution of the patients
50
ICT as an enabler: I DON’T -FALL Services
Fall Prevention Services
Physical training Cognitive Training
Fall Detection Services
Fall detection Alarms
Fall Management Services
Fall Knowledge Management Services Decision Support Services for Fall Management Telecare/Teleassistance Services
51
ICT as an enabler: HOMEdotOLD Socialisation Support Services
HOMEdotOLD aims at using the TV medium in order to advance the social interaction of older adults by bridging distances and reinforcing social volunteering and activation, in an effort to prevent isolation and loneliness.
Personal motivation services Social networking services
52
Facilitators & Barriers for Community Empowerment
Facilitators Enabling technologies: Internet of Things, Cloud technologies, etc.
ICT is mature enough to support all kinds of e-Health and m-Health solutions Special opportunity related to the cognitive stimulation/training market Barriers Diverse regulatory frameworks in EU countries introduce complexity when adopting enabling ICT: legal, privacy, ethical aspects cannot be treated homogeneously Creating/identifying the right content for e-Health services (e.g. games for cognitive training) can be time/resource consuming
53
Conclusions
Elements for success: Addressing well-recognised problems vs. a creating the problem in order to address it Well targeted solutions vs. doing a little bit of everything for everyone Attractive design/HMI for individuals vs.
“design for patients” Blending of “pure health” with “general well being” services Non intrusive solutions Co-design and collaboration: a horizontal platform could help!
54
THANK YOU!
QUESTIONS?
Gianna Tsakou [email protected]
Presentation 7: Donna Henderson View from an ecosystem (1)
Living it Up (LiU)
Programme led by NHS 24, Scotland
LiU
will co-design sustainable and innovative improvements and choices in health, care and wellbeing for 55,000 people by 2015, using familiar technologies Join us now – www.livingitup.org.uk
Funded by:
Services
Benefits
Refer to Appendix for benefit descriptions
Presentation 8: David Horsfield View from an ecosystem (2)
14 May 2014
Expert forum on community empowerment and technology: implementing the new paradigm
More Independent:
Innovation in empowering communities
Mi user empowerment model
Awareness raising Confidence building Co creation Inclusion User empower ment Take up of smart solutions by primary and secondary end users Self-care More independent living
Mi user empowerment action !
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Service#redesign# Key# barriers: and# # # Lack#of# # Lack#of# # # Weak## # # barriers# # Digital# # # # # (consumers# professionals)# awareness# confidence# consumer# marketplace# Procurement# exclusion#
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Mi#Champions# Health#Trainers# #
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Smart#House#
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Digital#champions#
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Insight#research# Digital#hubs# Broadband# investment#
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Social#marketing# Retail#outlets#(real# and#virtual)# # Increased# awareness# # Increased# confidence# # More#effective# programme# # More#access# # Deploy> ment# take#up#of# smart# solutions## # # Self>care# # # Indepen> dent#living##