E health opportunities monguet oct 2014 vilnius

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eHealth opportunities ICT and health

Transcript of E health opportunities monguet oct 2014 vilnius

eHealth Opportunitiesthepracticeofinnovation.net

Josep Mª Monguet / Vilnius, Oct 28th 2014. jm.monguet@upc.edu http://thepracticeofinnovation.net

EHealthopportunities

eHealth Opportunitiesthepracticeofinnovation.net

Data/Time/Space Management

Augmented servicesLearning

communities

Accelerated KnowledgeCollective

intelligence Health land

EHealthopportunities

eHealth Opportunitiesthepracticeofinnovation.net

Health land

Augmented servicesLearning

communities

Data/Time/Space Management

Ehealth opportunities

Accelerated KnowledgeCollective

intelligence

eHealth Opportunitiesthepracticeofinnovation.net

Expenditure Inefficiencies

Health land

eHealth Opportunitiesthepracticeofinnovation.netOECD Health Data 2013

expenditureHealth land

20102000

1816141210

86420

% o

f GD

P

OECD average

eHealth Opportunitiesthepracticeofinnovation.netData for Southampton city 2012

expenditureHealth land

0 10 20 30 40 50 60 70 80 +85

100

75

50

25

0

% o

f peo

ple

by a

ge

0 CC (no chronic conditions )

12

8 CC3 4 5 6 7

eHealth Opportunitiesthepracticeofinnovation.netOECD Health Data 2013

expenditureHealth land

1850 1900 1950 2000 2050

1009080706050403020

Life

exp

enta

ncy

eHealth Opportunitiesthepracticeofinnovation.net

30% of health spending is intended to be ineffective or unnecessary care, resulting from the impact of medical errors & redundancy procedures*

inefficiencies

* Elliott Fisher & John E. Wennberg

Health land

eHealth Opportunitiesthepracticeofinnovation.net

Augmented servicesLearning

communities

Data/Time/Space Management

Health land

Ehealth opportunities

Accelerated KnowledgeCollective

intelligence

eHealth Opportunitiesthepracticeofinnovation.net

DTS management

Adena Regional Medical Center

distances

eHealth Opportunitiesthepracticeofinnovation.net

DTS management

TRHLAB

time

eHealth Opportunitiesthepracticeofinnovation.net

DTS management ubiquity

eHealth Opportunitiesthepracticeofinnovation.net

DTS management not enough

eHealth Opportunitiesthepracticeofinnovation.net

Augmented servicesLearning

communities

Data/Time/Space Management

Health land

Ehealth opportunities

Accelerated KnowledgeCollective

intelligence

eHealth Opportunitiesthepracticeofinnovation.net

“your pill is watching you“

Augmented services Monitoring

eHealth Opportunitiesthepracticeofinnovation.net

user

therapist

families

eTona 2008

Augmented services Integrating

Primary care

eHealth Opportunitiesthepracticeofinnovation.net

eHealth Opportunities

Learning communities

Augmented services

Data/Time/Space Management

Health land

Accelerated KnowledgeCollective

intelligence

eHealth Opportunitiesthepracticeofinnovation.nete-fer. IPL / UPC 2008

Learning communities sharing

eHealth Opportunitiesthepracticeofinnovation.netTRHLAB. Living Learning Community for Spasticity

Learning communities participating

eHealth Opportunitiesthepracticeofinnovation.net

eHealth Opportunities

Augmented servicesLearning

communities

Data/Time/Space Management

Health land

Accelerated KnowledgeCollective

intelligence

eHealth Opportunitiesthepracticeofinnovation.net

Accelerated knowledgeG

DP

Wor

ld P

aten

et fi

lling

Global Patent. Andrei Ionescu

production

eHealth Opportunitiesthepracticeofinnovation.net

eHealth Opportunities

Augmented servicesLearning

communities

Data/Time/Space Management

Health land

Accelerated KnowledgeCollective

intelligence

eHealth Opportunitiesthepracticeofinnovation.net

Collective intelligence networks

eHealth Opportunitiesthepracticeofinnovation.netDetecting influenza epidemics using search engine query data. Google & C. Disease Control & Prevention. Nature 2009

Collective intelligence big data

eHealth Opportunitiesthepracticeofinnovation.net

sharingCollective intelligence

eHealth Opportunitiesthepracticeofinnovation.net

Collective intelligence brilliant

eHealth Opportunitiesthepracticeofinnovation.net

Applications & modalities

Collective intelligence

eHealth Opportunitiesthepracticeofinnovation.net

Collaborative design of health modelsCase

Selection of chronic care indicators

eHealth Opportunitiesthepracticeofinnovation.net

Selection of chronic care Indicators

1Model

Revision of the proposed model

of indicators

2Profile

Personal experience and

knowledge

3Round

Votes and opinions for consensus

4Evaluation

Usability and utility of the consensus

eHealth Opportunitiesthepracticeofinnovation.net

Selection of chronic care Indicators

1/36

% of patients enrolled in “Adherence to the pharmacological treatment” Program

Which is the level of relevance of this indicator

Low High

Capacity to calculate affectively this indicator?

1 2 3 4 5 6 Very limited

Is this indicator important for the patient?

Feasible

1 2 3 4 5 6

1 2 3 4 5 6 Not at all To much

We ask you to answer for each indicator the questions proposed.

eHealth Opportunitiesthepracticeofinnovation.net

1 2 3 4 5 6

Selection of chronic care Indicators

1/36

% of patients enrolled in “Adherence to the pharmacological treatment” Program

Which is the level of relevance of this indicator

Low High

Capacity to calculate affectively this indicator?

1 2 3 4 5 6 Very limited

Is this indicator important for the patient?

1 2 3 4 5 6

1 2 3 4 5 6 Not at all

We ask you to answer for each indicator the questions proposed.

Feasible

To much

N: 37

eHealth Opportunitiesthepracticeofinnovation.net

1 2 3 4 5 6

Selection of chronic care Indicators

1/36

% of patients enrolled in “Adherence to the pharmacological treatment” Program

Which is the level of relevance of this indicator

Low High

Capacity to calculate affectively this indicator?

1 2 3 4 5 6 Very limited

Is this indicator important for the patient?

Feasible

1 2 3 4 5 6

1 2 3 4 5 6 Not at all To much

We ask you to answer for each indicator the questions proposed.

1 2 3 4 5 6

N: 37

N: 37

eHealth Opportunitiesthepracticeofinnovation.net

1 2 3 4 5 6

Selection of chronic care Indicators

1/36

% of patients enrolled in “Adherence to the pharmacological treatment” Program

Which is the level of relevance of this indicator

Low High

Capacity to calculate affectively this indicator?

1 2 3 4 5 6 Very limited

Is this indicator important for the patient?

Feasible

1 2 3 4 5 6

1 2 3 4 5 6 Not at all To much

We ask you to answer for each indicator the questions proposed.

1 2 3 4 5 6

1 2 3 4 5 6

N: 37

N: 37

N: 37

eHealth Opportunitiesthepracticeofinnovation.net

Selection of chronic care Indicators

Management PlanningClinicWeighting of your answers according to your personal profile of knowledge and experience

Clinic

Management

Planning

1 2 3

1 2 3

1 2 3

eHealth Opportunitiesthepracticeofinnovation.net

Meta results

Selection of chronic care Indicators

Communicating chronic management strategy (Learning).

Alignment of the system via consensus (Decision Making).

Collaboration for the establishment of priority indicators.

Broad participation of healthcare professionals in identifying needs and opportunities.

eHealth Opportunitiesthepracticeofinnovation.net

Publication

Selection of chronic care Indicators

Paper in press …

eHealth Opportunitiesthepracticeofinnovation.net

Collaborative design of health models

Innovation participative spaceCase

Primary Care Innovation

eHealth Opportunitiesthepracticeofinnovation.net

Primary Care Innovation

eHealth Opportunitiesthepracticeofinnovation.net

Primary Care Innovation

eHealth Opportunitiesthepracticeofinnovation.net

Collaborative design of health modelsInnovation participative space

Consensus on clinical cases. Case

Training on mental health

eHealth Opportunitiesthepracticeofinnovation.net

Training on mental health

eHealth Opportunitiesthepracticeofinnovation.net

Training on mental health

eHealth Opportunitiesthepracticeofinnovation.net

Methods of application

Delphi Express Continuous

eHealth Opportunitiesthepracticeofinnovation.net

Conclusions

1. In the health area, professionals respond positively to the model of HC participation

2. The HC process is efficient and operational as shown by satisfaction levels and perception of involvement.

3. Professionals perceive that they provide value with their participation.

4. The results of participation are considered useful and relevant contributions.