Beyond Connected Health to Connected Wellbeing Prof. Jonathan Wallace Professor of Innovation...

Beyond Connected Health

to Connected Wellbeing

Prof. Jonathan WallaceProfessor of Innovation

Director of Knowledge & Technology Transfer,Faculty of Computing & Engineering, University of Ulster, Northern Ireland

Faculty ofComputing &Engineering

InnovationSupportOn Your

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Not Here To . . .



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Demographic Ageing – The Ticking Timebomb

• According to the most recent United Nations estimates, the human population of the world is expected to reach 8 billion people in the spring of 2024.

• These are the first fully aged societies in human existence

• Manifest shift from institutional to community care

• Vocabulary of improved “individual autonomy” and “quality of life”

• Demographic & social trends suggest supply of family / informal care is finite:– people living longer

– declining birth rate

– greater inclusion of women into the work force

– spiralling divorce rate



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Healthy Ageing In Place

Many people experience unwanted or avoidable care encounters

• High costs and poor accessibility may mean putting off seeking care when early intervention would be better

• Many chronic patients are poorly served by care in hospitals – yet for many that is where they end up

• Systems often reward activity regardless of the overall outcomes

Infectious diseases1900-1950

Episodic care1950-2000

Personalised care 2000-

Health needs are evolving yet services have been slow to catch up

Source: George MacGinne - © PA Knowledge Limited 2012.



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Transformation from Industrial Age Medicine to Information Age Connected Healthcare

Source: Adapted from Malaysian Telemedicine Blueprint

Industrial Age MedicineInformation Age Medicine

& Connected Health

Transformation Through Cost-Effective Use of Information & Communication Technologies

Person

Community

Primary

Secondary

Tertiary

Individual Self-Care

Friends and Family

Community Networks

Professionals as Facilitators

Professionals as Partners

Professionals as Authorities



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Level 0: Population Wide Prevention

Level 1: Self Care / Supported Self Management (70-80% of chronic disease patients)

Level 2: Disease Management

(High Risk)

Level 3: Case Management

(Complex Risk)

Kaiser Triangle Model



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What Exactly Is Connected Health ?

• Not one specific technology !

• Spans every echelon of health care from first response/emergency medical systems through tertiary medical speciality consultations to the support of informal care in the home including motivation and behavioural change, medical education and information dissemination.

• It needs to be standards-based e.g. HL-7 and ensure interoperability.

“TECHNOLOGY”

IT IS NOT JUST SIMPLY NEITHER CAN WEFaculty of

Computing &Engineering


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More Than TechnologyAt Home

Provision of IntegratedTechnologies & Services

Tailored to SupportIndependent Living



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“The Wellness Paradigm”• The “Wellness Paradigm” – shift of responsibility

for health and well-being into patients’ hands

• “Home-centred capability is expected to become a catalyst for a huge health paradigm shift from last-minute heroic intervention to consumer-driven individualised prediction, prevention, early detection and maintenance”

(Herman, 2001)



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Expanded Chronic Care Model



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Information Veracity



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Social Media



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“DON’T SAY anything online that you wouldn’t want plastered on a billboard with your face on it” Chris Pirillo

Social Media• The impact of social media on how people now communicate

cannot be underestimated.

• Social media can be used both as an engagement tool and to analyse public, stakeholder and service user perceptions.

• Mental health service providers in the US are increasingly using social media to disseminate information, provide preventative and after-care, and reach out to those averse to receiving care.

• Social media can be invaluable as a way of providing 24/7 contact with mental healthcare professionals, A&E or after-hours GP care.

• To be successful, social media activity needs careful planning and to be properly resourced with a social media policy in place.



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• App for identification and support of clients with Perinatal and Postnatal Depression

• EQ5D QoL Self Assessment App

New Research Student Projects in Collaboration with Local Trusts

3 key themes emerging that are critical for change:

• Creating and deploying stratified medicine

• Challenging established structures through commercial model innovation

• Including greater patient insight

• Changing reimbursement to reward population health

Delivery of more effective patient outcomes based on the integration of new technologies, business models and partnerships

Patient Centric Healthcare

• Removing cost and improved access to new models of healthcare delivery.

• Patients becoming active partners in care management

• Accessing new data and information

• Developing eHR, medical devices, virtual health and wider technical infrastructure

Effective use of connected technologies is enabling a shift from curative/reactive healthcare to prevention and health management

Intelligent Health

Delivering health reforms to create healthier communities and maintain universal access

Healthcare Reforms

• Keeping universal access affordable

• Re-organising health services around people’s needs and expectations

• Securing healthier communities

Source: George MacGinne - © PA Knowledge Limited 2012.



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Thank You

[email protected]

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Beyond Connected Health to Connected Wellbeing Prof. Jonathan Wallace Professor of Innovation...

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