eHealth Ireland Ecosystem · 2018-06-25 · Martin Curley, Chief Information Officer, HSE eHealth...
Transcript of eHealth Ireland Ecosystem · 2018-06-25 · Martin Curley, Chief Information Officer, HSE eHealth...
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Keynote: Innovating for Sláintecare: Care Closer to Home
Martin Curley, Chief Information Officer, HSE
eHealth Ireland Ecosystem members of the ECHAlliance International Ecosystem Network
@ehealthireland
eHealth Ireland will be Enabling Connected Health Through Digital @ehealthireland
Stay Left, Shift Left! A Moore’s Law for Irish Healthcare
Innovating for SlainteCare: Care Closer to Home
Name Martin CurleyTitle Chief Information Officer, HSE, CO, eHealth IrelandTwitter @martingcurley1Email [email protected]
@ehealthireland
Transforming Health through Digital @ehealthireland
“The dogmas of the quiet past
are inadequate to the stormy
present.”Abraham Lincoln
@ehealthireland
Who knows best?
@ehealthireland
Moore’s Law
@ehealthireland
SHIFT LEFT: Highest Quality of Life at the Lowest Possible Cost
Shift Left StrategyDevelop Moore’s Law For Irish Healthcare
Find and sequence eHealth interventions to
drive and improve quality of life and
reduce cost of care
@ehealthireland
Stay Left, Shift Left: Moore’s Law for Healthcare
Cost of Care
Qu
ality of Life
The Continuum of Care
“Shift Left !”
Independent Healthy Living
Doctor’s OfficeChronic Disease
Management
CommunityClinic
Home Care
Primary/Community Care
Skilled Nursing Facility
Assisted Living
Acute Care
Speciality Clinic
ICU
Community Hospital
Shift Left – Highest Quality of Life at the highest possible cost avoidance
Preventative/Proactive Healthcare
Life Style Nutrition
Scanning Monitoring
Genetics Environment
Primary Care Centre
Qu
ality of C
are
Immunisation
B
ACurrent Situation:50% backlog90 day average wait5% prescribing errors
€ € € € € € € € € €
Clin
ician Exp
erience
@ehealthireland
Stay Left, Shift Left: Moore’s Law for Healthcare
Cost of Care
Qu
ality of Life
The Continuum of Care
“Shift Left !”
Independent Healthy Living
Doctor’s OfficeChronic Disease
Management
CommunityClinic
Home Care
Primary/Community Care
Skilled Nursing Facility
Assisted Living
Acute Care
Speciality Clinic
ICU
Community Hospital
Shift Left – Highest Quality of Life at the highest possible cost avoidance
Preventative/Proactive Healthcare
Life Style Nutrition
Scanning Monitoring
Genetics Environment
Primary Care Centre
Qu
ality of C
are
Immunisation
€ € € € € € € € € €
Clin
ician Exp
erience
@ehealthireland
Open Innovation 2.0: The new mode for Digital Innovation; enabled, fuelled and built using Digital Technology – Virtuous Cycle
Source: M Curley/B Salmelin
Leveraging Collective Intelligence and Energy;Multiplicative, Synergy and network effects
Hospital
Start-up
University
Company
Primary CareCentre
User
Co-innovator
CreativeCommons
GovernmentEcosystemsupport
Students
Home
@ehealthireland
Quadruple Helix Innovation
Government, Academia, Industry and Citizens collaborating together to drive structural changes far beyond the scope of
any one organization could achieve on it’s own
Government/Public
Academic
Industry
Citizen
Copyright © Intel 2015
@ehealthireland
@ehealthireland
Personalised Care shift from population-based to person-based prevention and treatment
Care Networkingshift from institutions to preventative, proactive, mobile, home-based, & community care.
Care Anywhereshift from solo to community and team-based care across orgs and IT systems
Evolve Strategy to a Shared Vision
@ehealthirelandThe Problem
$50 Billion of Chronic Injectables
Medications are self administered in
the home.
Why do they stop?
Forget
Feel BetterFeel Worse
Wrong Treatment
Wrong Dose
@ehealthirelandThe Solution
HealthBeacon is a smart sharps bin that helps people who use home injected medications to manage long term conditions.
It replaces conventional waste disposal bins with an patient support tool to help patients start and remain on time in taking injections.
@ehealthireland
Patient Centric Design
@ehealthirelandThe HealthBeacon Ecosystem
Head & Neck Cancer
(Rabbit)
Pre-Injection 5 min 24 hours 4 days
Increased Adherence
Real world insights
Reduce waste / unused medication
@ehealthirelandChanges the Doctor / Patient Conversation
Titrate Maintain
Intervention Switch
100%
100%
Clinical Outcomes
Personal Adherence
Score
@ehealthireland
Globally Embraced
Belgium
Netherlands
Portugal
Italy
Germany
Canada
Israel
Silicon Republic 24th May 2018
@ehealthireland
19
@ehealthireland
Aligning and Orchestrating the eHealth Ireland EcoSystem to Implement Shift Left Strategy
DynamicPortfolioApproach
Shift Left
Budget
- Slainte Care- eHealth Strategy- Healthy Ireland
Conversion Efficiency = Value/Spend
is HIGHeHealth Capability
Alignment, Acceleration, Amplification, Adoption
Better Outcomes,Efficiencies,Economic Growth
Reinvestefficiencies
Societal, Political , Economic Context
EIIDASFI
S;a
Slaintecare Report May 17
Quadruple Aim
@ehealthireland
eHealth Ireland will be Enabling Connected Health Through Digital @ehealthireland
IT-CMF
Significantly Improve
IT Capabilityand Capacity
www.ivi.ie
@ehealthireland
Intel Confidential | 22
Build a Roadmap for Ambition, Implementation
and Success
eHealthBudget
eHealthCapability
eHealth Business
Model
eHealth Macro Capabilities
SustainableEconomic
Model
FundingAmplification
ManagedSpending
Full Visibility ofSpending
European Leader
Mediocre
Average
Managed Yield and Portfolio
Optimized TCO
EstablishBenchmark
ServiceCentre
Cost Centre
InvestmentCentre
Beginning
OptimizedValue
World Class
Initial
Basic
Advanced
Intermediate
MaturityLevels
Optimizing
3.
2.
4.
5.
1.
Value Centre
2018
2020
2023
Timeline
0.85% ofBudget
2% Budget
3% Budget
eHealthValue
Better Outcomes
Resource Efficiencies
Wealth Creation
@ehealthireland
HIMSS – EMRAM for spectrum of healthcare delivery
@ehealthireland
OCIO Victoria developed an Interoperability Maturity framework linked to HIMSS EMRAM
…however, it does not show significant differentiation…
@ehealthireland
Transforming Health through Digital @ehealthireland
“In the next ten years Data Science
will do more for medicine than all of
the biological sciences combined.”
Vinod Khosla
@ehealthireland
New modelsof care forced
to emerge: Patient Centric
Shortage of Healthcare Professionals
Rising Costs of Healthcare
Aging Population
Perfect storm in healthcare…
eHealth IrelandSlainte Care
@ehealthireland
Small Business Innovation Research [SBIR]
HSE CHALLENGE
SBIR INDUSTRY
INNOVATION
SMART SOLUTIONS to Solve HSE Challenges
SHIFT LEFT: Highest Quality of Life & Care at Lowest Possible Cost
Small Business Innovation Research
@ehealthireland
Science Foundation Ireland Challenges
Shift Left – Digital Diabetes Management
Shift Left – Capacity and Demand Modelling
Shift Left – Flu and Trolley Crisis
Shift Left – Open Data
Shift Left – Datathon
Shift Left – Novel Instruments, Techniques and Technologies
Shift Left – Integrated Health Exchange
@ehealthireland
Transforming Health through Digital @ehealthireland
“You make a living by what you get, you
make a life by what you give.”
Winston Churchill
@ehealthireland
eHealth Ireland will be Enabling Connected Health Through Digital @ehealthireland
Thank you!
Name Martin CurleyTitle Chief Information Officer, HSE, CO, eHealth IrelandTwitter @martingcurley1Email [email protected]