Greek Presidency Conference: 2014 eHealth Forum, AthensWednesday May 14th: 14.00-16.00

EIP parallel session: expert forum on community empowerment and technology: implementing the new paradigm

Presentation 1: Nick GuldemondView of meeting convenor

infrastructureDr. 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 TechnologyImplementing the New Paradigm

View from a Health Professional

Prof George Crooks OBENHS 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. Choice2. Control 3. Connectedness4. Collaborations5. Contributions 6. Communities

wider world

locality

home

wider world

locality

home

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

Athens23 June 2006 29

IHEIntegrated Healthcare Enterprise

eHealth

Tele-medicine

Home healthcare

Diseasemanagemen

t

Personalhealthmanagement

Services and tools for independent

living

Public healthinformation

Source: Niilo Saranummi, PICNIC

Why eHealth -to overcome structures?

Martin DenzVice-President EHTEL

30

EU Quality and PS Health Policy to 2015A helicopter view

PatientSafety

eHealth

CommonVocabulary +ConsensusOn QualityTools

Education for Qualitye.g. communication skills

Patient as partner

Athens Dec. 2005

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 (% Gross National Product) (5.5 billion psychiatry)• Aging of population• 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 TsakouSenior Project Manager European Projects Dept.

Expert Forum on Community Empowerment & ICT

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

Presentation Outline

45

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

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

86% owned by Marfin Investment Group

(MIG), Greece’s largest investment holding

company

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

46

SingularLogic at a glance

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, Greece’s largest private hospital group

Hospitals running

5 in Greece

1 in Albania

….comprising General Clinics and Maternity Hospitals

Vertical market solutions case study “SingularLogic’s Model Hospital Management System”

47

SingularLogic’s Model Hospital Management System is NOT just an IT system…it is a proven business proposal for best-run Healthcare Organizations

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

Participation in subsidized

R&D programs of the

EU and the General Secretariat for Research

and Technology of the Hellenic Ministry of

Development

European Projects Department

48

ICT as an enabler: PINCLOUD: Integrated Care for Personalized Medicine utilizing Cloud Infrastructure

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

ICT as an enabler: Cognitive Training through SOCIABLE

50

Fall Prevention ServicesPhysical trainingCognitive Training

Fall Detection ServicesFall detection Alarms

Fall Management ServicesFall Knowledge Management ServicesDecision Support Services for Fall ManagementTelecare/Teleassistance Services

ICT as an enabler: I-DON’T-FALL Services

51

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

ICT as an enabler: HOMEdotOLD Socialisation Support Services

52

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

Facilitators & Barriers for Community Empowerment

53

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!

Conclusions

54

THANK YOU!

QUESTIONS?

Gianna Tsakougtsakou@singularlogic.eu

Presentation 7: Donna Henderson

View from an ecosystem (1)

Living it Up (LiU)Programme led by NHS 24, Scotland

Funded by:

Join us now – www.livingitup.org.uk

LiU will co-design sustainable and innovative improvements and choices in

health, care and wellbeing for 55,000 people by 2015, using familiar

technologies

Services

Refer to Appendix for benefit descriptions

Benefits

Presentation 8: David Horsfield

View from an ecosystem (2)

More Independent:Innovation in empowering

communities

14 May 2014

Expert forum on community empowerment and technology: implementing the new paradigm

dave.horsfield@liverpoolccg.nhs.uk

Mi user empowerment model

User empower

-ment

Co-creation

Awareness raising

Take up of smart solutions by primary and secondary end

usersSelf-care

More independent living

Confidence building

Inclusion

Mi user empowerment action