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18-04-23 New Business & ICT 2
Health and IT: worlds apart?
Demand for and costs of healthcare are increasing
Supply of (potential) caretakers is decreasing
shortage in skilled employees
Also, necessary shift from intramural to extramural ► maximize number of people that live in “regular” housing
North East Netherlands is at the front of this change in The Netherlands
Technology is considered to be instrumental in solving issues resulting from resource shortage: Money Personnel Dedicated housing
Societal issues in rural areasDemographic change necessitates new solutions
New Business & IT18-04-23
18-04-23 New Business & ICT 4
Challenges Health & Techology
Known bottlenecks:
■ Attitude and willingness to change patients and clients
■ Attitude and willingness to change
healthcare professionals
■ Limited or missing ‘medical evidence’
■ Lack of knowledge on available solutions
and how to use them
■ Lack of standardisation
■ Lack of sustainable business case
■ Law & regulations, e.g. privacy
Source: www.ehealthnu.nl/barrieres and Actionplan eHealth implementation research, ZonMw, april 2013
Common analyses national ánd international
Developments in Health & Technology
But the good news is….
Developments in the Netherlands:
Acknowledgment healthcare insurers Awareness in healthcare industry
Self management patients
Access to personal health records
Planning appointments with specialists
Growing need for synchronisation in care supply
Growing need for communication & interaction on patient level (health literacy)
Growing need for sharing with peers
Growing sense of urgency to resolve those bottlenecks
18-04-23 New Business & IT
Meanwhile….
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Health and IT: how to build a bridge
“intercultural cooperation”•Create common language/common culture•Co-makership•Integral approach: strategy, organisation, finance, technology
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Benefits of IT
Main benefits of IT
• facilitating access to comprehensive and detailed patient data
• supporting adherence to guideline-based care
• improving the process of care
• increasing independence for patients incl self management
But IT is often associated with
•Quality control
•Distraction from caregiving
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Adherence to guideline-based care
• Process steps
• Options
• Values
• Standardisation
• Ease of use
• Collaboration
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The process of care
Source: Ordening in de wereld van ehealth, Whitepaper, Nictiz, 24 augustus 2012
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The process of care
Source: Ordening in de wereld van ehealth, Whitepaper, Nictiz, 24 augustus 2012
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The process of care
Source: Ordening in de wereld van ehealth, Whitepaper, Nictiz, 24 augustus 2012
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• Active and Healthy Lifestyle and IT (mHealth, blended treatment, serious
gaming, biofeedback loops: Quantified Self).
• Healthy Ageing @ Work (biofeedback loops: Quantified Self)
• Independent living solutions
• Dementia, Living lab, and eHealth
• eHealth and organisational change
Ehealth topics NB&ICTAlignment between healthcare and technology educations
database
analytics
sensors•A database that stores output of all the sensors in use by employees.
•A tool that analyses the sensor output data to distil relevant information out of this data and to allocate relevant suggestions for employees and employers.
•An interface for employees to view their own information and suggestions to improve working habits and/or lifestyle, typically made available via a smart phone or tablet and/or website •A web-based interface for employers to view aggregated information on employees’ overall fitness and to offer suggestions for possible HR interventions
Healthy@WorkBiofeedback loops to improve “fitness for the job”
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Independent LivingInterreg project iAge defines needs-driven solutions
1 NB Maslow used for organising ideas, not as a preferred model needs
sport / exercise online shopping groceries
delivery groceries
alarm button
contact gen practitioner
contact clubs
Video communication
EMR
advanced audio system
Closing windows
Contact neighbours
contact peeers
burglary alarm fire alarmfall
detectiondoor opener
door camera
hotline carer
schedule
Internet access
stove protection
Info services
contact friends
contact family
sleep monitor
traffic scheduling
e-consult
Independent LivingIntelligent monitoring of Mentally Handicapped People
Development of a system of telemonitoring and automated interventions supporting independent living of mentally handicapped people.
Mentally handicapped IQ ca 50-85 Need for a regulated life without excesses Poor sense of time, duration, location, distance, risks, good
or evil Poor sense of cause & effect, if-then, taking initiatives,
planning, finishingCurrent support
Human interventions: observation, signalling, intervention Mostly reactive
Improvements: Automatic observation, signalling , intervention Improving independence of clients Support more proactive than reactive Support more tactical than operational Decrease of incidents and escalations
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System Sensors and actors in homes Expert system that initiates
interventions given observed situations
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DementiaComputer Aided Virtual Environment for patients with dementia
CAVE project
Aimed at improving wellbeing of patients with
dementia
Stimulating memories with images, sounds, smells
Generic and specific content
Living Lab: Research environment with sensors
observing:
Reactions & interactions
Physical signs of well being
Mental states
Research questions:
Which interventions improve well being?
How can we measure well being?
What are potential benefits for the
healthcare organisation
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• Change management and co-creation (Agile)
• Business modelling
• IT maturity
• Managing success and failure
• Evolving standards of “evidence-based”
Ehealth and organisational change
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Ehealth and organisational changeBest practices during all steps of the development process
Service
Domain
Value Proposition
Market Segment
Financial
Domain
Cost structure
Profit potential
Organisational
Domain
Structure of value
network
Technology
Domain
Functionality
required
BUSINESS MODEL
STOF Business Model FrameworkMARKET DYNAMICS
e.g. changing customer demands
competition
TECHNOLOGICAL
ADVANCEMENTS
CHANGES IN LEGISLATION
e.g. antitrust and privacy legislation
NETWORK VALUE
e.g. revenues
CUSTOMER VALUE
e.g. ease of use,
costs, experience
Source: ehix.nl
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