eHealth @Hanze UAS

Hugo Velthuijsen, professor New Business & IT

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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

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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

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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

Thank you!