e-health and e-clinical governance

e-Health and e-Clinical GovernanceMilano, 12 novembre 2015

Roberto Mollica, MD

Tecnologia e Addiction: nuove sfide e nuove strategie – Milano 12 e 13 novembre 2015

Roberto Mollica has no conflict for financial, professional, private or personal interests or advantages in relation to contents presented.

Images and their representations are property of the cited owners (public and private industries/companies) which published them in the internet and have been used as example of technological solutions offered by the market or to accomplish and sustain explanation of contents.

DISCLOSURE

Introduction to innovative solutions in the addiction field

AccortoFurboScaltroAstutoArgutoSpiritosoBrillanteEleganteBelloSofisticatoVivaceEnergicoVigorosoSveglioBravoIntelligenteMordaceCausticoImpertinenteSfacciatoArrogante

232=4,3x109 2128=3,4x1038

Digital&Social divide

Servizi Telemedicina Connettività

AlfabetizzazioneAddestramento

InteroperabilitàSistemi

Users DevicesBanda

larga/ultralargaGestori tel

Hot spot wi-fi

Nativi digitaliImmigrati digitali

Tardivi digitali

ClientiCaregivers

Professional

e-Medical Recorde-Health Record

SicurezzaRiservatezza

Portabilità - riuso

SmartphoneTablet

Laptop - PC

Applicativi e-healthApplicativi m-

healthServizi on-line

EmpowermentSelf management

Riqualificazionee-CF

Internet of ThingsBig-open-linked

Smartcities

e—Healthcare System

https://ec.europa.eu/digital-agenda/en/digital-europe

Literacy???

Education???

~1/3 digital natives

Framework transitions – Digital natives

Framework transitions – Digital connected

Disruption!!!

Guardare oltre lo schermo

Wearable devices

WINWINWIN

Framework transitions – the ExposomeWhat is the Exposome?

At its most complete, the exposome encompasses life-course environmental exposures (including lifestyle factors) from prenatal period onwardsA comprehensive measurement of all exposure events (exogenous and endogenous) from conception to death

Start with

strategy

Transform your

business and

decision making

Analize your data

Report your

results

Measure metrics

and data

Data driven decision management

Cyber-entropy?

Strategic and business plan

Data (quality)

Info (analysis)

Knowledge (dissemination)

Impact (value)

Ricognizione e valutazione flussi(adeguatezza, congruenza, validità)

Analisi flussi e potere informativo(amministrativo, clinico, organizzativo)

Produzione reportistica mirata(report semiautomatici, ad hoc)

Utilizzo strategico delle informazioni(spendibilità, applicabilità)

The biggest problem is that you have to ask the right questions.

Dati clinici 10%Professionisti della

salute

Dati genetici 30%Laboratorio

Dati esogeni 60%Prodotti da clienti

Personal health data ‘suite’

Why addiction?

FEATURES• Preventable chronic relapsing

disease• Very early onset (adolescence, early

adulthood)• Lifelong health, psycho and social

consequences

OPPORTUNITIES• Subjects already ‘’digital’’ and

connected• Subsceptible to early preventative

interventions• Brain plasticity as resource to

recovery

People suffering from addiction could be more susceptible by wearables as well as other e-solutions (EMA, EMI, serious games,

web-based interventions) in order to improve their:- Healthy lifestyles

- Disease management

Addiction

Personal data ‘suite’

It is not the strongest species that survives, nor the most intelligent, but the most responsive to change

Charles Darwin

Education???

Professional (re)qualification

Nel 2025 il 25% delle attività lavorative sarà gestito da intelligenza

artificiale o robot

In UK il 35% dei lavori è stimato a

rischio di sostituzione con

soluzioni automatizzate

Artificial Intelligence is Here

Siri e Watson stanno

evolvendo più rapidamente di quanto si pensi

Sono in fase di sviluppo sistemi ibridi

composti da intelligenza artificiale e

intelligenza umana

3 categoriesArtificial Narrow Intelligence (ANI)

Artificial General Intelligence (AGI)

Artificial Superitelligence (ASI)

Weak AI – specialized in one area

Strong AI – “a very general mental capability that, among other things, involves the ability to reason, plan, solve problems, think abstractly, comprehend complex ideas, learn quickly, and learn from experience.”

“an intellect that is much smarter than the best human brains in practically every field, including scientific creativity, general wisdom and social skills.”

NanotecnologiaStampa 3DManipolazione epigeneticaIntelligenza ibrida

e-Health and e-Clinical Governance

Professionals sideCare providers

Clients sideCure demand

Support change Support accessibility

EducationLiteracy Pay for valueSatisfaction Empowerment Self managementEngagement

OpenessLean organizationLeadership modelSystems interoperabilityTraininge-CF

e—Healthcare Governance

Matching supply and demand

Connectivity Devices

e–health solutionsm–health solutions

On-line servicesBig-open-linked data

Internet of Thingse-learning

Instruments

APPROPRIATENESS – Outcome, not only volume

‘’Fare innovazione in modo originale e coraggioso’’ (cit. Massimo Mangia)

Non digitalizzare l’organizzazione as is ma promuovere la riorganizzazione in funzione delle soluzioni digitali disponibili

Affidarsi all’adozione di soluzioni tecnologiche a

supporto del cambiamento dei

tradizionali modelli di intervento ormai

anacronistici.

Evitare di essere travolti e subire passivamente la

quarta evoluzione industriale.

Abbandonare ideologie e romanticismi per trovare soluzioni pragmatiche utili,

moderne, convenienti ed efficaci.

e-health and e-clinical governance

Health & Medicine

CLINICAL LEADERSHIP AND CLINICAL GOVERNANCE: A REVIEW … · 2016. 3. 29. · Clinical governance within the United Kingdom Definitions of governance and clinical governance are examined

Oecd Recommendation Governance of Clinical Trials

Clinical Governance Framework v1

Clinical Governance Framework - headspace · Clinical Governance Framework Issue Date: 15 January 2014 For further enquiries please contact: Clinical Director headspace National Office

Developing the clinical leadership role in clinical governance

Clinical Governance and Health Reform

EBM e CLINICAL GOVERNANCE · 2017. 12. 21. · EBM e CLINICAL GOVERNANCE Una survey tra giovani chirurghi italiani Gabriele Maritati Azienda Ospedaliera San Camillo-Forlanini, Roma

51639015 Clinical Governance

Proposed Clinical Center Governance Model · Proposed Clinical Center Governance Model ... Proposed Governance Structure. 4. Clinical Practice, ... CMO IC Clinical Directors

Clinical governance in drug treatment€¦ · the suite of NICE technology appraisals and clinical guidelines on drug misuse, calls for good clinical governance Ł Clinical governance

Clinical governance

THE LAW AND CLINICAL GOVERNANCE

PRESENTATION BY J. J. ZAVERI E-GOVERNANCE CONSULTANT E-Governance e-Governance 1

Chiropractic Quality Standard Clinical Governancercc-uk.org/wp-content/uploads/2015/01/Clinical-Governance-Quality... · Chiropractic Quality Standard | Clinical Governance 3 The

Good Clinical Governance

Good Clinical Practice and Governance Initiatives

dp165. Clinical Governance: Striking a Balance Between ... · Clinical Governance: Striking a Balance Between Checking and Trusting 2 ABSTRACT Clinical governance emerged as one of

CLINICAL AND CARE GOVERNANCE COMMITTEE

Clinical Governance in Community Health Services ... · Clinical Governance in Community Health Services: Development of a Clinical Indicator Framework Discussion paper March 2007

ATAPS Clinical Governance - Innovation | Partnerships · By using the ATAPS Clinical Governance Framework and the ATAPS Clinical Governance Implementation ... Toni van Hammond