eHealth Opportunitiesthepracticeofinnovation.net
Josep Mª Monguet / Vilnius, Oct 28th 2014. [email protected] http://thepracticeofinnovation.net
EHealthopportunities
eHealth Opportunitiesthepracticeofinnovation.net
Data/Time/Space Management
Augmented servicesLearning
communities
Accelerated KnowledgeCollective
intelligence Health land
EHealthopportunities
eHealth Opportunitiesthepracticeofinnovation.net
Health land
Augmented servicesLearning
communities
Data/Time/Space Management
Ehealth opportunities
Accelerated KnowledgeCollective
intelligence
eHealth Opportunitiesthepracticeofinnovation.net
Expenditure Inefficiencies
Health land
eHealth Opportunitiesthepracticeofinnovation.netOECD Health Data 2013
expenditureHealth land
20102000
1816141210
86420
% o
f GD
P
OECD average
eHealth Opportunitiesthepracticeofinnovation.netData for Southampton city 2012
expenditureHealth land
0 10 20 30 40 50 60 70 80 +85
100
75
50
25
0
% o
f peo
ple
by a
ge
0 CC (no chronic conditions )
12
8 CC3 4 5 6 7
eHealth Opportunitiesthepracticeofinnovation.netOECD Health Data 2013
expenditureHealth land
1850 1900 1950 2000 2050
1009080706050403020
Life
exp
enta
ncy
eHealth Opportunitiesthepracticeofinnovation.net
30% of health spending is intended to be ineffective or unnecessary care, resulting from the impact of medical errors & redundancy procedures*
inefficiencies
* Elliott Fisher & John E. Wennberg
Health land
eHealth Opportunitiesthepracticeofinnovation.net
Augmented servicesLearning
communities
Data/Time/Space Management
Health land
Ehealth opportunities
Accelerated KnowledgeCollective
intelligence
eHealth Opportunitiesthepracticeofinnovation.net
DTS management
Adena Regional Medical Center
distances
eHealth Opportunitiesthepracticeofinnovation.net
DTS management
TRHLAB
time
eHealth Opportunitiesthepracticeofinnovation.net
DTS management ubiquity
eHealth Opportunitiesthepracticeofinnovation.net
DTS management not enough
eHealth Opportunitiesthepracticeofinnovation.net
Augmented servicesLearning
communities
Data/Time/Space Management
Health land
Ehealth opportunities
Accelerated KnowledgeCollective
intelligence
eHealth Opportunitiesthepracticeofinnovation.net
“your pill is watching you“
Augmented services Monitoring
eHealth Opportunitiesthepracticeofinnovation.net
user
therapist
families
eTona 2008
Augmented services Integrating
Primary care
eHealth Opportunitiesthepracticeofinnovation.net
eHealth Opportunities
Learning communities
Augmented services
Data/Time/Space Management
Health land
Accelerated KnowledgeCollective
intelligence
eHealth Opportunitiesthepracticeofinnovation.nete-fer. IPL / UPC 2008
Learning communities sharing
eHealth Opportunitiesthepracticeofinnovation.netTRHLAB. Living Learning Community for Spasticity
Learning communities participating
eHealth Opportunitiesthepracticeofinnovation.net
eHealth Opportunities
Augmented servicesLearning
communities
Data/Time/Space Management
Health land
Accelerated KnowledgeCollective
intelligence
eHealth Opportunitiesthepracticeofinnovation.net
Accelerated knowledgeG
DP
Wor
ld P
aten
et fi
lling
Global Patent. Andrei Ionescu
production
eHealth Opportunitiesthepracticeofinnovation.net
eHealth Opportunities
Augmented servicesLearning
communities
Data/Time/Space Management
Health land
Accelerated KnowledgeCollective
intelligence
eHealth Opportunitiesthepracticeofinnovation.net
Collective intelligence networks
eHealth Opportunitiesthepracticeofinnovation.netDetecting influenza epidemics using search engine query data. Google & C. Disease Control & Prevention. Nature 2009
Collective intelligence big data
eHealth Opportunitiesthepracticeofinnovation.net
sharingCollective intelligence
eHealth Opportunitiesthepracticeofinnovation.net
Collective intelligence brilliant
eHealth Opportunitiesthepracticeofinnovation.net
Applications & modalities
Collective intelligence
eHealth Opportunitiesthepracticeofinnovation.net
Collaborative design of health modelsCase
Selection of chronic care indicators
eHealth Opportunitiesthepracticeofinnovation.net
Selection of chronic care Indicators
1Model
Revision of the proposed model
of indicators
2Profile
Personal experience and
knowledge
3Round
Votes and opinions for consensus
4Evaluation
Usability and utility of the consensus
eHealth Opportunitiesthepracticeofinnovation.net
Selection of chronic care Indicators
1/36
% of patients enrolled in “Adherence to the pharmacological treatment” Program
Which is the level of relevance of this indicator
Low High
Capacity to calculate affectively this indicator?
1 2 3 4 5 6 Very limited
Is this indicator important for the patient?
Feasible
1 2 3 4 5 6
1 2 3 4 5 6 Not at all To much
We ask you to answer for each indicator the questions proposed.
eHealth Opportunitiesthepracticeofinnovation.net
1 2 3 4 5 6
Selection of chronic care Indicators
1/36
% of patients enrolled in “Adherence to the pharmacological treatment” Program
Which is the level of relevance of this indicator
Low High
Capacity to calculate affectively this indicator?
1 2 3 4 5 6 Very limited
Is this indicator important for the patient?
1 2 3 4 5 6
1 2 3 4 5 6 Not at all
We ask you to answer for each indicator the questions proposed.
Feasible
To much
N: 37
eHealth Opportunitiesthepracticeofinnovation.net
1 2 3 4 5 6
Selection of chronic care Indicators
1/36
% of patients enrolled in “Adherence to the pharmacological treatment” Program
Which is the level of relevance of this indicator
Low High
Capacity to calculate affectively this indicator?
1 2 3 4 5 6 Very limited
Is this indicator important for the patient?
Feasible
1 2 3 4 5 6
1 2 3 4 5 6 Not at all To much
We ask you to answer for each indicator the questions proposed.
1 2 3 4 5 6
N: 37
N: 37
eHealth Opportunitiesthepracticeofinnovation.net
1 2 3 4 5 6
Selection of chronic care Indicators
1/36
% of patients enrolled in “Adherence to the pharmacological treatment” Program
Which is the level of relevance of this indicator
Low High
Capacity to calculate affectively this indicator?
1 2 3 4 5 6 Very limited
Is this indicator important for the patient?
Feasible
1 2 3 4 5 6
1 2 3 4 5 6 Not at all To much
We ask you to answer for each indicator the questions proposed.
1 2 3 4 5 6
1 2 3 4 5 6
N: 37
N: 37
N: 37
eHealth Opportunitiesthepracticeofinnovation.net
Selection of chronic care Indicators
Management PlanningClinicWeighting of your answers according to your personal profile of knowledge and experience
Clinic
Management
Planning
1 2 3
1 2 3
1 2 3
eHealth Opportunitiesthepracticeofinnovation.net
Meta results
Selection of chronic care Indicators
Communicating chronic management strategy (Learning).
Alignment of the system via consensus (Decision Making).
Collaboration for the establishment of priority indicators.
Broad participation of healthcare professionals in identifying needs and opportunities.
eHealth Opportunitiesthepracticeofinnovation.net
Publication
Selection of chronic care Indicators
Paper in press …
eHealth Opportunitiesthepracticeofinnovation.net
Collaborative design of health models
Innovation participative spaceCase
Primary Care Innovation
eHealth Opportunitiesthepracticeofinnovation.net
Primary Care Innovation
eHealth Opportunitiesthepracticeofinnovation.net
Primary Care Innovation
eHealth Opportunitiesthepracticeofinnovation.net
Collaborative design of health modelsInnovation participative space
Consensus on clinical cases. Case
Training on mental health
eHealth Opportunitiesthepracticeofinnovation.net
Training on mental health
eHealth Opportunitiesthepracticeofinnovation.net
Training on mental health
eHealth Opportunitiesthepracticeofinnovation.net
Methods of application
Delphi Express Continuous
eHealth Opportunitiesthepracticeofinnovation.net
Conclusions
1. In the health area, professionals respond positively to the model of HC participation
2. The HC process is efficient and operational as shown by satisfaction levels and perception of involvement.
3. Professionals perceive that they provide value with their participation.
4. The results of participation are considered useful and relevant contributions.