Upload
olaf-kraus-de-camargo
View
461
Download
1
Embed Size (px)
Citation preview
ICF education: rationaleFirst International Symposium: ICF Education
5 June, Helsinki, Finland
Stefanus SNYMAN1, Heidi Anttila2 & Olaf KRAUS de CAMARGO3
1 University of Stellenbosch, South Africa 2 National Institute for Health and Welfare, Finland
3 CanChild, McMaster University, Canada
1
@icfmobile
Interprofessional collaboration and transforming health professions education
Stefanus Snyman@stefanussnyman
5 June 2015 2
HEALTH EQUITY
PATIENT-CENTREDNESS
INTEGRATEDCOMMUNITY-BASED
CARE
INTERPROFESSIONAL EDUCATION & COLLABORATIVE
PRACTIVE(catalyst for change)
INSTRUCTIONAL TRANSFORMATION
(health professions education)
INSTITUTIONALREFORM
(interdependence in providing healthcare)
RATIONALE
is driven by the global priority to achieve
REFORMINGSYSTEMS FOR
HEALTH
HEALTH EQUITY
through
TRANSFORMING HEALTH
PROFESSIONS EDUCATION
TRANSFORMING HEALTH PROFESSIONS EDUCATION
Bio-psycho-social-spiritual approach incorporating the complex interrelatedness of:
• changes in body functions and body structures,• functioning and fulfilling life roles, in the context of • the barriers and facilitators of environmental factors influencing
health (including social determinants of health)• personal factors influencing health
which required competencies related to a
a person-centred approach
HOLISTIC CARE, SHARED DECISION-MAKING AND PERSON-REPORTED OUTCOMES
resulting in
through
creating the opportunity for
PERSON-DRIVEN DATA
RATIONALE
is driven by the global priority to reach
HEALTH EQUITY
through
TRANSFORMING HEALTH
PROFESSIONS EDUCATION
REFORMINGSYSTEMS FOR
HEALTH
Integrated community-based care – reforming systems for health
Heidi Anttila@anttilaheidi
5 June 2015 10
Universal health coverage
• World Health Organization (WHO) aims at re-engineering primary health care with emphasis on community-based, person-centered care
• The International Classification of Functioning, Disability and Health (ICF), provides standardized information structure and common language across professionals, to describe the lived experience of a person’s real life situation
5 June 2015 11
12
Reforming systems for health– universal health coverage
From• Institutionalized care• Silos and professional
tribalism• Hierachical power relations• Linearity (cell-organ-body-
disease-disability)• Professional only
(”objective”)• Crisis-focussed and
reactive
Towards• Community-based • Embracing
interprofessional collaborative practise
• Holistic care, shared decision-making
• Complexity (interactive bio-psycho-social)
• Person-reported (”subjective”)
• Preventative and predictive
5 June 2015
Health care reform: Example: Sub-Saharan Africa
• To ensure effective interprofessional communication and continuity of care
• Nurses, community health workers, other health professionals
Example:• Challenge by 2015:
1 million community health workers needed
• One of the solutions: Mobile phones
5 June 2015 13
Health and social care reform: Example: Finland
• To create a novel service structure for Finland's public social welfare and health services.
• Equal, client-centred and high-quality services, smooth service and care chains throughout the country.
• Services should be close to the users, situated quite close for many people or provided electronically or as a mobile service as part of people's everyday lives.
5 June 2015 14
Omahoitopolut.fi
Support for the citizen to actively maintain healthy and active
lifestyle
24.4.2015 FT Heidi Anttila
Use of web: 27% 75-89 y 92% 16-74 y
Renewal of services must be supported by ICT solutions
5 June 2015 mICF International Partnership 16
implying
to provide
ultimately resulting in
which is dependent on
obtained by utilising paradigm-shifting
REFORMING SYSTEMS FOR HEALTH
BIG DATA
PREDICTIVE HEALTH CARE
• universal health coverage,• reducing institutionalised care and • focusing on preventative healthcare
a focus on community-based practice through• health-education harmonisation interdependence),• breaking down silo's and professional tribalism, • embracing interprofessional collaborative practice,• decreasing power relations,• and using information technology
PERSON-DRIVEN DATA
REFORMINGSYSTEMS FOR
HEALTH
TRANSFORMING HEALTH PROFESSIONS EDUCATION
ultimately resulting in
predictive health care
person-centred approach
holistic care, shared decision-making, patient-reported outcomes
resulting in
through
big data
which is dependent
contributing to reaching
through through
PATIENT-DRIVEN DATA
creating the opportunity for
obtained by utilising
paradigm-shifting
HEALTH EQUITY
HOW??
Patient-Driven Big Data – Towards Personalized Care
Olaf Kraus de Camargo
5 June 2015 mICF International Partnership 19
Striving to personalize care
• Anticipate/predict the needs of the user• Use the most common codes necessary to describe a certain
condition• Development of Core-Sets:
– 2001 - 2005: 26 publications– 2006 - 2010: 76 publications– 2011 - 2015: 110 publications
• Stroke, Depression, Breast Cancer, Chronic Ischaemic Heart Disease, Rheumatoid Arthitis, Osteoporosis, Low Back Pain, Pain, Chronic Health Conditions, Head and Neck Cancer, Spinal Cord Injury, Sleep Disorders, Guillain-Barré-Syndrome, Hearing Loss, Incapacity to Work, Shoulder and Hand Problems, Traumatic Brain Injury, Cerebral Palsy, Autism Spectrum Disorders, etc.
• Care follows diagnostic or functional labels
5 June 2015 20
Evidence Based Practice includes the Patient
5 June 2015 mICF International Partnership 21
EBM Triad copryright 2013 Florida State University, College of Medicine. All rights reserved.
You Need to Empower to Engage
5 June 2015 mICF International Partnership 22
Institute of Medicine, I. O. M. (2013). Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement: Workshop Proceedings. The National Academies Press. Retrieved from http://www.nap.edu/openbook.php?record_id=18397
Shared Decisions Need Clear Information
5 June 2015 mICF International Partnership 23
Institute of Medicine, (2013). Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement: Workshop Proceedings, The National Academies Press.
What is Big Data?
5 June 2015 mICF International Partnership 25
http://www.politik-forum.eu/viewtopic.php?p=2909009
Desire Lines
5 June 2015 mICF International Partnership 26
http://lemasney.com/consulting/2014/02/03/33-365-desire-lines-design-principle/
How will mICF be developed?
• Data will be person-driven, facilitating shared decision-making and well-coordinated, holistic, continuity of care across various service settings
• Personal health data will be processed securely, informing a patient-empowering bio-psycho-social approach
• Big data analytics will enable personalised, predictive care
• Proof-of-concept validation across the globe will include low-and middle income countries
5 June 2015 27
5 June 2015 28
• Clinical studies will focus on older people, as well as children and adults with chronic diseases
• State-of-the-art service design will entail iterative in-market experimentation, and impact and economic evaluation
• An extensive dissemination strategy, in close collaboration with the International mICF Partnership, will focus on change management, allowing new patient pathways and interprofessional collaboration
• Lean, agile commercialisation will ensure sustainability and the development of new business and service solutions adhering to ethical and legal regulations
Our Desire Lines…
5 June 2015 29http://homepage.ntlworld.com/davesplace/Chistory.htm
• ICF big data describe each person with an personalized functional profile, focusing on the lived experience and taking into account relevant localized environmental factors.
• ICF big data avoid labeling by diagnostic or functional category
• ICF big data facilitate personalized care
Cor(e)sets are getting out of fashion!
5 June 2015 30http://homepage.ntlworld.com/davesplace/Chistory.htm
• ICF big data describe each person with an personalized functional profile, focusing on the lived experience and taking into account relevant localized environmental factors.
• ICF big data avoid labeling by diagnostic or functional category
• ICF big data facilitate personalized care
5 June 2015 31
mICF International Partnership
mHealth solution based on International Classification of Functioning, Disability
and Health
The mobile ICanFunction App (mICF)
@ICFmobile
Facebook: ICanFunction
RATIONALE FOR ICF EDUCATION
is driven by the global priority to achieve
REFORMINGSYSTEMS FOR
FEALTH
TRANSFORMING HEALTH PROFESSIONS EDUCATION
ultimately resulting in
predictive health careperson-centred approach
holistic care, shared decision-making, patient-reported outcomes
resulting in
through
big data
which is dependent
made possible by
resulting in
contributing to reaching
Personalised healthcare in a strengthened
systems for health
TECHNOLOGY UTILISING
ICF
through through
PATIENT-DRIVEN DATA
creating the opportunity for
obtained by utilising
paradigm-shifting
HEALTH EQUITY