Andrew McCormick DHSSPS #MWC14 #mHealth

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  • 1. Breaking Down Silos, Accelerating Mobile Health through Ecosystems Andrew McCormick Permanent Secretary DHSSPS, and Chief Executive Health and Social Care Northern Ireland 25 February 2014 Mobile World Congress Barcelona
  • 2. Chronic Disease Challenge Department of Health (2008 ) Raising the profile of long term conditions care INIsPHO (2010) Making ChronicConditions Count 60% of all GP visits 72% acute bed days 69% of health & social care spend 2/3s of over 75s Population 1.8M H&SC budget £4.5bn Rising to £4.66Bn in 2014/2015
  • 3. Leadership of Change Political mandate for Reform to all aspects of health and social care services in “Transforming Your Care” Quality 2020 and new Public Health strategy – in context of integration eHealth as a tactical game-changer that can: – show everyone the possibilities for change – facilitate new business models – raise quality and effectiveness – Promote innovation and technology
  • 4. Connected and Mobile Health Information (and all its uses) is the key to changing the paradigm Need for focus on real aims – better outcomes for patients – better management of care – better ways of working for staff – better use of resources
  • 5. Connected and Mobile Health A New and Clearer Focus, for the times we are in – Triple aim (IHI) of improving population health, patient outcomes and efficiency – a value based, clinician led care model – Enhancing value depends fundamentally on information – ideally at patient level – Enabling technology is obviously central – Making the most of the opportunities for integration
  • 6. Aspects of eHealth in the Northern Ireland Ecosystem Helping the health and social care system work better – useable, interoperable devices and systems for professionals and support staff to use to do their jobs
  • 7. Aspects of eHealth in the Northern Ireland Ecosystem Helping the health and social care system work better – useable, interoperable devices and systems for professionals and support staff to use to do their jobs Gathering, compiling and processing population level data for research and planning
  • 8. Aspects of eHealth in the Northern Ireland Ecosystem Helping the health and social care system work better – useable, interoperable devices and systems for professionals and support staff to use to do their jobs Gathering, compiling and processing population level data for research and planning Applying devices to measure and transmit data to improve the speed and effectiveness of care
  • 9. Strategic Benefits Quality/Safety Service Efficiency/ Use of resources Patient Experience Economic Growth Support Systems    Data Processing    Care Devices    
  • 10. Change of Paradigm Oldthink Episodic Care Logic and Analysis Hierarchies Big plans big implementation Self contained system siloes Newthink Continuous Care Value based direction Motivation of all Small works Interaction, fertile creativity of new ideas All enabled by better integration of services, as information breaks down the silos
  • 11. Connected Health and Prosperity Agenda in Northern Ireland Memorandum of Understanding signed December 2011 by Health and Economy Ministers Steering Group – Government agencies, universities and private sector Action Plan September 2012- mandate for innovation, including: Development of the NI Connected Health Eco System, along with international linkages Eco-System tasked with addressing health and social care priorities to support implementation of the Northern Ireland Health and Social Care Transformation programme
  • 12. Health & Social Care Services Education &TrainingResearch Ecosystems: a driver for integration & economic development with Healthcare as an investment not cost Engine for investment growth and economic development
  • 13. Primary, Secondary and Community Care Domiciliary services Assisted Living services Care Homes services Technology devices, equipment and services Consumer healthcare products and services Industry Commissioners of Healthcare Commissioners of Social Care Pharmaceutical ICT / telecoms CONSUMERS PATIENTS PEOPLE US Public Providers University & Research Organisations
  • 14. Benefits from the Eco-System Improved engagement across the sectors Researchers and industry understand health priorities Innovation and R&D can be targeted more effectively Supports the dual objectives of improving health and well-being and developing a sustainable economy Identified opportunities for innovative procurement and a project on medicines adherence is underway
  • 15. Overview of an ECH Alliance Ecosystem 1. Collaboration of the willing 2. Flexibility about how each is organised – evolving, work in progress & not prescriptive 3. Virtual Operating Board 4. Regular Members Business Meetings 5. ECH Alliance promotes dissemination of best practice, ideas & solutions between its Ecosystems & wider international collaboration. PERMANENTECOSYSTEMS
  • 16. Thank you • andrew.mccormick@dhsspsni.gov.uk • www.dhsspsni.gov.uk • www.hscni.net • http://www.telemonitoringni.info/ • http://www.echalliance.com/