Bairbre Nic Aongusa Dept of Health Ireland #MWC14 #mHealth

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  • 1. How ecosystems can support mHealth? Bringing improved population wellbeing, health service efficiencies and economic opportunity through the use of technology enabled solutions.
  • 2. Background • Drivers for mHealth and for eHealth are obvious for many • Not always very well understood by policy makers • The challenges are universal
  • 3. Health  systems  challenges  …..we  all  know   them….. • Increasing Demand due to: • Ageing Populations • Rise of Chronic Diseases • Already Stretched Services • Planned Reform of Health Services in Ireland • Universal Health Insurance • Money Follows the Patient • Formation of Hospital Groups
  • 4. 4 mHealth is about transformation Person Community Primary Secondary Tertiary Individual Self-care Friends & Family Community Networks Professionals as Facilitators Professionals as Partners Professionals as Authorities Transformation Through Cost-Effective Use of Information & Communication Technologies Industrial Age Healthcare Information Age Healthcare Source: Adapted from Malaysian Telemedicine Blueprint
  • 5. Opportunities that mHealth provides • Empowered patients • • Safer and better quality services • More efficent services by eliminating multiple transactions
  • 6. What are the barriers to m-health enablement • Health Care transactions – Are complex – About people when they are vulnerable – Services delivered by multiple professionals, multiple providers over many locations – Change processes to bring about change are not simple – Legal issues – Technology issues – Privacy and confidentiality issues
  • 7. Privacy  is  a  key  issue  …..
  • 8. Ireland’s  contribution • Ireland held the EU Presidency in Jan-June 2013 • We held eHealth week last May • Meeting of EU Ministers and Experts • The Irish Declaration agreed at that meeting about ehealth ecosystems
  • 9. The Dublin Declaration, May 2013 • “A  strong commitment to developing eHealth ecosystems in support of reforming health systems and innovation was demonstrated by all participants”. • “eHealth  ecosystems, comprising health and social care providers, industry, research institutions, authorities and …..   represent a positive response to the opportunities and challenges in a specific geographical area, and can accelerate the development and adoption of innovative solutions …..   providing real and tangible ….  benefits  for individual patients and other citizens”.
  • 10. Intel Quadruple Helix Innovation Government, Academia, Industry and Citizens collaborating together to drive structural changes far beyond the scope of any one organization could achieve on it’s own Government/Public Academic Industry Citizen
  • 11. What did the Declaration say about ecosystems? • Improve the understanding of healthcare needs • Support the health reform process • Improve user acceptance for improved process management • Increase understanding and exploitation of new and innovative public/ private business models • Provide the rationale to build the necessary partnerships • Incentivise plans for pilot-to-deployment, and • Create multi sector synergies
  • 12. All parties agreed to.. • Strengthen the coordination of all policies related to e-Health • Promote an ecosystem dialogue • Implement disruptive innovation schemes, • Facilitate the use of cross-sectoral high risk, but high value solutions • Accelerate the implementation of existing and proven devices and processes
  • 13. Ecosystems  Innovation  …..moving   out of the LabIntel Centralized inward looking innovation Closed Innovation Ecosystem centric, cross-organizational innovation Innovation Networks Ecosystems Externally focused, collaborative innovation Open Innovation
  • 14. Ireland update • eHealth strategy finalised and published • eHealth Ireland entity • CIO • Health Identifiers Bill • APJ 2014 • MoU with NI
  • 15. Its  only  beginning…… American Health care is one of the last great industries to remain largely undisturbed by information technology revolution of the past few decades – Vijay Vaitheeswaran, The Economist, November 22, 2010 Medicine has built on a long history of innovation, from the stethoscope and roentgenorgram, to the MRI. Doctors have embraced each new technology to advance patients care. But nothing has changed clinical practice more fundamentally than one recent innovation: the Internet. Pamela Hartzband and Jerome Groopman , New England Journal of Medicine.
  • 16. Ecosystems supporting mHealth Thank  you  for  your  time…….