Two way communication in healthcare - Keynote to Ideagoras Madrid 2011

1. Truly 2Way Communication
Rob Halkes
Ideagoras Madrid November 17th
Integrates care

2. Doctor & Patient
Co-creating
Care for Health
Truly 2Way Communication
Rob Halkes
Ideagoras Madrid November 17th
Integrates care

3. The demands for actual and future care
for health are too high to handle

4. Current systems of health care, are too expensive and
too much labour consuming to last for the next decade!

5. Current systems of health care, are too expensive and
too much labour consuming to last for the next decade!
THE CATCH-CRY FOR CARE:
► MORE VOLUME
► INCREASED QUALITY
► LESS COSTS

6. Way out:

7. Way out:
Medical Technology
and
Patient Self Management
“Lab on a chip”

8. Way out:
Integrated Care
Peers
Family Coach
Friend Etc.
Patient
Industry Nurse Etc.
PH GP Payors

9. Way out:
Integrated Care
Peers
Family Coach
Friend Etc.
Patient
1. Structuring of Process
Industry Nurse Etc.
PH GP Payors

10. Way out:
Integrated Care
Peers
Family Coach
Friend Etc.
Patient
1. Structuring of Process
2. Coordination between care providers
Industry Nurse Etc.
PH GP Payors

11. Way out:
Integrated Care
Peers
Family Coach
Friend Etc.
Patient
3. Patient compliance and self management
1. Structuring of Process
2. Coordination between care providers
Industry Nurse Etc.
PH GP Payors

13. e
alu
i cV
om
on
Ec
Medical
Value
e
lu
Va
nt
tie
Pa

14. Participatory Care for Health

15. Participatory Care for Health

16. Participatory Care for Health
Participatory Medicine .. a
movement .. patients shift from
being mere passengers to responsible
drivers of their health, and in which
providers encourage and value them
as full partners.

17. Participatory Care for Health
Participatory Medicine is a
cooperative model of health care that
encourages and expects active
involvement by all connected parties
Participatory Medicine .. a
(patients, caregivers, healthcare
movement .. patients shift from professionals, etc.) as integral to the
being mere passengers to responsible
drivers of their health, and in which
full continuum of care. The
providers encourage and value them ‘participatory’ concept may also be
as full partners.
applied to fitness, nutrition, mental
health, end-of-life care, and all issues
broadly related to an individual’s
health.

18. Collborative action and decision making
to co-create the Patient’s experience
In Care for Health

19. Collborative action and decision making
to co-create the Patient’s experience
In Care for Health
Condition Information
ODL Review
Compliance
Data Nutrition
Support evaluate
Coaching Chat Therapy
Tracking &
LearningConsult
Medication Tracing Health
parameters
Feedback Food
Life Style Adaptation

20. There’s ample research

21. Powerful new “Doctor becomes an e-patient” story in Journal ... http://e-patients.net/archives/2011/04/doctor-as-e-patient-jopm...
There’s ample research
Home
About Us
Society for Participatory Medicine
I Am An e-Patient
Search this website... GO
Powerful new “Doctor becomes an e-patient”
story in Journal of Participatory Medicine
by e-Patient Dave on April 18, 2011
amednews: Participatory medicine: A high-tech alliance...
35 http://www.ama-assn.org/amednews/2010/01/1
tweets
The Impact of eHealth on the thethat patient and Safety of
Two years ago we wrote “Let’s hear it for ‘d-patients’”
Quality
— doctors who become e-patients themselves. We said “D-patients prove
retweet
empowerment is anything but anti-doctor. Heck, sometimes it’s aOverview
Health Care: A Systematic doctor preservation movement.”
September, 2011
TELEMEDICINE
306 WINKELMAN ET AL., Patient-Perceived Usefulness of Online EMR
Doctors, Patients & SocialTELEMEDICINE:
A new article inAshly D. Black1,Participatory MedicineTECHNOLOGY example: A Cresswell2, Tomislav Bokun1,
our Journal ofAN ESSENTIAL provides a compelling 2, Kathrin
Josip Car1, Claudia Pagliari2, Chantelle Anandan
Media Physician’s Experience as a CancerREFORMED Majeed4, Importance2* Patient
Brian McKinstry2, Rob of the Neck Patient: The Aziz Sheikh of
3
FOR Procter , Azeem HEALTHCARE
AN ESSENTIAL TECHNOLOGY
Research PaperParticipation. The author, Itzhakof Primary Care and makes our point: London, London, United Kingdom, 2 eHealth Research Group, Centre for Population
j 1 eHealth Unit, Department Brook MD, Public Health, Imperial College
Health Sciences, The University of Edinburgh, Edinburgh, United Kingdom, 3 National Centre for e-Social Science, University of Manchester, Manchester, United Kingdom,
FOR REFORMED HEALTHCARE
4 Department of Primary Care and Public BUSINESS
Health, Imperial College London, London, United Kingdom
Patient-Perceivedfacedpersonal storydiagnosedOnline and undergoing will realizesurgeries. I am
challenges
Usefulness the hope thatcancer Electronic Medical
I am telling my
by a patient
in of
with
health care providers
extensive
the difficult
Records: Employingthe importance of active participationinthe patient and their family members
also discussing Grounded Theory of the Development of
Abstract
quality and safety of health care. Technologies for technologies are underway Participatory Health:
Informationinand CommunicationtoImplementations of of eHealth solutions onUse by safety of health care,often to
all phases of care.
Background: There is considerable international interest in exploiting the potential of digital solutions to enhance the
Journal of Participatory Medicine » My 8-Point Participatory ... transformative eHealth
http://www.jopm.org/opinion/commentary/2011/09/06/my-8-... globally, at
Patients Living with Chronic on eHealth various eHealthwe(emphasisonsystematic reviewsafety of care. reviews assessing the and Mobile Tools
Online
very considerable cost. In order assess the impact the quality and and
inform policy adds, in
Illness
JoPM co-editor Charlie Smith decisions his introductory note: undertook aadded)
effectiveness and consequences of
deployments,
technologies the quality and
of systematic
- Journal of Participatory Medicine - http://www.jopm.org -
You may wonder whyand Findings: We account of his search strategies, conceptual mapshe health care quality, safety, and eHealth
Methods a physician’s developed novel illness and the frustrations of experienced Help Chronically Ill
merit publication in this journal. But, if a doctor has this degree of anxiety, this the systematic review literature. Major
interventions, and then systematically identified, scrutinised, and synthesised much
My 8-PointWARREN J. WINKELMAN, What Makes Me a
Participatory Philosophy: MD, MBA, FRCPC, Khis care toLEONARD, MBA, PHD,
difficulty getting information about EVIN J.and this systematic reviews publishedsystematic1997 andthat focused on assessing
biomedical databases were searched identify degree of struggle making good between 2010. Related theoretical, Manage Their Care
methodological, and technical material was also reviewed. We identified 53 reviews
Participatory Patient ROSSOS, decisions, then patients of eHealth interventions on why theyand/orso overwhelmed and incapable, at systematic reviews
PETER G. MD, FRCPC impact can easily understand the quality feel safety of health care and 55 supplementary
the
Posted By Kathy Kastner On September 6, 2011 @ 5:41 pm In Commentary,Vol. 3, 2011 |
14 Comments
times, of truly providing relevant supportiveown care. What we are advocating for is found to be generally of substandard
“participating” in their information. This systematic review literature was difficult in
quality with regards to methodology, reporting, and utility. We thematically categorised eHealth technologies into three
the best of circumstances storing, managing,all hands on deck for(2) clinical decision support; and (3) facilitating care from a
main areas: (1) and requires and transmission of data; the task! September 2009
Abstract Objective: Patient useWe found that despite support fromrecords (EMR) holds relatively little empirical evidence to substantiate
distance. of online electronic medical policymakers, there was the potential to improve
Abstract health outcomes.and many other manystudy claims discover how patients living withwhen he inflammatory bowel disease
I – The purpose of to of thequality and in relation toDr. Brook meansWhether thesays: of those relatively few solutions identified
this
patients – is to made
know exactly what these technologies. chronic success
(IBD) value e-patients, patient-physician communication, online safety would records. ifwww.georgebatesstudio.com] beyond the contexts in which they were originally
Keywords: Participatory medicine,
Internet-based patient improve to electronic patientby continue / these were deployed
access [Illustration George Bates
developed, has yet to be established. Importantly, best practice guidelines in effective development and deployment
communities. …both of these approaches [physicians who acted "half full" and "half empty"] deprived mepatients
Participatory medicine: A high-tech alliance with
Design: This was a qualitative, exploratory, descriptive study using in-depth interviews and focus groups of a total of 12
strategies are lacking.
Citation: Kastner K. My 8-point participatory philosophy: what makes me a participatory
patients with IBD of at least one-year duration at is a large gap Health Network, a tertiary care center in Toronto, Ontario. possibly more financially advantageous to doctors and patients.
patient. J Participat Med. 2011 Sept 6; 3:e40. Conclusions: There
University between the postulated patient participation in medicine more workable -- and technologies.
of being truthfully and fully informed about my prognosis, which is essential for making
Information technology is making
and empirically demonstrated benefits of eHealth
Published: September 6, 2011.
logical choices concerning treatment. I preferred those who told me the truth about risks and
Results: Four themes have been elucidatedthere is a lack ofBy a theoreticalon the risks of staff. Posted Jan. 18, 2010. information and
In addition, that compriserobust research framework implementing these technologies and their cost-effectiveness
Competing Interests: The author has declared that no competing interests exist.
PAMELA LEWIS DOLAN, amednews of patient-perceived
communication technology usefulness:if it was notof a sense ofbeing frequently promoted patient-drivenand ‘‘techno-enthusiasts’’ as if this was a
my prognosis, has yet to be demonstrated, despite illness ownership, of by policymakers communication, of
even promotion rosy. I always voiced my preference to the physicians so that

24. A rightly designed
E-Health Platform
To trigger and facilitate!

34. Experience Co-Creating Care
EC3

35. Experience Co-Creating Care
EC3
A method of development
to reach a common understanding
between all parties
based on
insights into each others’ interest

36. EC3 is not the same as “working together”
Traditional Strategy Co-Creative Strategy
Creates value by delivering Creates value by constantly
Values defined customer experience to
targeted customer set
enhancing experiences for all
stakeholders
Establishes strategic goals at Uses the initial strategic goal as
Goals the outset and doesn’t a starting point and lets the full
significantly change them strategy emerge over time
On the interests of the firm: that
is, how the firm can maximize its Focuses on the interests of all
stakeholders and how the
Focus share of the created value
ecosystem can maximize the
relative to the shares of its
industry competitors size of the pie;
Achieves advantage through the
Achieves advantage through increased engagement of
realizing economies of scale stakeholders and by continually
Advantage before competitors do and building new interactions and
making big, bold moves experiences, which lead to higher
productivity, higher creativity, and
lower costs and risks

37. THANK YOU
Rob Halkes
BU Van Spaendonck – Value innovation in Medical and Life Sciences
T +31 418 578000
M+31 653 420722
E r.halkes@VanSpaendonck.nl G.E.H. Tutein Noltheniuslaan 7
W www.medicalandpharmamarketing.com 4181AS Waardenburg
T @rohal the Netherlands