World Health
Organization

Developing an ICF mobile application
(mICF) to improve continuity of care
and strengthen health...
ICF: WHO world standard
Functioning and disability multidimensional, interactive
World Health
Organization

Health Conditi...
The ICF Spring
• Community-based, person-centred healthcare
strategies are central to realising the vision to
reach health...
The ICF Spring
• ICF as catalyst for health
systems reform on grass root
level
• Integrated into clinical practice:
patien...
The ICF Spring
• 50% of people own a mobile phone in the
developing world
• 70% have access to mobile phones
• 1000 new mo...
The ICF Spring
• However, the pivotal role
of data on functioning and
context is often
overlooked in mobile
applications d...
Goal of mICF
• Providing a means for healthcare workers to
collect and transfer ICF-related information to
support continu...
Goal of mICF
• Patient-centred

World Health
Organization

• Patient / carer empowerment

• Facilitate administration and ...
What is out there already?
• University of Sydney:
eFRHOM (electronic Functioning and Related
Health Outcomes Module)
• Mc...
Practical Implications
The mICF should be:
• User friendly, including built-in decision support,
to assist community care ...
Practical Implications
The mICF should be:
• An integrated single source of
functional status information,
which is access...
Social Implications
The mICF could:
• Provide a means to collect and transfer ICFrelated information

World Health
Organiz...
Approach to research/develop mICF
World Health
Organization

ICF
Goal of 25 interested partners from FDRG
World Health
Organization

Feedback
to mICF

Data
analysis
Clinical
encounter

IC...
Next steps
• Needs requirement study
•
•

World Health
Organization

Questionnaire: potential end users and administrators...
Would you like to contribute?
World Health
Organization

Complete online questionnaire NOW
http://tiny.cc/mICF (case sensi...
Thank you

More information
• Dr Stefanus Snyman: ssnyman@sun.ac.za

World Health
Organization

Centre for Health Professi...
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Developing an ICF-based mobile application (mICF) to improve continuity of care and strengthen health systems: a call for international collaboration. Ms Ros Madden, Faculty of Health Sciences

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Developing an ICF-based mobile application (mICF) to improve continuity of care and strengthen health systems: a call for international collaboration. Ms Ros Madden, Faculty of Health Sciences

  1. 1. World Health Organization Developing an ICF mobile application (mICF) to improve continuity of care and strengthen health systems: A CALL FOR INTERNATIONAL COLLABORATION Poster: C539 WHO-FIC meeting Beijing 2013 Stefanus Snyman, Catherine Sykes, Navreet Bhattal, Ros Madden, Charlyn Goliath, Coen van Gool, Olaf Kraus de Camargo ICF
  2. 2. ICF: WHO world standard Functioning and disability multidimensional, interactive World Health Organization Health Condition (disorder/disease) Body functions & structures (Impairment) Activities (Limitation) Environmental Factors Participation (Restriction) Personal Factors 2 ICF 2
  3. 3. The ICF Spring • Community-based, person-centred healthcare strategies are central to realising the vision to reach health equity in the 21st century.1 • These strategies are designed to identify ill-health, the determinants of health, and to facilitate improvements in persons‟ health and their participation in all areas of life.2 • The relevance of the ICF has been demonstrated in community-oriented primary care (COPC) and community-based rehabilitation (CBR), strategies fundamental to health equity.1,2 Frenk J, Chen L, Bhutta Z et al. Health Professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet 2010;376:1923-1958. 2 Madden R, Dune T, Lukersmith S et al. The relevance of the International Classification of Functioning, Disability and Health (ICF) in monitoring and evaluating Community-based Rehabilitation (CBR). Disability and Rehabilitation 2013; Early online: 1-12. World Health Organization 1 ICF
  4. 4. The ICF Spring • ICF as catalyst for health systems reform on grass root level • Integrated into clinical practice: patient-centred bio-psycho-social-spiritual approach • Community care level: 1 million community health workers in Sub-Saharan Africa by 20151 • Increasingly mobile phone applications are being used to collect health information to support continuity of care.2 P, Sachs, J. 1 million community health workers in Sub-Saharan Africa by 2015. Lancet 2013; 382:363-365. 2 Labrique A, Vasudevan K, Kochi E, et al. mHealth innovations as health system strengthening tools: 12 common applications as a visual framework. Global health: Science and Practice 2013;1(2):160171. World Health Organization 1 Singh ICF
  5. 5. The ICF Spring • 50% of people own a mobile phone in the developing world • 70% have access to mobile phones • 1000 new mobile broadband connections are made every minute in the developing world World Health Organization ICF
  6. 6. The ICF Spring • However, the pivotal role of data on functioning and context is often overlooked in mobile applications designed to capture patient information. • Currently, no mobile applications incorporate the ICF. World Health Organization ICF
  7. 7. Goal of mICF • Providing a means for healthcare workers to collect and transfer ICF-related information to support continuity of care World Health Organization • Ensure accurate and efficient capture of functional status and contextual information • Convey information securely between service providers in different service settings consistent with ethical and privacy principles in relation to data sharing, e.g. among clinicians • Facilitate shared decision-making by making personcentred data readily available ICF
  8. 8. Goal of mICF • Patient-centred World Health Organization • Patient / carer empowerment • Facilitate administration and reporting through data aggregation • Gather statistics • Data analysis • Developing algorithms • Not to re-invent the wheel ICF
  9. 9. What is out there already? • University of Sydney: eFRHOM (electronic Functioning and Related Health Outcomes Module) • McMaster University ICanFunction App Development - The App for the ICF! • Stellenbosch University: Android apps that can integrate with OpenMRS (circulating cell phone) • The Netherlands: “Revalidatie EPD” • Italy: Faber; ICF Machine • Switzerland World Health Organization ICF
  10. 10. Practical Implications The mICF should be: • User friendly, including built-in decision support, to assist community care workers in recording data World Health Organization • Low cost, ideally open source, to enable broad accessibility and user configuration • Able to provide a holistic overview of the individual and information flows, including assessment data, progress reports and interprofessional treatment plans • Capable of real-time reporting and provision of aggregated datasets to health service and system managers ICF
  11. 11. Practical Implications The mICF should be: • An integrated single source of functional status information, which is accessible to patients World Health Organization • Able to „plug in‟ and be interoperable with existing information record systems (e.g. OpenMRS) • Suitable for use in various languages ICF
  12. 12. Social Implications The mICF could: • Provide a means to collect and transfer ICFrelated information World Health Organization • Add value to interprofessional collaborative practice • Improve continuity of care • Contribute to more efficient and cost effective health systems • Statistics and algorithms ICF
  13. 13. Approach to research/develop mICF World Health Organization ICF
  14. 14. Goal of 25 interested partners from FDRG World Health Organization Feedback to mICF Data analysis Clinical encounter ICF
  15. 15. Next steps • Needs requirement study • • World Health Organization Questionnaire: potential end users and administrators Identify pilot groups for requirement assessment (currently: AU, ZA, IT, TH, CA, DE, BR, DK, KR) WHO else? • Evaluate current electronic ICF products • Define project • Consult with knowledge users (e.g. patients, health practitioners) • Develop partnership • Clarify potential intellectual property issues • Identify potential project manager(s) (e.g. postdoc) ICF
  16. 16. Would you like to contribute? World Health Organization Complete online questionnaire NOW http://tiny.cc/mICF (case sensitive) ICF
  17. 17. Thank you More information • Dr Stefanus Snyman: ssnyman@sun.ac.za World Health Organization Centre for Health Professions Education, Stellenbosch University Member: WHO Collaborating Centre: South Africa • Ros Madden: ros.madden@sydney.edu.au Centre for Disability Research and Policy University of Sydney Member: WHO Collaborating Centre Australia • Catherine Sykes: csykes@wcpt.org World Council of Physical Therapists ICF

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