eHealth Solutions Evaluation For Business models by Emilie Masselot
eHealth Solutions EvaluationFor Business modelsFORUM CIS - April 19th, 2013, Barcelona
Increase of healthcare and social services demand Ageing population :o In 2060, 23,6M pepole +60 years old (+80% compared to 2007)o A new concept of frailty, between autonomy and dependance Increase of people suffering from chronic diseaseso In France, 8,3M people getting full reimbursement for long lasting complaint inDecember 2008Lessening of healthcare and social services supply Decreasing of medical demography (rural areas and suburbs) Loss of the social and intergenerational links Decreasing of health systems funds : need for long-lastingbusiness modelsChallenges of the health system
Specificity of eHealth market At the crossing of different public policies :healthcare/social/innovation-technologies Complex system : multiples actors/many funders ->responsabilities and decisions authorities diluted Difficulties for the Proof of Concept (POC)o Distributed expertiseso Heterogeneity of standards and normso Transferability of solutions (heterogeneous contexts)A necessary collective approach Users : Patients & Health Professionals Suppliers : solutions and products providers Funders : public and private actorsThe eHealth market
Need of a new way to deliver care and social servicesIncrease efficiency of health systemsBut keep main aims : Increase quality of healthcare services Develop a best access to healthcare Develop Home care Best coordination of Healthcare professionnal Formation (e-learning)Challenges and stakesThe main challenge for eHealth developmentisn’t technologic but organizational : Define lasting Business Model Convince of medical and economic impact
Project carried by the Centre e-santé – certified bythe French Ministry of Industry in 2011Need noticed during the Centre e-santé activities :• Lack of knowledge about the health sector :vocabulary, practices…• Lack of medical and organizational projects previous theformalization of technical projects• Lack of expertise « bi-sectorial » : health and ICT• Need for accompaniment on the new eHealth market• Need for information about the market and evaluationmethods• Need for normalization of solutions through a multicriteria andcertified evaluationGenesis of Platinnes
platinnEs is a single window offering a portfolio of recognizedexperts and test sites in high-tech sectors to accelerate e-healthtechnologies development and its market access:• eHealth Contract Research Organization (CRO) :o Management of eHealth clinical trialo Multidimentional Assessment• e-health market decoding for companies, economic modelsanalysis and access to health and home care servicesfunders• Support for public and private actors in the definition ofstrategy in e-health• Support for the management of collaborative projectsPlatinnes : unique e-health innovativeplatform in Europe
Example of telemonitoring Who and where are the patients ? Which target ? Who and where are the caregivers or medical/social services? We need eHealth solutions : Who and where are techologies providers? What is the value chaine ? The value sharing ? Who will pay for that ? Public or private funders ? Both ? Which business models ? How to assess eHealth Solutions ? We need experts on many fields and coordinate them We need to recruit patients We need to check normative and legal aspects, administrativeprocesseseHealth Evaluation : why and how ?
Aim of evaluation : support to the decisionWhy ? Prove the adequacy to the needs of professionals (health & social)and of patients Prove the economic relevance Prove the organizational relevance and improve the efficiency of thesystemsHow ? Mutidimentional evaluation Medical and social impact (health, quality of life, wellness…) Organizational models Technologies : reliability, robustness, interoperability… Legal, regulatory, normative and ethical aspects Acceptability and ergonomy of eHealth solutions for professionals andpatients Economic assessmenteHealth Evaluation : why and how ?
Platinnes Organizationo A multidisciplinary internal team :economist, engineer, healthcareprofessional, sociologist, clinical research assistant, jurist…o A pluridisciplinary Experts Network(medicine, technology, law, economy, sociology, ethics, psychology / ergonomy)o A test sites Network (inside laboratories or at home) towelcome experimentationseHealth Evaluation : why and how ?
Perspectives for EuropeDevelop common standards Example : interoperability Healthcare Information Systems (projectEpSOS)Harmonization of eHealth solutions assessmentmethodologiesDevelop certifications of eHealth solutions Good practices Common performance indicators Barriers : different health and social systems between MemberStates
Thank you for your attentionMore information :Emilie MASSELOT, Project Manageremilie.email@example.comTel : +33 5 34 46 63 36
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