Hear from: Martin Duggan, Director, IBM Curam Research Institute Hans-Horst Konkolewsky, Secretary General, International Social Security Association (ISSA) Tracy Wareing, Executive Director, American Public Human Services Association (APHSA) John Halloran, CEO, European Social Network (ESN) Steven Lieber, President and CEO, Health Information and Management Systems Society (HIMSS) Learn more: http://www.ibm.com/software/products/en/category/health-social-programs

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3. 3
Day Two General Sessions
1. Trends & Directions
• Martin Duggan, Director, IBM Curam Research Institute
• Hans-Horst Konkolewsky, Secretary General, International Social Security Association (ISSA)
• Tracy Wareing, Executive Director, American Public Human Services Association (APHSA)
• John Halloran, CEO, European Social Network (ESN)
• Steven Lieber, President and CEO, Health Information and Management Systems Society (HIMSS)
2. Innovation That Matters: Roadmap for Smarter Care & Social Programs
• Oisin Clark, Director, Director, IBM Smarter Care & Social Programs Development and Product Management
• Amy Santenello, Director, Director, IBM Smarter Care & Social Programs Product Management
• Ronan Rooney, Director, Programs of Care, IBM Research
3. Innovation That Matters: Partner Ecosystem
Mike Hortatsos, Channels IBM Smarter Care & Social Programs
Panel 1: Solution Delivery with System Integrators
• Andrew Wishart, Partner, Deloitte
• Ashish Mukherji, President, eSystems
• Thomas Stockdale, Business Development Manager, Wipro
Panel 2: New Solution Capabilities with Technology Partners
• Mahesh Chavan, President & CEO, Connvertex
• Patty Donaldson, Executive Vice President, Diona
• Daniel Lakier, Director, RedMane
• Dr. Robert J. Dudzinski, Executive Vice President, West
Corporation

4. © 2014 IBM Corporation
Martin Duggan Director, IBM Cúram Research Institute
#ibmhsps14
Trends & Directions

5. 5
Bridging the Gap Between Policy and Service Delivery
Visit us at:
www.ibm.com/curam-research-institute
IBM Cúram Research Institute
Linkedin Group
http://linkd.in/1yv7fme
Research Partners

6. 6
New Thought Leadership
Papers in Production
• “Integrating Health and Social
Care – a global perspective of
experience, best practice and
the way forward”
• “Can Social be Social:
Empowering Citizens toward
Social and Economic
Participation Through Social
Media and Mobility”
Evaluating 2015 program

7. 7
Promoting excellence in
Social Security
Hans-Horst Konkolewsky
Secretary General
International Social
Security Association
(ISSA)

8. Promoting excellence
in social security
www.issa.int
Proactive and preventive social security: Investing in people
Hans-Horst Konkolewsky
ISSA Secretary General
IBM Health and Social Programs Summit, October 20-21, 2014 ǀ Washington, DC

9. www.issa.int
Promoting excellence
in social security
06/11/2014
9
International Social Security Association
The leading international organization for social security institutions, departments and agencies
Headquarters based in Geneva (ILO)
Founded in 1927, ISSA counts today around 340 members in 160 countries
Provides international professional standards in social security administration and services to support their implementation as well as databases, information, research, expert advice and platforms for members to build and promote dynamic social security systems worldwide

10. www.issa.int
Promoting excellence
in social security
06/11/2014
The ISSA Strategic Vision
“To promote dynamic social security as the social dimension in a globalizing world through supporting excellence in social security administration”
Proactive and preventive approaches represent a key dimension of dynamic social security

11. www.issa.int
Promoting excellence
in social security
Supporting sustainability
Supporting employment and activity
Proactive and Preventive Social Security
Promoting health
Sustaining responsibility and capacity for action

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Part 1 «Because everyone matters»
A new, integrated prevention approach addressing both safety, health and well-being at work

13. www.issa.int
Promoting excellence
in social security
06/11/2014
13
Prevention is facing increasing complexity
 A changing world of work
 Impact of globalization
 An ageing workforce
 Trend from safety to health and wellbeing
 Work and non-work related factors

14. www.issa.int
Promoting excellence
in social security
06/11/2014
14
From work accidents to diseases
 Global incident rates for fatal accidents have over 10 years (1998-2008) been reduced by more than one third from 16.4 to 10.7, while incident rates for fatal diseases are stagnating
 85 % of all 2.3 million work-related fatalities annually are caused by occupational diseases Source: ILO 2011

15. www.issa.int
Promoting excellence
in social security
06/11/2014 15
WHO (2010) OECD (2010)
Increase in chronic diseases
and mental health disability inflows
Percentage of new disability grants due to mental ill-health, 1990-2008

16. www.issa.int
Promoting excellence
in social security
Model by Dr. Paul A. Schulte (NIOSH) 2013
A holistic view on prevention needed
Well-being of the workforce
Well-being of the population
Prevention
Work threats to well-being
Non-work threats to well-being
Work- related factors
Non- work- related factors
Promotion

17. www.issa.int
Promoting excellence
in social security
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The individual at the centre of prevention
The health and well-being of the individual must be at the centre of prevention
Not only as a worker, but as a whole person
Not only at the workplace, but in society at large

18. www.issa.int
Promoting excellence
in social security
The ISSA’s 3-dimensional approach to prevention
06/11/2014
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19. www.issa.int
Promoting excellence
in social security
The ISSA’s 3-dimensional approach to prevention
06/11/2014
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20. www.issa.int
Promoting excellence
in social security
The ISSA’s 3-dimensional approach to prevention
06/11/2014
20

21. www.issa.int
Promoting excellence
in social security
The ISSA’s 3-dimensional approach to prevention
06/11/2014
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22. www.issa.int
Promoting excellence
in social security
Socio-economic benefits of prevention
Various studies calculating the potential return on occupational risk prevention come to a similar cost-benefit result of 1:2.2 (EC benOSH, ISSA RoP and OPPBTP, France)
Workplace health promotion leads to reductions of approximately 25% in sick leave, health plan costs and workers’ compensation and disability insurance costs (Meta-evaluation by Larry S. Chapman, USA)
The potential benefits of return-to-work programmes are likewise considerable, both for employees, enterprises and social security systems e.g. a RoI for SocSo, Malaysia, of 1:2.4
06/11/2014
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23. The ISSA Centre for Excellence:
A roadmap to good governance, high performance and service quality in social security administration
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Stage 1: Obtain knowledge

25. www.issa.int
Promoting excellence
in social security
Obtain knowledge: The ISSA Guidelines
Guidelines for 8 core areas:
Good Governance
Service Quality
Information and Communication Technology
Contribution Collection and Compliance
Investment of Social Security Funds
Return to Work and Reintegration
Workplace Health Promotion
Prevention of Occupational Risks
Guidelines in preparation
Actuarial Valuations
Communication by Social Security Institutions
Extension of Coverage to Difficult-to-Cover Groups
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Part 2 – From «Payer» to «Player»
The ISSA’s prevention guidelines and new Centre for Excellence in social security administration

27. Social Security - from “Payer” to “Player”
3 ISSA Prevention Guidelines

29. www.issa.int
Promoting excellence
in social security
29
ISSA Guidelines on risk prevention
Chapters and topics (37 guidelines)
Basic conditions for prevention programmes – framework for prevention (legal, programme and stakeholders) and institutional settings (strategy, resources, infrastructure)
Prevention activities and services – information & communication, economic incentives, occupational diseases, consultation service, R&D, skills and training, collaboration and networking, prevention culture, SME’s, specific risks
06/11/2014

30. www.issa.int
Promoting excellence
in social security
The guideline:
standard or principle
What: Structure
How: Mechanism
Selected good practices

31. Improving health and well-being
at the workplace

32. www.issa.int
Promoting excellence
in social security
32
ISSA Guidelines on health promotion
Chapters and topics (29 guidelines)
Establishment of basic conditions for WHP - legal framework, role of institution, synergies and partnerships
Needs assessment, planning and priority setting
WHP activities and services – motivation and incentives, services and support to workplaces
06/11/2014

34. www.issa.int
Promoting excellence
in social security
34
ISSA Guidelines on Return-To-Work (RTW)
Chapters and topics (32 guidelines):
Basic RTW principles and guidelines – arguments in favour, legal and policy basis, stakeholders, promotion
Specific RTW principles and guidelines – holistic approach, early intervention, individual approach, active participation, collaboration with stakeholders, qualification of experts, monitoring and evaluation
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Stage 2
Self-assessment – define priorities

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Stage 3
Implement improvements

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Stage 4
Achieve recognition

38. www.issa.int
Promoting excellence
in social security
Summary - 5 steps to excellence
1.Select the sets of Guidelines important to your organization
2.Complete the online self-assessment, and receive a prioritized action plan
3.Connect with the ISSA Support Centre for advice in implementation, and access to experts in your field
4.Participate in the ISSA Academy workshops for practical support
5.Evaluate your progress and gain ISSA recognition
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Promoting excellence
in social security
39
Conclusion
Proactive and preventive approaches represent a key dimension of dynamic social security; an investment in people and in the sustainability of social security and health systems
At the workplace the risk of exclusion is growing, as health and well- being at work increasingly are influenced by both occupational and non-occupational factors
More unified approaches are needed with focus on the individual, supplementing classical risk prevention measures with health promotion and return to work programmes
ISSA prevention guidelines and Centre for Excellence strengthen the prevention capacities of workers compensation boards and promote a major change in their role from “Payer” to “Player” in that process
06/11/2014

40. THANK YOU
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41. 41
Transforming the Human
Services System
Tracy Wareing
Executive Director
American Public Human
Services Association (APHSA)

42. What’s Shaping the Path Forward?
Integrated Policy
Modern Platforms
Innovation Labs
Investing in Outcomes
Science
Co-creation

43. Integrated Policy
Setting the Stage to Integrate
•Multiple Federal-level cross agency efforts underway
•OMB as a key influence
•Busting confidentiality myths
•A-87 Cost Allocation Exception
•State and Local Agencies Leveraging Opportunities

44. Modern Platforms
Enabling Transformation
•Modernizing legacy systems
•Designing Apps supporting modern customer interfaces
•Aligning business processes and flow to modern service delivery
•Aligning workforce capacities with modern approaches
•Attracting the Millennial workforce to the public sector

45. Innovation Labs
Creating Learning Opportunities
•Embedding R&D in business model; use of learn by doing approaches
•Consumer voice driving change
•Offices of innovation at federal, state and local levels; growing numbers of innovation grants
•Similar efforts underway in other countries

46. Investing in Outcomes
Identifying & Scaling What Works
•Data-driven reporting tools; transparency in reporting
•Predictive Analytics
•Rapid Cycle Evaluation
•Social Impact Financing

47. Science
Applying What Science Tells Us
•Brain Science; Executive Functioning
•Behavioral Economics
•Framing – how to tell the story of impact

48. Co-creation
Partnering for Collective Impact
•Requires new and sometimes unlikely alliances
•Eyes on the same prize – shared ownership in measuring and articulating impact
•Shift from linear/contractual to dynamic/outcome driven public-private partnerships

49. What is government’s (and the public’s) tolerance level for creativity (a necessary component to innovation)? What are the short and long term implications of the highly polarized political environment? How will changing demographics (e.g., aging population) impact service delivery?
•How will technology advance or disrupt the path ahead? Can government keep pace with the rapid change in technology?
•What “known knowns” will be unknown tomorrow?
The Unknowns

50. 50
15 Years promoting
Social Services in Europe
John Halloran
CEO
European Social Network
(ESN)

51. John Halloran
CEO, European Social Network
esn-eu.org

52. About ESN

53. Setting the context

54. Challenges

55. So what’s new?

56. Making a difference

57. Making a difference
Some examples…
Education - Sweden Elderly - Germany Disability - Netherlands Mental health - Ireland

58. …?
Data
Planning
Personalised
Evidence

59. So
what’s
next?

60. Thank you!
esn-eu.org

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Transforming
Healthcare Through IT
Steven Lieber
President & CEO
Health Information and
Management Systems
Society (HIMSS)

62. Better Health Through IT: Quality, Value and Continuity of Care
H. Stephen Lieber
President & CEO, HIMSS
slieber@himss.org
Model Information
http://himssanalytics.org/emram/continuity.aspx

63. •Mission: Transform health through information technology
•Services: Education, events, analytics & consulting, media, communities
•Reach:
–Operate in 20+ countries
–Annually reach more than 600,000 professionals
Introduce You To HIMSS

64. Quality
–IT is a Strategic Asset
Value
–ROI is a Must
Executive Engagement
–Change executive perception of IT
Key IT Strategic Themes Today

65. •Better care outcomes at lower consumption of resources
•Break down silos across care providers to achieve:
–A dynamic interconnected community wide focus:
•Health Information Exchange
•Coordinated patient care
•Patient engagement
•Advanced analytics
•HIMSS has developed global model to provide comparative framework, gap analysis, and directional guidance
How: Focus on Patient not Episode

66. •Provide new perspective (to America) and guidance
•Support strategies towards a dynamic interconnected community wide focus:
•Healthcare Information Exchange
•Coordinated patient care
•Patient engagement
•Advanced analytics
•Complement to existing EMR Adoption Models
•EMRAM
•A-EMRAM
Model Purpose

67. •Global applicability
•Primary Target Audiences:
–Regional & National Health Authorities / Ministries of Health
–Integrated Delivery Networks (IDN’s)
–Health Management Organizations (HMO’s) / Accountable Care Organizations (ACO’s)
–(Private) care chains
–Large hospitals with tethered care providers
Target Audiences

68. IT System
Capabilities
Organization
Strategy
Standards &
Interoperability
Health
Information
Exchange
Patient Care
Coordination
Patient & Citizen
Empowerment &
Engagement
Advanced
Analytics
Pan-organizational
Capabilities
Policy-level
Initiatives
Model Scope

69. Health Information Exchange
Care Coordination
Citizen Engagement
Advanced Analytics

70. •Basic Health Information Exchange Focus
–Stage 0 – Data Capture, Very Limited Data Exchange
•Essentially no electronic exchange
–Stage 1 – Basic Peer to Peer Data Exchange
•View only portals, push pull on demand
–Stage 2 – Basic System to System Exchange
•Both structured and unstructured data
•Patient access to administrative functions and education content
•Care Coordination
–Stage 3 – Normalized Patient Record
•Normalized data, agreed upon formats, de-duplication
•Composite patient record taking shape, orders, results of participants
–Stage 4 – Actionable Data
•Standardized data, semantic interoperability
•Event based actions fire across the multi-provider care team
Different Stage Expectations

71. •Patient Engagement
–Stage 5 – Applied Information
•Bi-directional real time or near real time data
•Solid communal governance processes
•Risk stratification begins
•Patient & Consumer submitted data
•Advanced Analytics
–Stage 6 – Closed Loop Care Coordination
•Community wide record including paraclinical care team
•Cross vendor, cross provider workflows & predictive alerting
•Non sharing due to competition is out of the question
–Stage 7 – Knowledge Driven Engagement
•All provider types
•Completely coordinated, including health maintenance and wellness
•Patient control of PHR
Different Stage Expectations

72. Summary Considerations
•The Journey to better health
–Few have it figured out as care changes unfold more rapidly than health care responds
–You have to know where you are to know where you need to go (Assess Plan Act)
–Government plays a critical role; issues bigger than a single setting
–IT is a strategic assets just like facilities, medical staff, financial resources; use it that way

73. Thank You.
Steve Lieber
HIMSS President & CEO
slieber@himss.org

74. 74
Panel
• Hans-Horst Konkolewsky, ISSA
• John Halloran, ESSN
• Tracy Wareing, APHSA
• Steven Lieber, HIMSS
• Moderator: Martin Duggan

75. BREAK