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e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
e-Innovation procurement
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e-Innovation procurement

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e-Innovation procurement. Picas J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

e-Innovation procurement. Picas J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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  1. e-Innovation procurement Hospital Sant Pau - UPC Barcelona Tech Experience
  2. Josep Picas Hospital Sant Pau. CIO
  3. • Significant and sustainable improvements in the quality and efficiency of health and social care can be obtained trough the procurement of R&D services that can lead to solutions and technologies that do not yet exist and that will outperform the solutions available on market Accelerating the Development of the eHealth Market in Europe eHealth Taskforce report 2007 European Commission Information Society and Media
  4. Agenda • First project. e-dis Dysphagia Tele-Rehabilitation • Projects in development and assessment. • Last challenge: e-blood Living Lab. • Conclusion: R2R methodology for e-Innovation. • Where & How: SP-KC & ACO
  5. e-dis. Disphagia Tele-Rehabilitation
  6. Why exercise with ? It exits evidence that swallow musculature increase strength/tone with non-swallow excercises and increased strength/tone translates into improved function. • Clark H: Therapeutic exercise in dysphagia management: philosophies, practices, and challenges. Perspectives on swallowing and swallowing disorders. Newsletter for the Dysphagia Special Interest Division of the American Speech-Language-Hearing Association 14(2):24–27, 2005 • Logemann J: The role of exercise programs for dysphagia patients. Dysphagia 20(2):139–140, 2005. • Robbins J et al. The effects of lingual exercise on swallowing in older adults. J Am Geriatr Soc. 2005;53(9):1483-9. • Burkhead LM et al. Strength-Training Exercise in Dysphagia Rehabilitation: Principles,Procedures, and Directions for Future Research. Dysphagia 2007; 22: 251–65. 6
  7. How much costs a dysphagic pt? Presential Distance treatment • Videofluoroscopy: 381,25 € • Videofluoroscopy: 381,25 € • Dysphagia clinical evaluation • Dysphagia clinical evaluation and treatment: 146,80€ x pt and treatment: • Transportation if needed x 15 • 19,57€ (2 inhospital days. visits). • 1 therapist / 2 pts: 63,61€ • Total cost: 83,18€ x pt • Transportation if needed x 2 days. • Computer: 304,99€ • Modem + internet connection: 30€/month 7
  8. Projects in development & assessment. Patient Therapist
  9. Projects in development & assessment.
  10. Last challenge: e-blood Living Lab Simulator for theoretical assessments. Blood Donor Blood Bank Patient
  11. Conclusion. R2R methodology for e-Innovation. Health System and authorities Users of Hospital Services Multidisciplinary Primary Research Care Medical / Business / Technology Market
  12. Knowledge Center as a driver of innovation at Sant Pau University Hospital
  13. • Platform of Innovation - Mision Sant Pau - Knowledge Center (SP-KC) Center of Biotechnological Knowledge and Industrialists Demonstrator for Innovation in Public Health • To improve patient care by facilitating collaboration among patients, scientists, engineers/technologists and clinicians • To catalyze the discovery, development and implementation of innovative technologies • Emphasizing minimally invasive approaches, e-health and primary care Funded: 1.3 M Euros: NATIONAL PLAN OF SCIENTIFIC RESEARCH, DEVELOPMENT AND TECHNOLOGICAL INNOVATION (2008-2011)
  14. The need and the opportunity – Sant Pau’s Knowledge Centre (SP-KC) • A „Multi-tasking Simulation Environment‟ • an area that could simulate one or more real- world health-related settings, allowing rigorous • Citizens testing and rapid improvement of eHealth innovations before they are introduced into real environments • equipped with high-capacity graphic Simulation workstations with supercomputing and server capabilities, data gathering equipment • A „Demonstrator Area‟ (cameras, video network processors, etc.), • Space for the high-quality printing devices, complete demonstration of hardware for the simulation of various modular ‘e-Health the products environments, testing and observation rooms, generated in the • Laboratory laboratory itself or and work stations. transferred to industry or other researchers who • Demonstrator wish to convene its products and its customers / audiences in an environment of health validation
  15. ACO: Accountable Care Organizations A.P. H. Primary Care HOSPITAL Center PATIENT CENTERED “MEDICAL HOME” SURGICAL DIAGNOSTIC PROCEDURES PROCEDURES Supporting Clinical Leadership ? EMERGENCY SERVICES + CRITICAL CARE
  16. Accountable care organizations Accountable care organizations: A new idea for managing Medicare The goal of ACOs is to encourage physicians and hospitals to integrate care by holding them jointly responsible for Medicare quality and costs. By Jane Cys, amednews correspondent. Posted Aug. 31, 2009 The ACO also would need a designated administrator and a formal organization that could serve as a point of contact, work with payers, monitor performance and collect any shared savings. The physicians, hospital and other ACO members would need to agree on how to divide any earned bonuses. Dartmouth Institute for Health Policy and Clinical Practice and the Engelberg Center for Health Care Reform at Brookings Institution
  17. Summary • e-Innovation procurement • Traslational Research • Living labs platforms (Tech + Ideas + Business Models + Citizens) • R2R methodology for e-Innovation. • Approach to a sustainable model of funding
  18. Thank you !! Josep M Picas Sant Pau Hospital. CIO jmpicas@santpau.cat Josep M Monguet UPC- I2 Cat. Professor monguet.upc@gmail.com Jaume Kulisevsky Sant Pau Hospital Research Institute. Director jkulisevsky@santpau.cat www.santpau.cat

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