Wragge & Co Mobile Healthcare Industry Summit 2012 Bleddyn Rees
Making Permanent mHealth Ecosystems Work Bleddyn Rees• Non Executive Director – European Connected Health Alliance• Partner, Head of Healthcare – Wragge & Co LLP Mobile Healthcare Industry Summit September 2012
1. What is the European Connected Health Alliance? Europe’s largest Connected Not for Profit Health Membership Company Organisation 1 2 Membership includes Promotes the deployment of Departments of Health, Connected Health (devices & Hospitals, Care Homes, GP’s, services) at scale Commissioners, on commercial terms. Universities & Industry 3 4 Provides International Sets up Ecosystems to deploy leadership Connected Health & transfer for the development of best practice & solutions Connected Health – has from region to region. 5 international Advisory panel 5 6
2. What is Healthcare? WHO defines healthThe Northern Ireland as “a state of completeSystem & Model physical, mental andIntegrated Health & social wellbeing and notSocial Care merely the absence of disease or infirmity. The Compton ‘Circle of Care’
2. Scene Setting: Barriers to deployment Paradox • We know we have the tools to address a massive societal and healthcare challenge • But - Limited uptake, limited engagement. Why?
2. Scene Setting: Barriers to deploymentChallenges to eHealth Implementations Requirement to Complexity of Restrictions change working Health related on data Processing practices & information & (free movement organisational services of data v Privacy) change 1 2 3 4 5 6 Requirements for Legal uncertainty Interoperability of evidence & no clear Health Information based medicine legal framework Systems for eHealth
2. Scene Setting: Barriers to deploymentChallenges to eHealth Implementations No pilot-to- Poor User Point not whole deployment Acceptance System solutions plan 7 8 9 10 11 Poor understanding Failure to build of public / private partnerships PPP business models
2. Scene Setting: Barriers to deploymentLimiting Factors• Doubts about evidence – or limited authoritative evaluation?• Limited political advocacy• Silos – connections missed and opportunities lost• Regulatory concerns• Limits of conventional procurement• Ineffective payment mechanisms
3. ECHAlliance Ecosystems – What are they all about? ECHAlliance Partners – working together focused on.....…....“Delivering leadership for the development of Connected & mHealth markets and practice across Europe and beyond”
3. ECHAlliance Ecosystems – What are they all about? Introducing ECHAlliance Ecosystems…an answer and solution to these barriers
3. What is a Connected Health Ecosystem? Dictionary – “a system involving the interactions between a community and its non-living environment.” Commissioners of Healthcare Commissioners of Social Care CONSUMERS PATIENTS PEOPLE Secondary Community Primary Domiciliary Assisted Care Homes US care care care services Living services services Public Providers Industry University & Research Organisations • Health and social care providers • Pharmaceutical • Technology devices, equipment and • ICT software (telecoms) services equipment and services • Consumer healthcare products and • Research services
3. ECH Alliance Ecosystems – What are they all about?PERMANENT ECOSYSTEMS
3. ECHAlliance Ecosystems – What are they all about?Operational Leadership
3. ECH Alliance Ecosystems – What are they all about?Developing existing networksFocusing on doing rather than just talkingConnect to the ECHAlliance international network
3. ECH Alliance Ecosystems – What are they all about?Ecosystems: a driver for integration & economic development withHEALTHCARE AS AN INVESTMENT NOT COST. Engine for investment growth and economic development
4. Business Models for Connected Health• Telecommunications or healthcare regulation products/services or a combination?• Sale of equipment (devices) v supply of services• Need for Health Commissioners to find savings to avoid denial of services• Revenue (services) v Capital (IT) budgets• “Disruptive” Business Models (Clayton Christensen)• Consortiums? Collaborations and Partnerships?
4. Business Models for Connected Health Managed Service – A Shift in Concept and Language Buying Buying a service Technology Becomes Selecting Defining your Technology Becomes service requirements Buying Buying Monitoring Becomes days EquipmentBuilding service Building capability delivery Becomes to use the service capability
4. Business Models for Connected Health The Managed Service Model
4. Business Models for Connected HealthManaged Services Model –Conclusions and Lessons from the Northern Ireland Ecosystem• Provides clear basis to incentivise the provider to deliver services that the commissioner wants• Significant up-front investment on both sides to define service requirements and design how the service will integrate with other services• Focus on defining what service is required and not how to arrange people, process and technology to deliver the service• Demands a high level of working in partnership through service definition and design• Shares the risk of delivery between the commissioner and provider
5. Conclusions• Need for a European Legal Connected Health framework but should be permissive not prescriptive• In the meantime risks from variations in National Laws in EU and Telecommunications v Health• Jurisdiction “shopping” so pan European businesses need to be careful!• Major information/communication exercise with citizens (patients) to explain the benefits of Connected Health and information sharing in health systems.• Technology must be an enabler of “Patient centric” services/treating patients as consumers and involving them in the design of devices and/or services.
6. ECH Alliance: How can you help us?• Become members! (www.echalliance.com )• Tell us about any ideas you have to improve patient services• Tell us about any solutions (devices or services) you would like to deploy in our Ecosystems• Help us make our Ecosystems a success