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CON IL PATROCINIO DI
1. La quarta rivoluzione industriale
DIGITALIZZAZIONE DEI
PROCESSI PER CONNETTERE
SISTEMI INTELLIGENTI
Dati clinici ~10%
Professionisti della salute
Dati genetici ~30%
Laboratorio
Dati esogeni ~60%
Prodotti da clienti
“Health Policy Brief: The Relative Contribution
of Multiple Determinants to Health
Outcomes,” Health Affairs, August 21, 2014.
2. Data driven decision making
Ecological Momentary Interventions
Big Data management by Analytics
Ecological Momentary Assessment
Big Data and the paradigm shift
No longer we will pool data from individuals to predict
what happens at the population level.
Instead, population data will be so comprehensive that it
will accurately predict what happens to an individual.
Average patient
«one-size-fits-all»
Bio-psycho-socio-environmental
approach
3. Impatto sulla salute pubblica
THE TRIPLE AIM FRAMEWORK FOR
POPULATION HEALTH MANAGEMENT
(source: Institute for Healthcare
Improvement (IHI)
PATIENTS RELATIONSHIP MANAGEMENT
Self
Smart
Social
Second
Opinion
Fattore abilitante della riorganizzazione dei sistemi sanitari e sociosanitari
4. Disturbo da uso di sostanze, gambling e industry 4.0
Rischio Epatiti
Rischio HIV
Rischio Overdose
Rischio Criminalità
Rischio Neuropsichico
Rischio incidentalità
Rischio
ADDICTION
Usodisostanze
Percorso
evolutivo
Accesso ai
servizi
sanitari
TERAPIE
Riduzione dei
rischi
Uso occasionale Uso periodico
Uso
continu
o
Cessazione
5-8 anni “Wild period – Delay time”
Tempo
variabile
ADDICTION
Identificazione precoce
CARATTERISTICHE
• Malattia cronica recidivante prevenibile e guaribile
• Esordio molto precoce (adolescenti, giovani adulti)
• Conseguenze psico socio sanitarie
OPPORTUNITÀ
• Soggetti già «digitali» e «connessi»
• Suscettibili a interventi preventivi precoci
• Plasticità cerebrale come risorsa per il recupero
Artificial intelligence
has the potential to
redesign healthcare
completely
Virtual reality
is changing the lives of
patients and physicians
Augmented reality
to become a driving
force in the future of
medicine (3-dimensional
reconstructions of …)
Healthcare trackers,
wearables and sensors
to manage your weight,
your stress level, your
cognitive capabilities
better
Medical tricorder
in Star Trek, Dr McCoy
Genome sequencing
a cheaper genetic test
($10-150)
Revolutionizing drug
development
in silico trials.
Nanotechnology
precise drug delivery
systems, cancer
treatment tools or tiny
surgeons.
Robotics
surgical robots until
pharmabotics,
disinfectant robots or
exoskeletons
3D-printing
tissues with blood
vessels until bones and
synthetic skin.
Artificial intelligence
has the potential to
redesign healthcare
completely
Virtual reality
is changing the lives of
patients and physicians
Augmented reality
to become a driving
force in the future of
medicine (3-dimensional
reconstructions of …)
Healthcare trackers,
wearables and sensors
to manage your weight,
your stress level, your
cognitive capabilities
better
Medical tricorder
in Star Trek, Dr McCoy
Genome sequencing
a cheaper genetic test
($10-150)
Revolutionizing drug
development
in silico trials.
Nanotechnology
precise drug delivery
systems, cancer
treatment tools or tiny
surgeons.
Robotics
surgical robots until
pharmabotics,
disinfectant robots or
exoskeletons
3D-printing
tissues with blood
vessels until bones and
synthetic skin.
5. Istruzione, Addestramento, Aggiornamento
No
1. “Diverse time and place”: Classrooms will be flipped,
which means the theoretical part is learned outside the
classroom, whereas the practical part shall be taught face to
face, interactively.
2. Personalized learning: Students will learn with study tools
that adapt to the capabilities of a student. This means above
average students shall be challenged with harder tasks and
questions when a certain level is achieved. Students who
experience difficulties with a subject will get the opportunity to
practice more until they reach the required level.
3. Free choice: Similar to the personalized learning
experience, students will be able to modify their learning
process with tools they feel are necessary for them. Blended
learning, flipped classrooms and BYOD (Bring Your Own Device)
form important terminology within this change.
4. Project based: Students of today will adapt to project
based learning* and working. This means they have to learn
how to apply their skills in shorter terms to a variety of
situations. This is when organizational, collaborative, and time
management skills can be taught as basics that every student
can use in their further academic careers.
5. Exams will change completely: As courseware platforms
will assess students’ capabilities at each step, measuring their
competencies through Q&A might become irrelevant, or might
not suffice. As the factual knowledge of a student can be
measured during their learning process, the application of their
knowledge is best tested when they work on projects in the
field.
6. Mentoring will become more important: In 20 years,
students will incorporate so much independence in to their
learning process, that mentoring will become fundamental to
student success. Teachers will form a central point in the jungle
of information that our students will be paving their way
through.”
Riqualificazione dei professionisti
6. Riprogrammare i processi e i sistemi
Che si può fare?
Strokes of
genius
“Oggi è necessario produrre ciò che si vende,
non vendere ciò che si produce”
Miglioramento percorso clinico
Analisi della domanda e riorganizzazione dell’offerta
Coinvolgimento pazienti (empowerment)
Valutazione efficienza ed efficacia
Riduzione costi
Ottimizzare le risorse
Impiego soluzioni tecnologiche
Riqualificazione professionisti
Revisione procedure
Leadership
VISIONE GLOBALE E PARTECIPATA
DIGITAL CONVERGENCE
MERGING ANALOGIC
CHANGE MANAGEMENT FOR
THE IMPLEMENTATION OF A
DIGITAL HEALTHCARE SYSTEM
APPLIED DIGITAL
CLINICAL
SOLUTIONS
TREATMENTS AS
USUAL
DATA DRIVEN DECISION MAKING
CONNECTED
HEALTH
INFO
SYSTEM(S)
DIGITALIZZAZIONE DEI
PROCESSI PER CONNETTERE
SISTEMI INTELLIGENTI
NUOVI MODELLI - NUOVE PROFESSIONI
skill-mismatch & skill-gap
Il deficit di competenze
User Experience Director
Chief Technology Officer
Director of Analytics
Big Data ArchitectDigital Pr
e-reputation Managere-leader
Chief Data Officer
Data Scientist
Chief Innovation Officer
Data Analyst
Subire o governare il cambiamento?
DIGITAL CONVERGENCE
MERGING ANALOGIC
Governare il cambiamento!!!
La Digital Revolution non
sostituisce i clinici!
Semplicemente, i clinici
che la adottano
sostituiranno quelli che
non lo fanno, anche a
livello manageriale!
L’impatto sociale della quarta rivoluzione industriale sugli stili

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L’impatto sociale della quarta rivoluzione industriale sugli stili

  • 2.
  • 3. 1. La quarta rivoluzione industriale
  • 4. DIGITALIZZAZIONE DEI PROCESSI PER CONNETTERE SISTEMI INTELLIGENTI
  • 5.
  • 6.
  • 7. Dati clinici ~10% Professionisti della salute Dati genetici ~30% Laboratorio Dati esogeni ~60% Prodotti da clienti “Health Policy Brief: The Relative Contribution of Multiple Determinants to Health Outcomes,” Health Affairs, August 21, 2014.
  • 8.
  • 9.
  • 10.
  • 11. 2. Data driven decision making
  • 12.
  • 13.
  • 14. Ecological Momentary Interventions Big Data management by Analytics Ecological Momentary Assessment
  • 15. Big Data and the paradigm shift No longer we will pool data from individuals to predict what happens at the population level. Instead, population data will be so comprehensive that it will accurately predict what happens to an individual.
  • 16.
  • 17.
  • 19. 3. Impatto sulla salute pubblica
  • 20. THE TRIPLE AIM FRAMEWORK FOR POPULATION HEALTH MANAGEMENT (source: Institute for Healthcare Improvement (IHI)
  • 21.
  • 24. Fattore abilitante della riorganizzazione dei sistemi sanitari e sociosanitari
  • 25. 4. Disturbo da uso di sostanze, gambling e industry 4.0
  • 26.
  • 27. Rischio Epatiti Rischio HIV Rischio Overdose Rischio Criminalità Rischio Neuropsichico Rischio incidentalità Rischio ADDICTION Usodisostanze Percorso evolutivo Accesso ai servizi sanitari TERAPIE Riduzione dei rischi Uso occasionale Uso periodico Uso continu o Cessazione 5-8 anni “Wild period – Delay time” Tempo variabile ADDICTION Identificazione precoce
  • 28. CARATTERISTICHE • Malattia cronica recidivante prevenibile e guaribile • Esordio molto precoce (adolescenti, giovani adulti) • Conseguenze psico socio sanitarie OPPORTUNITÀ • Soggetti già «digitali» e «connessi» • Suscettibili a interventi preventivi precoci • Plasticità cerebrale come risorsa per il recupero
  • 29. Artificial intelligence has the potential to redesign healthcare completely Virtual reality is changing the lives of patients and physicians Augmented reality to become a driving force in the future of medicine (3-dimensional reconstructions of …) Healthcare trackers, wearables and sensors to manage your weight, your stress level, your cognitive capabilities better Medical tricorder in Star Trek, Dr McCoy Genome sequencing a cheaper genetic test ($10-150) Revolutionizing drug development in silico trials. Nanotechnology precise drug delivery systems, cancer treatment tools or tiny surgeons. Robotics surgical robots until pharmabotics, disinfectant robots or exoskeletons 3D-printing tissues with blood vessels until bones and synthetic skin.
  • 30. Artificial intelligence has the potential to redesign healthcare completely Virtual reality is changing the lives of patients and physicians Augmented reality to become a driving force in the future of medicine (3-dimensional reconstructions of …) Healthcare trackers, wearables and sensors to manage your weight, your stress level, your cognitive capabilities better Medical tricorder in Star Trek, Dr McCoy Genome sequencing a cheaper genetic test ($10-150) Revolutionizing drug development in silico trials. Nanotechnology precise drug delivery systems, cancer treatment tools or tiny surgeons. Robotics surgical robots until pharmabotics, disinfectant robots or exoskeletons 3D-printing tissues with blood vessels until bones and synthetic skin.
  • 32. No
  • 33.
  • 34. 1. “Diverse time and place”: Classrooms will be flipped, which means the theoretical part is learned outside the classroom, whereas the practical part shall be taught face to face, interactively. 2. Personalized learning: Students will learn with study tools that adapt to the capabilities of a student. This means above average students shall be challenged with harder tasks and questions when a certain level is achieved. Students who experience difficulties with a subject will get the opportunity to practice more until they reach the required level. 3. Free choice: Similar to the personalized learning experience, students will be able to modify their learning process with tools they feel are necessary for them. Blended learning, flipped classrooms and BYOD (Bring Your Own Device) form important terminology within this change.
  • 35. 4. Project based: Students of today will adapt to project based learning* and working. This means they have to learn how to apply their skills in shorter terms to a variety of situations. This is when organizational, collaborative, and time management skills can be taught as basics that every student can use in their further academic careers. 5. Exams will change completely: As courseware platforms will assess students’ capabilities at each step, measuring their competencies through Q&A might become irrelevant, or might not suffice. As the factual knowledge of a student can be measured during their learning process, the application of their knowledge is best tested when they work on projects in the field. 6. Mentoring will become more important: In 20 years, students will incorporate so much independence in to their learning process, that mentoring will become fundamental to student success. Teachers will form a central point in the jungle of information that our students will be paving their way through.”
  • 36.
  • 38. 6. Riprogrammare i processi e i sistemi
  • 39. Che si può fare?
  • 41. “Oggi è necessario produrre ciò che si vende, non vendere ciò che si produce”
  • 42.
  • 43. Miglioramento percorso clinico Analisi della domanda e riorganizzazione dell’offerta Coinvolgimento pazienti (empowerment) Valutazione efficienza ed efficacia Riduzione costi Ottimizzare le risorse Impiego soluzioni tecnologiche Riqualificazione professionisti Revisione procedure Leadership
  • 44. VISIONE GLOBALE E PARTECIPATA DIGITAL CONVERGENCE MERGING ANALOGIC
  • 45.
  • 46. CHANGE MANAGEMENT FOR THE IMPLEMENTATION OF A DIGITAL HEALTHCARE SYSTEM APPLIED DIGITAL CLINICAL SOLUTIONS TREATMENTS AS USUAL DATA DRIVEN DECISION MAKING CONNECTED HEALTH INFO SYSTEM(S) DIGITALIZZAZIONE DEI PROCESSI PER CONNETTERE SISTEMI INTELLIGENTI
  • 47. NUOVI MODELLI - NUOVE PROFESSIONI skill-mismatch & skill-gap Il deficit di competenze User Experience Director Chief Technology Officer Director of Analytics Big Data ArchitectDigital Pr e-reputation Managere-leader Chief Data Officer Data Scientist Chief Innovation Officer Data Analyst
  • 48. Subire o governare il cambiamento?
  • 50. La Digital Revolution non sostituisce i clinici! Semplicemente, i clinici che la adottano sostituiranno quelli che non lo fanno, anche a livello manageriale!