SlideShare a Scribd company logo
Data driven Breast Cancer
How can we organize innovative Breast Cancer networks
for the citizens of Twente?
Peter Walgemoed & René Loek
Carelliance background and personal drive
• Peter Walgemoed founded Carelliance in
2000 with a Vision to:
• Build an open health data and application
ecosystem, where data is curated by trusted
professionals and organizations
• Curator/rentmeester role of citizen medical
and health data
• Entrepreneur a collaborative health data
service platform
© Carelliance 2019
Carelliance 2000
Shared Personal Case
Decision Making to
Improve Quality
Of Care & Life
Research, Education &
Knowledge communities
Discover & Learn
from many cases
Payers
Insurers
Public & Private
Citizens!
Pay for (Case)
Health & Care Value
Health Data Eco-system stakeholders
© Carelliance 2019
Health Board
Coach
Health & Care Value
Data &
Technology
Data &
Technology
Data &
Technology
Data &
TechnologyHealth Client
Health
Professionals
Data driven health 4.0
© Carelliance 2019
Organizational
Maturity Level
6. AI Supported
5. Optimized
4. Managed
3. Defined
2. Repeatable
1. Initial
4.0 Industry
© Carelliance 2019
Source: Michel Drescher. Intelligent Linking.
https://www.slideshare.net/MichelDrescher/custmer-40-the-customer-led-revolution-and-how-companies-should-respond-to-it
Data driven professional communityship
© Carelliance 2019
Data &
Technology
Experience & Emotional Intelligence
Starting Professionals
Eager to learn
Mentor Professionals
Eager to coach
Thought leaders
“4.0”
4.0#datadrivendoctor
@ggmspeijer
Gabrielle Speijer
MD, Radiation Oncologist | Data Driven Doctor Ambassador | Member ICT&Health.nl
© Carelliance 2019
This is how it should be…
fluKs is a concept of how I, as a data driven doctor, would like to collaborate
with our team for my breast cancer patient
A notification from the GP has appeared on
the timeline and is pinned on the canvas as
reminder
Dr. Pederson has provided the X-ray study and
referred it for further diagnosis with a key finding (Bi-
RADS-5), displayed as a knowledge tag. By placing the
data on the canvas he made it available to the team to
collaborate further in the diagnosis
This is the dynamic team
participating in this step of the care
path
The hospital radiologist selected his prefer-
red viewer and enriched the screening
Mammography with his annotations and
knowledge tags. These tags are available
application independent for re-use and are
displayed on the canvas with his ID.
This is the collection of knowledge tags
presented as a summary for the MD team
to support the care plan decision process
To support clinical decision making, applications like
Evidencio are available. The required Input data for
these applications is available by design. The output
data of these applications is presented as knowledge
tags on the canvas. We envision a trusted application
marketplace that is continuously validated.
The care plan options are discussed
(online) with all required data and
knowledge tags on the canvas. The
chosen care plan is approved by the
MD team members.
Pinktrainer is een product van Orange M-Health BV | Winnaar Nationale Zorginnovatieprijs 2019 | www.pinktrainer.nl
Pinktrainer is een product van Orange M-Health BV | Winnaar Nationale Zorginnovatieprijs 2019 | www.pinktrainer.nl
This collaborative effort is part of the natural care path
flow and seamlessly connects data and care team
members across organizations. Data is curated by design
in the process of collaboration and sharing insights.
The timeline can be rewound
to revisit the course, including
the data and canvasses from
that moment.
Watch the animated fluKs
walkthrough on YouTube
100 million Digitally Connected Healthy EU Citizens by 2027
© Carelliance 2019
Source: Digital Health Society. https://echalliance.com/page/DHSDeclaration
Health data ecosystem
Citizen Data Co-operative Safe (4th
Sector for benefit)
• Data curation by professionals on behalf of citizen
• Application Independent long term data archive
• Data media owned by Citizen Data Co-operative
• Data in physical safe (Off-line)
• Supported by digital preservation community
Secondary use
#Data
Primary use
Decentralized Identifier
TrustCaseID
Trusted
Application
Marketplace
Citizen
myDNA & Health Data
Trusted & Curated
& Connected
Twente Data Driven 4.0 Innovation
© Carelliance 2019
#Data
Twentse Burgerkluis
#datadrivendoctor
Join the communityships to give input
LinkedIN #Datadrivendoctor supporters
LinkedIN #Datadrivenhealthlab
@pwalgemoed
@ggmspeijer

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Data driven borstkankerzorg in Twente vSS

  • 1. Data driven Breast Cancer How can we organize innovative Breast Cancer networks for the citizens of Twente? Peter Walgemoed & René Loek
  • 2. Carelliance background and personal drive • Peter Walgemoed founded Carelliance in 2000 with a Vision to: • Build an open health data and application ecosystem, where data is curated by trusted professionals and organizations • Curator/rentmeester role of citizen medical and health data • Entrepreneur a collaborative health data service platform © Carelliance 2019 Carelliance 2000
  • 3. Shared Personal Case Decision Making to Improve Quality Of Care & Life Research, Education & Knowledge communities Discover & Learn from many cases Payers Insurers Public & Private Citizens! Pay for (Case) Health & Care Value Health Data Eco-system stakeholders © Carelliance 2019 Health Board Coach Health & Care Value Data & Technology Data & Technology Data & Technology Data & TechnologyHealth Client Health Professionals
  • 4. Data driven health 4.0 © Carelliance 2019 Organizational Maturity Level 6. AI Supported 5. Optimized 4. Managed 3. Defined 2. Repeatable 1. Initial
  • 5. 4.0 Industry © Carelliance 2019 Source: Michel Drescher. Intelligent Linking. https://www.slideshare.net/MichelDrescher/custmer-40-the-customer-led-revolution-and-how-companies-should-respond-to-it
  • 6. Data driven professional communityship © Carelliance 2019 Data & Technology Experience & Emotional Intelligence Starting Professionals Eager to learn Mentor Professionals Eager to coach Thought leaders “4.0”
  • 7. 4.0#datadrivendoctor @ggmspeijer Gabrielle Speijer MD, Radiation Oncologist | Data Driven Doctor Ambassador | Member ICT&Health.nl
  • 9. This is how it should be… fluKs is a concept of how I, as a data driven doctor, would like to collaborate with our team for my breast cancer patient
  • 10.
  • 11. A notification from the GP has appeared on the timeline and is pinned on the canvas as reminder Dr. Pederson has provided the X-ray study and referred it for further diagnosis with a key finding (Bi- RADS-5), displayed as a knowledge tag. By placing the data on the canvas he made it available to the team to collaborate further in the diagnosis This is the dynamic team participating in this step of the care path
  • 12. The hospital radiologist selected his prefer- red viewer and enriched the screening Mammography with his annotations and knowledge tags. These tags are available application independent for re-use and are displayed on the canvas with his ID.
  • 13. This is the collection of knowledge tags presented as a summary for the MD team to support the care plan decision process
  • 14. To support clinical decision making, applications like Evidencio are available. The required Input data for these applications is available by design. The output data of these applications is presented as knowledge tags on the canvas. We envision a trusted application marketplace that is continuously validated.
  • 15. The care plan options are discussed (online) with all required data and knowledge tags on the canvas. The chosen care plan is approved by the MD team members.
  • 16. Pinktrainer is een product van Orange M-Health BV | Winnaar Nationale Zorginnovatieprijs 2019 | www.pinktrainer.nl
  • 17. Pinktrainer is een product van Orange M-Health BV | Winnaar Nationale Zorginnovatieprijs 2019 | www.pinktrainer.nl
  • 18. This collaborative effort is part of the natural care path flow and seamlessly connects data and care team members across organizations. Data is curated by design in the process of collaboration and sharing insights. The timeline can be rewound to revisit the course, including the data and canvasses from that moment.
  • 19. Watch the animated fluKs walkthrough on YouTube
  • 20. 100 million Digitally Connected Healthy EU Citizens by 2027 © Carelliance 2019 Source: Digital Health Society. https://echalliance.com/page/DHSDeclaration
  • 21. Health data ecosystem Citizen Data Co-operative Safe (4th Sector for benefit) • Data curation by professionals on behalf of citizen • Application Independent long term data archive • Data media owned by Citizen Data Co-operative • Data in physical safe (Off-line) • Supported by digital preservation community Secondary use #Data Primary use Decentralized Identifier TrustCaseID Trusted Application Marketplace Citizen myDNA & Health Data Trusted & Curated & Connected
  • 22. Twente Data Driven 4.0 Innovation © Carelliance 2019 #Data Twentse Burgerkluis
  • 23. #datadrivendoctor Join the communityships to give input LinkedIN #Datadrivendoctor supporters LinkedIN #Datadrivenhealthlab @pwalgemoed @ggmspeijer