Here are a few ideas for how care organizations could benefit financially from digital health innovations:- Shared savings models where the care organization receives a portion of any cost savings realized from more efficient care delivery enabled by the innovation. For example, if an app reduces length of treatment, they share in the savings.- Value-based contracting where the organization is paid based on outcomes achieved rather than services delivered. The innovation could help them meet outcome-based metrics and receive higher payments. - Bundled payments that cover an episode of care rather than individual services. Innovations that reduce overall costs of an episode mean the organization keeps more of the bundled payment amount.- Subscription or licensing models where the organization pays an annual or
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DRIVE 2016 | 26 October: Create Health New Development Partnerships | New Research Partnerships | New Business Partnerships
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Here are a few ideas for how care organizations could benefit financially from digital health innovations:- Shared savings models where the care organization receives a portion of any cost savings realized from more efficient care delivery enabled by the innovation. For example, if an app reduces length of treatment, they share in the savings.- Value-based contracting where the organization is paid based on outcomes achieved rather than services delivered. The innovation could help them meet outcome-based metrics and receive higher payments. - Bundled payments that cover an episode of care rather than individual services. Innovations that reduce overall costs of an episode mean the organization keeps more of the bundled payment amount.- Subscription or licensing models where the organization pays an annual or
- 1. CO-CREATION UNTIL THE PAGER TRIGGERS Ingeborg Griffioen | Panton
- 5. Empower people to conquer healthcare challenges
- 11. Innova6ng for healthcare 10 lessons learned
- 22. How
- 28. Designing for Healthcare Empower people to conquer health challenges Mul@disciplinary team Accept only the best and dedicated experts See the big problem, realize in detail © 2016 – Panton | Ontwerpers voor de zorg
- 29. UTRECHT3D MEDICAL, COOPERATION IN 3D-PRINTING FOR MEDICAL PURPOSES Claartje Aarts | Protospace
- 37. Resources Time Basic research Development Market penetration Time Development Market penetration Resources Traditional Product Development Product Development with Rapid Prototyping
- 41. Triple osteomie Heupdysplasie bij jong volwassenen Dept. Orthopedie Image Science Institute
- 45. urgency • 260.000 persons with dementia • In 2040: more than 500.000 persons with dementia • An enormous growth in the number of informal care givers is needed (they are not there…) • Less nursing homes-> persons with severe dementia have to live at home
- 46. Supply There are many products and services Ben Kröse 4
- 47. For those involved it is difficult to find a ‘fitting’ solution
- 48. Activities (1) What are the NEEDS? (2) Inventory of products and services (3)FIT = process of finding good solutions (4) Evaluation (6) Personalized solutions: - Studies in living labs - Discuss with care organizations - Study the budget (5) D I S S E M I N A T I E
- 49. Partnership creative industry • Inventory of needs and inventory of products and services Ben Kröse 7
- 50. Partnership creatieve industrie • Co-creation of a “keuzehulp” • Testphase – test and change designs • Both digital and non-digital solutions • Use hackatons to mobilize users and designers Ben Kröse 8
- 51. How to evaluate te solutions? • Personalized solutions are not ‘pills’ • Not possible to do RCT – Technology develops faster than trial lenght – Too complex intervention • Can we use evaluation methods from creative industries? Ben Kröse 9
- 52. Thank you!
- 53. ROODKAPJE Evert Hoogendoorn | IJsfontein
- 57. An empty fridge… and you are hungry. What do you do….? Ask little red riding hood for help Invite the hunter in your house Order groceries online
- 61. Healthy Aging & Games
- 62. Healthy Aging Challenges 1. Target audience is hard to reach for testing 2. Private subject 3. Personalized outcome
- 63. Healthy Aging Solutions 1. Partner with patient (organizations) 2. Playful learning 3. Offer food for discussion, no right or wrong
- 64. Validation
- 65. Validation 1. Literature 2.Testing primary assumptions 3.Validationstudy design
- 68. Prototype ValidationConcept Playtest Development
- 72. DISCUSSION RCT is not very suitable for validation: Ben: Can we use evaluation methods from creative industries? Evert: How can we develop (more and fast) new and better ways for validation? Other question of Evert: How can we take care of a better distinction between Health and Wellness games
- 73. NEW CALL CREATE HEALTH Inge Valstar | ZonMw
- 74. Create Health Program activities 2016/2017 Inge Valstar Program officer ZonMw Date 26.10.2016
- 75. Create Health - introduction • Cross-over top sectors LSH en CI * Added value: interaction creative industry and care! • Goal: Contribute to the societal challenges around healthy and active aging • 3 themes 1. Independent living with dementia 2. Prevention of overweight 3. Prevention of loneliness in frail elderly
- 76. Program activities ZonMw/NWO • Call: research projects on eHealth in relation to the 3 Create Health themes • Overarching research project on central theme • Innovation vouchers • Medische inspirator price • Matchmaking & Network/project meetings
- 77. Program at a glance Network/projectmeetings Independent living with dementia Prevention of overweight Prevention of loneliness Overarching research project Medische inspiratorprijs knowledge building blocks utilisation Knowlegde vouchers Call ehealth/3 themes
- 78. Program at a glance Independent living with dementia Prevention of overweight Prevention of loneliness Overarching research project Medische inspiratorprijs knowledge building blocks utilisation Knowlegde vouchers Call ehealth/3 themes Network/projectmeetings
- 79. ZonMw & NWO call for proposals Knowledge base eHealth on healthy and active aging Specifically on: 1. Independent living with dementia 2. Prevention of overweight 3. Prevention of loneliness in frail elderly What knowledge is needed for development of meaningful, userfriendly eHealth applications or assist the use of existing applications? e.g. knowledge on behaviour, communication, literacy,…. This call is not about the actual development of an eHealth application itself
- 80. ZonMw & NWO call • Available budget: M€ 2,6 • Budget per project: max. 250k€ (excl. matching) • Project duration: max. 3 years • Fundamental research • PPP consortium, minimal: o Research organisation (creative and care) o Representation of the target group o Private party • Matching of budget: 20% of total project costs (in cash or in kind) by partners
- 81. Timeline call research proposals November 2016 Call open November 21, 2016 Matchmaking Half january 2017 Deadline project idea May 2017 Deadline full proposal September 2017 Final granting decision Max. 6 months after granting Start projects Q1 2018 1st Network meeting
- 82. Other activities • Overarching project: central theme • Knowledge vouchers: utilisation of knowledge obtained in research projects • Medische inspirator price • Netwerk meetings: creating more impact
- 84. HEALTH GAMES IN THE PERSPECTIVE OF CARE ORGANIZATIONS Joris Arts | doctorpreneur & hospitalpharmacist, Healthcare Center Kersenboogerd & Antonius Hospital Sneek Paul van Geldrop | Cooperation Mental Wealth & GGZe Eindhoven
- 93. 1 + 1 = 3
- 95. Startup cost € 700,- Screen € 1500,- Year license € 6.000,- € 8.200,-
- 97. 2 patients/ day/ physiotherapist 2 in the time of 1/ day/ physotherapist € 30,- extra per physiotherapist/ day 8,5 FTE 8,5 x 180 days x € 30,- € 45.900
- 98. Interlude
- 99. The Journey
- 100. Selfmanagement
- 101. Benefits • Daily usage greatly increases personal insight • More ‘effective’ time in between face-to-face contacts • Proactive insight in fluctuations of stresslevels
- 102. Propositions • Reduction of 10% in relapses after treatment compared to treatment without app • Increase of efficiency of treatment, resulting in a decrease of 10% in length of treatment • Increase of face-to-face contacts with healthcare professional, allowing for a decrease of 10% in overall treatment time • Prevention of escalation and crisiscare of 5% compared to treatment without app
- 105. Prevention of crisis
- 106. Prevention of relapse Average time spent on PTSD treatment: 1.378 minutes (median: 1.006 minutes) Cost of average PTSD treatment: € 2.557,65 (current pricing) Amount of PTSD-treatments 2008-2013: 57.634 Average amount of PTSD-treatments per year: 11.527 Assumption: 5% due to relapse, amounting to: 576 treatments per year Reduction of 5% due to usage The Journey: - 29 treatments per year 29 treatments at average pricing: - € 74.171,85 source of data: Relationship between duration of treatment and success in mental healthcare, Celsus Academie voor Betaalbare Zorg, E. Oberjé e.a., 2016
- 108. DISCUSSION Profits of innovation doesn’t reach the care organizations who have invested in it. How do we come to collaborations to design new systems for financing care and innovation where care organizations also have advantages of. How can we realize a healthy financial situation for care organizations (for instance more income with the same FTE…)