Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Rigachronaki
Join us to explore “Interoperability in action: information + integration = innovation?” and engage in lively debate on how rethinking interoperability standards and continuing education can bridge divides, change cultures, and open markets!
Perspectives from health management, industry, government, health education, and standardization exemplify challenges and opportunities for liberation of data that can drive desired social and technological innovation.
This is a call for action to explore how the partnership of HL7, EFMI and HIMSS can catalyze the equation “information + integration = innovation” to bridge divides, change culture and open markets.
Examples of latest solutions in health care developments in Finland and in Ku...Games for Health Finland
Examples of latest solutions in health care developments in Finland and in Kuopio, presentation during Finnish (City of Kuopio)-Mosambique (City of Maputo) workshop in Kuopio, Finland. Arto Holopainen, Development Director, Kuopio Innovation Ltd.
Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Rigachronaki
Join us to explore “Interoperability in action: information + integration = innovation?” and engage in lively debate on how rethinking interoperability standards and continuing education can bridge divides, change cultures, and open markets!
Perspectives from health management, industry, government, health education, and standardization exemplify challenges and opportunities for liberation of data that can drive desired social and technological innovation.
This is a call for action to explore how the partnership of HL7, EFMI and HIMSS can catalyze the equation “information + integration = innovation” to bridge divides, change culture and open markets.
Examples of latest solutions in health care developments in Finland and in Ku...Games for Health Finland
Examples of latest solutions in health care developments in Finland and in Kuopio, presentation during Finnish (City of Kuopio)-Mosambique (City of Maputo) workshop in Kuopio, Finland. Arto Holopainen, Development Director, Kuopio Innovation Ltd.
20191203 DOE Data Driven Healthcare- Expert EventDayOne
DayOne Experts - Data-driven healthcare – are we ready?
Data is transforming healthcare. Health data from multiple sources such as electronic health records, genomic testing, imaging and digital tools, combined with advanced analytics can be used to deliver more personalised care, improve outcomes, empower patients and make healthcare more sustainable and efficient. But is the industry ready for these new approaches? What is needed on the policy level and in the regulatory field to enable a new era of data driven health solutions? How will their business models look like?
This is what we discussed at this DayOne Expert Event, which was proudly presented in close collaboration with the Embassy of the Netherlands, fostering the exchange between two world leading healthcare innovation ecosystems.
Current regulations regarding eHealth in Europe by Frank Lievens, Executive Secretariat ISfTeH Director, Managing Director Lievens-Lanckman bvba, Belgium
In its January 2014 Issue Brief, the ONC announced its vision that, by 2020: The power of each individual is developed and unleashed to be active in managing their health and partnering in their health care, enabled by information and technology. And it began seeking feedback on new goals and strategies for health IT-enabled, patient centered care. With this vision in mind, this session will explore current and emerging technologies supporting person centered care in the ambulatory care setting.
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on August 11, 2016
In search of a digital health compass: My data, my decision, our powerchronaki
Knowledge is power. Despite extensive investments in digital health technology, navigating the health system online is challenging for most citizens. Also for eHealth, the “Inverse Care Law” proposed by Hart in 1971, seems to apply. Availability of good medical or social care services and tools online, varies inversely with the need of the population. The low adoption of eHealth services, and persistent disparities in health triggers a call for multidisciplinary action.
Barriers and challenges are not to be underestimated. Culture, education, skills, costs, perceptions of power and role, are essential for multidisciplinary action. This comes together in digital health literacy, which ought to become an integral part to navigate any health system. Patients living with an implanted device or coping with persistent, chronic disease such as diabetes, as well as citizens engaged in self-care, caring for an elderly relative, a neighbor, or their child with illness or deteriorating health, need a digital health compass.
The panel will engage the audience to elaborate on a vision for this personal, digital health compass and drive advancement in health informatics and digital health standards. The transformative power of health data fueled by targeted digital health literacy interventions can be leveraged by open, massive, and individualized delivery. This way, digital health literate, confident patients and citizens join health professionals, researchers and policy makers to address age-related health and wellness changes to shape the emerging precision medicine and population health initiatives.
From a panel in the eHealthweek 2016. http://www.ehealthweek.org/ehome/128630/hl7-efmi-sessions/
Keynote given at the Nigerian National eHealth Summit, Dec 2015, on the conference theme of 'The Business of eHealth'. Dr Claudia Pagliari directs the Global eHealth masters programme at the University of Edinburgh, UK. www.health@ed.ac.uk
20191203 DOE Data Driven Healthcare- Expert EventDayOne
DayOne Experts - Data-driven healthcare – are we ready?
Data is transforming healthcare. Health data from multiple sources such as electronic health records, genomic testing, imaging and digital tools, combined with advanced analytics can be used to deliver more personalised care, improve outcomes, empower patients and make healthcare more sustainable and efficient. But is the industry ready for these new approaches? What is needed on the policy level and in the regulatory field to enable a new era of data driven health solutions? How will their business models look like?
This is what we discussed at this DayOne Expert Event, which was proudly presented in close collaboration with the Embassy of the Netherlands, fostering the exchange between two world leading healthcare innovation ecosystems.
Current regulations regarding eHealth in Europe by Frank Lievens, Executive Secretariat ISfTeH Director, Managing Director Lievens-Lanckman bvba, Belgium
In its January 2014 Issue Brief, the ONC announced its vision that, by 2020: The power of each individual is developed and unleashed to be active in managing their health and partnering in their health care, enabled by information and technology. And it began seeking feedback on new goals and strategies for health IT-enabled, patient centered care. With this vision in mind, this session will explore current and emerging technologies supporting person centered care in the ambulatory care setting.
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on August 11, 2016
In search of a digital health compass: My data, my decision, our powerchronaki
Knowledge is power. Despite extensive investments in digital health technology, navigating the health system online is challenging for most citizens. Also for eHealth, the “Inverse Care Law” proposed by Hart in 1971, seems to apply. Availability of good medical or social care services and tools online, varies inversely with the need of the population. The low adoption of eHealth services, and persistent disparities in health triggers a call for multidisciplinary action.
Barriers and challenges are not to be underestimated. Culture, education, skills, costs, perceptions of power and role, are essential for multidisciplinary action. This comes together in digital health literacy, which ought to become an integral part to navigate any health system. Patients living with an implanted device or coping with persistent, chronic disease such as diabetes, as well as citizens engaged in self-care, caring for an elderly relative, a neighbor, or their child with illness or deteriorating health, need a digital health compass.
The panel will engage the audience to elaborate on a vision for this personal, digital health compass and drive advancement in health informatics and digital health standards. The transformative power of health data fueled by targeted digital health literacy interventions can be leveraged by open, massive, and individualized delivery. This way, digital health literate, confident patients and citizens join health professionals, researchers and policy makers to address age-related health and wellness changes to shape the emerging precision medicine and population health initiatives.
From a panel in the eHealthweek 2016. http://www.ehealthweek.org/ehome/128630/hl7-efmi-sessions/
Keynote given at the Nigerian National eHealth Summit, Dec 2015, on the conference theme of 'The Business of eHealth'. Dr Claudia Pagliari directs the Global eHealth masters programme at the University of Edinburgh, UK. www.health@ed.ac.uk
I was asked by the US Commerce department to attend and present at a roundtable that took place in Sofia, Bulgaria on February 27th. This roundtable included people from president's office, National Healthcare Fund, Patient Groups and key vendors. Bulgaria had many efforts to kickstart eHealth. This was an overview of US legislation and lessons learned as well as a look forward into healthcare innovation trendds
The 2023 Digital Health Barometer_compressed.pdfJordiCarreras13
Data interoperability requires the adoption and
implementation of common and (ideally) open
standards. Lack of interoperability limits the
re-use of data between healthcare organisations
within a country and across borders. The rise of
cloud platforms and mobile technology further
complicates the data environment. “Data gets
captured and it is quite complex and hard to
share,” says David Hansen, CEO of the Australian
e-Health Research Centre, CSIRO. “When shared,
it is often not computable. Human intervention
is needed to do analytics and this is really
expensive.”
All countries except Spain achieve the highest
score on this indicator, demonstrating that
digital health and health information industrybased
technical standards for data exchange,
transmission, messaging, security, privacy and
hardware are in use in the majority of applications
and systems to ensure the availability of highquality
data.
Digital health literacy and internet connectivity
are ‘super’ social determinants of health, as
they have the power to affect the wider social
determinants of health.17 Although the use of
digital tools – such as apps, patient portals, and
monitoring devices – provides better support
beyond clinical settings, greater reliance on them
can increase the disparity between people with
digital access and skills and those without, and (by
extension) health disparities.18 “One of the major
concerns globally in digital health has been tech
equity,” says Majmudar. “The digital divide could
worsen. You need access to the internet, tools
and resources. Every country should focus on
connectivity, including the US. Can people afford
the data plans they need to access telemedicine
and remote care? Do we have connectivity in
every area, urban or rural?”
Delivering prevention in an ageing world: Using technology effectivelyILC- UK
What role can technology play in delivering prevention in an ageing world?
This webinar discussed what works in increasing the uptake of technologies that aim to improve access to preventative services.
eHealth Practice in Europe: where do we stand?chronaki
eHealth as the use of Information and communication technologies in the practice of health care comprises Electronic health records, Healthcare information exchange cross-jurisdictions, Personal health records, Telehealth, telemedicine and remote monitoring.
There are several efforts to reflect and measure the practice of eHealth including efforts by the OECD and WHO, but in general there is little reported sharing of health data particularly with patients. Specific barriers frequently mentioned are supporting policies and coherent widely implemented standards.
The presentation discusses relevant efforts and programs supported by the European Commission such as the eHealth DSI, eStandards, ASSESS CT, and openMedicine aiming at large scale eHealth adoption It calls for engagement of European Society, its national societies, and its members.
The Digital Health Society (by Julien Venne) @ICT2018 Vienna 6th Dec 2018Julien VENNE
The Digital Health Society is a movement involving all stakeholders innovating for a better health and wellbeing of citizens. Presentation done by Julien Venne at the ICT2018 organised by the European Commission in Vienna in December 2018. Learn about and join the movement on www.thedigitalhealthsociety.com
ILC expert roundtable: Delivering prevention in an ageing world - Democratisi...ILC- UK
During this roundtable, we shared a draft consultation paper, collating insights from ongoing discussions with stakeholders on what works in making prevention easy and accessible to all, including learnings from the ongoing COVID-19 pandemic.
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Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in CardiologyR3 Stem Cell
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Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
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Kevin Conlon ehealth Strategy, Department of Health
1. An eHealth Strategy for Ireland
Kevin Conlon
ICT Unit Department of Health
‘Connected Health : Collaboration & innovation to
engage patients and elevate care’ CCD 1 April 2014
2. eHealth : What does it mean?
Different things in different places
• eHealth is European also known as
• Health IT is a US phrase
• Connected Health by both and the best
• mHealth ehealth without wires?
… not solely about computerisation
3. Definitions of eHealth exist
• What is eHealth
"The combined use of electronic communication and information
technology in the health sector“
World Health Organisation
“eHealth means Information and Communication Technologies tools
and services for health. Whether eHealth tools are used behind the
scenes by healthcare professionals, or directly by patients, they play a
significant role in improving the health of European citizens”
European Commission
4. Societal changes from technology
Where is health care in the digital economy?
• Travel …think Ryanair.com, Trivago, AirBNB
• Media … think RTE player, IrishTimes.com … Twitter ..
Facebook ..You Tube
• Education … think digital school books.. Distance learning
• Retail : think Amazon.com, ebay, pigsback, Brown Thomas
• Registration for nurses doctors is on-line
• Bills, Bookings … think Tolls, Bins, Parking
fines, Banking, Theatre , Revenue, Property Tax car tax
– All done over the Internet … still costs the same !!
5. Where is health care in all this?
Healthcare is well behind the curve
– Why can’t we readily book appointments for
GP’s, hospitals, clinics…..
– See our test results….
– Keep track of immunisations for our kids….
– Prescriptions…. See on line what we are taking.. what we
took 6 months back … or did we take it?
– When we were last at the GP, Specialist etc
6. What are the barriers to e-enablement?
• HealthCare transactions
– Are complex
– About vulnerable people
– Services delivered by multiple professions, multiple providers
over many locations
– Change processes to bring about change are not simple
– Legal issues
– Technology issues
– Legacy issues such as PPARS
– Privacy and confidentiality issues
7. Process Change
• At its simplest eHealth is about
“Access to the right information, in the right place at the right time”
• “Information is the lifeblood of modern medicine, and health information is dedicated
to be circulatory systems. “
– David Blumenthal New England Journal of Medicine 362 2010
• It is fundamentally about process change and reconfiguration
underpinned by ICT
(Hal Woolfe, Kaiser Permanente)
• If we are to benefit from technology we must be prepared for change.
8. Opportunities that eHealth provides
• Impact of eHealth developments on the
healthcare delivery system
• Potential and opportunities to change and help
re-configure healthcare delivery
• New information and systems environment
• Provides a enormous opportunities and
significant challenges
9. eHealth offers new services
• Personal Health Records
GoogleHealth, HealthVault, Have not got traction yet but are not ‘mainstream’
• Health social networks,
Breast cancer.org, PatientsLikeMe, CureTogether, MedHelp very popular widely used
• Consumer personalised medicine
23andMe (Genomics) DirectLabs (Blood & Bio Marker Tests) Genome Sequencing is now nearly a
consumer product
• Quantified self-monitoring
Keas, (Personalised Care Plans) Zumelife (Chronic Care)
• Healthcare Social Media
Blogs - DiabetesMine, HealthMatters, WedMD
Microblogs - Livestrong, Stupid Cancer
Social Networking - Organised Wisdom, PatientsLikeMe, DailyStrength
Podcasts - John Hopkins Medical Podcasts, Mayo Clinic
Social Sharing - Flickr, You Tube, ICYou
Forums - Google Health Groups
• Clinician Social Networks
Sermo, Medscape Physician Connect, Asklepios, MEDTING
12. Health Information resourcesUse of Services
61% - American adults looked online for health information (2009)
84% - physicians engage online as part of their clinical workflow
71% - physicians are interested or already use physician social networks
Sources of information used by American adults for health or medical issues information or
assistance:
86% - Ask a health professional - such as a doctor
68% - Ask a friend or family member
57% - Use the internet
54% - Use books or printed material
Impact of online Health Information
60% - Affected a decision about how to treat an illness or condition
56% - Changed their overall approach to maintaining their health or the
health of someone they help take care of
53% - Led them to ask a doctor new questions, or to get a second opinion
from another doctor
13. Potential from Advances in Technologies
Location-aware technologies enables increased access
and quantity of information – provides greater safety
Home automation and sensor technologies support
telehealth and mobile health applications
Virtual doctors/health professional visits
Easier user access to information and technologies
through voice, touch screen, eReaders, biometrics, etc.
Focus and investment by large scale companies in
monitoring and telehealth technologies
Broadband and Internet use among seniors increases
Significant developments in portals and tools for
caregivers
Increasing use and development in personal emergency
response systems
16. eHealth is about Transformation
Person
Community
Primary
Secondary
Tertiary
Individual Self-care
Friends & Family
Community Networks
Professionals as Facilitators
Professionals as Partners
Professionals as Authorities
Transformation
Through
Cost-Effective Use
of Information &
Communication
Technologies
Industrial Age Healthcare Information Age Healthcare
Source: Adapted from Malaysian Telemedicine Blueprint
18. Health systems challenges we all know them…..
• Increasing Demand due to:
• Ageing Populations
• Rise of Chronic Diseases
• Already Stretched Services
• Planned Reform of Health Services
• Universal Health Insurance
• Money Follows the Patient
• Formation of Hospital Groups
• Current ICT Issues
• Current Ireland ICT budget 0.85% vs. EU
average 2-3%.
• Lack of understanding of benefits
20. Ireland eHealth Strategy : Methodology
• Extensive Research
• 8 countries, EU and Non-EU
• Benefits/ROI and Lessons
Learned
• eHealth week in Dublin in
May
• Analysis of EU and WHO Policy
• Re-designing Health for
Europe 2020
21. International Experiences
Summary of Findings...
(Based on 8 countries analysed)
1. Dedicated delivery entity with proper
focus, governance and authority
2. Deploy in phases. Avoid ‘big bang’ approach.
3. Use interoperability standards
4. Strong stakeholder and clinical engagement
from the outset.
5. National Health Identifier is crucial.
6. Strong branding and pubic awareness
7. Skills shortages need to be addressed at all
educational levels
22. eHealth Benefits to Ireland
• Population Wellbeing
• Healthier Citizens
• Empowered and Mobile citizens Patient as Consumer
• Focus on prevention Healthy Ireland
• ‘Keep people out of hospital’ Supporting the clinical Programs and hospital groups
• Health Delivery Service Benefits
• Deliver Higher Quality, Lower Cost models of care
• Easier Access, Higher Transparency Supporting UHI , MFTP
• Move to Patient-Centric system Chronic Disease Management / Tele health/care
• Will enable Planned Reform Program : Supporting Money Follows the Patient
• Economic Development
• Export-driven jobs creation : Some good examples of that in Ireland
• eHealth start-ups :
• Ireland Ideally placed for new ‘Services’ : industry leader in Pharma, ICT hardware and
software and Medical Devices
23. Implementation
• Create ‘eHealth Ireland’ (initially within HSE ICT)
• Fully focussed delivery entity
• Made up of stakeholder organisations
• Health, DJEI, Agencies, Academia etc
• Full Fiscal Oversight
• 4 Key Functions…
• Project Delivery (ePrescribing, Telehealthcare etc)
• Ecosystem
• Patient Empowerment
• Economic Impact Realisation
• Key ‘Enabling Functions’
• Legal and regulatory
• Technical interoperability
• Health identifier
• Branding and Public awareness
24. eHealth Innovation Ecosystem
Build a World Class Innovation Ecosystem
• Collaborative Environment
• Academia
• Industry
• Health Services
• Cross Border
• International Alliances (e.g. EU/US)
• Focus on Commercialisation
• Open-up services to R&D
E.g. Horizon 2020 Funding
• Promote Entrepreneurship
• Start-ups support
• VC funds, incubators…
• Export-led Jobs Creation
27. 1. Create ‘eHealth Ireland’ and source requisite leadership.
2. Develop full Business Plan
• Input (funding and resources) from Govt depts, agencies, academia and others
• Set up governance structure including board.
• Strongly branded entity eHealth Ireland
• Resource internally where possible.
3. Begin Work on Priority Programs
• Identifier, ePrescribing, Online Referrals and Scheduling, Telehealthcare and others
4. Begin work on ‘Enabling’ Functions
• Legal, Regulatory, Standards, Branding and others.
5. Coordinate with Govt agencies to drive Economic Benefits program.
6 . Health Identifiers Bill 2013 (now in Oireachtas)
• Work with partners to ensure Identifier is deployed in a timely manner.
Key Actions
28. eHealth update
• eHealth strategy finalised and published
• eHealth Ireland entity to be set up
• CIO approval
• Health Identifiers Bill
• APJ 2014
• MoU with NI
• Ecosystem / forum to be set up ……
29. Its only beginning……
American Healthcare is one of the last great industries to remain
largely undisturbed by information technology revolution of the
past few decades
– Vijay Vaitheeswaran, The Economist, November 22, 2010
Medicine has built on a long history of innovation, from the
stethoscope and roentgenogram, to the MRI. Doctors have
embraced each new technology to advance patients care. But
nothing has changed clinical practice more fundamentally
than one recent innovation: the Internet.
Pamela Hartzband and Jerome Groopman , New England Journal of Medicine.
30. Where will we go?
• Implementing eHealth in Ireland is about….
– Bringing improved population wellbeing, health service
efficiencies and economic opportunity through the use of
technology enabled solutions.
Thank you for your time…….