This document provides an overview of a workshop for the mICF Collaborative taking place in Helsinki, Finland from 2-4 June 2015. The workshop aims to bring together partners working on developing a mobile application to collect patient data based on the International Classification of Functioning framework. The summary discusses the motivation and goals of the mICF project, which include facilitating integrated care through collecting patient-reported data using mobile technology. It outlines the work packages and objectives for developing content specifications, a minimum viable product, testing the application, and evaluating impact. The workshop aims to advance work on content development, technical implementation, research planning and dissemination activities.

1. WELCOME
mICF Collaborative
WORKSHOP 2
2-4 June 2015
Helsinki, Finland
@icfmobile

2. Successful consensus-based
partnerships develop solid
trust relationships

3. NAME,
City, Country,
Profession
Employer
1-2 thing that
nobody here will
know / guess
about you?
PHOTO
1. What MOTIVATED you
to be here? Why are
you here?
2. What are your
EXPECTATIONS? What
would you like to get
out of this workshop?
3. What VALUABLE
CONTRIBUTIONS
would you hope to
make towards the
mICF collaborative?

4. Getting on the
same page
@icfmobile

6. ICF Spring: Part of the
health revolution

8. Back then…
• Introduction of
basic sciences
in medical curricula
• Doubling of
human lifespan1910

9. 100 years later…

10. HEALTH
EQUITY
PATIENT-
CENTREDNESS
INTEGRATED
COMMUNITY-BASED
CARE
INTERPROFESSIONAL
EDUCATION &
COLLABORATIVE PRACTIVE
(catalyst for change)
INSTRUCTIONAL
TRANSFORMATION
(health professions
education)
INSTITUTIONAL
REFORM
(interdependence in
providing healthcare)

11. RATIONALE FOR mICF
REFORMING
HEALTH
SYSTEMS
HEALTH EQUITY

12. Bio-psycho-social-spiritual approach incorporating complex interrelatedness
of
• changes in body functions and body structures,
• functioning and fulfilling life roles,
• in the context of the barriers and facilitators of
• environmental factors influencing health
• (including social determinants of health)
which required competencies related to a
a person-centred approach
HOLISTIC CARE, SHARED DECISION-MAKING AND PATIENT-REPORTED OUTCOMES
resulting in
through
creating the opportunity for
PATIENT-DRIVEN DATA

13. RATIONALE FOR mICF
HEALTH EQUITY
REFORMING
HEALTH
SYSTEMS

14. implying
to provide
ultimately resulting in
which is dependent on
obtained by utilising paradigm-shifting
REFORMING HEALTH SYSTEMS
BIG DATA
PREDICTIVE HEALTH CARE
• Universal health coverage,
• reducing institutionalised care and
• focusing on preventative healthcare
a focus on community-based practice through
• health-education harmonisation (interdependence),
• breaking down silo's and professional tribalism,
• embracing interprofessional collaborative practice,
• and decreasing power relations
PATIENT-DRIVEN DATA

15. RATIONALE FOR mICF
REFORMING HEALTH
SYSTEMS
ultimately resulting in
predictive health careperson-centred approach
holistic care,
shared decision-making,
patient-reported outcomes
resulting in
through
big data
which is dependent
made possible by
resulting in
contributing to reaching
Individualised
healthcare in a
strengthened
health system
MOBILE
TECHNOLOGY
UTILISING ICF
PATIENT-DRIVEN
DATA
creating the
opportunity for
obtained by utilising
paradigm-shifting
HEALTH EQUITY

16. FDRG: Beijing 2013, London 2014 & Barcelona 2014
Aims of mICF
1. assist providers and users of health
services in the front line
to identify a person's problems in terms
of the ICF (functional status and
contextual information), and
2. To develop a user-friendly mobile
application to amalgamate ICF-related
data centrally.

17. Aim 1: Objective 1
1. Develop the specifications for the mICF
to enable programmers to develop the
application.
Activities
 Requirement survey 
 Partnership development 
 Literature review 
 Barcelona & Cape Town 

18. Aim 1: Objective 2
2. Provide a means for providers and users of
health services to collect and transfer ICF-
related information to facilitate the
continuity of care
Activities
 Agile and iterative developing of mICF
application
 Develop and test Minimum Viable Product
(MVP)
to develop a first product/service with
the minimum effort and minimum cost
that is still really useful

19. Aims 2: Objectives and Activities
To investigate the development of a user-
friendly mobile application to amalgamate
ICF-related data centrally
1. Convey information securely between
service
2. Ensure a sustainable and cost-effective
platform
3. Facilitate administration and reporting
4. Providing person-centred feedback to
inform shared decision-making

20. Mobile ICF enhanced with
Big Data Analytics
Private and Confidential Copyright Novolibri 2014

22. It is envisaged that the mICF
will
 ensure accurate and efficient capture of
functional status and contextual information,
 convey information securely between service
providers in different service settings,
 facilitate clinical decision-making by making
person-centred data readily available,
 facilitate administration and reporting
through the aggregation of the data and
 minimise the need for repeat data collection.

23. The envisaged benefits of the
mICF would be to:
 Empower providers and users of health and
related services
 Enable continuity of care
 Capture the interactions between ICF
components to facilitate
 Understanding of the complexity of interactions
between health and contextual factors
 Person-centred decision-making and goal
setting
 Interprofessional and transprofessional
collaborative practice
 Amalgamate data to help strengthen systems.

24. Progress made over past 2 years

25. Fund raising efforts
 CHEC / NRF (South
Africa) 
 Tekes (Finland) 
 Horizon 2020
application 
 USA investigating…

26. “mICF can be a game changer in
addressing health inequity by
facilitating the necessary institutional
reform as well as the transformation of
health professions education by utilising
patient-driven and patient-owned data to
optimise individualised healthcare and to
strengthen health systems.
It could facilitate the dawn of a new era
of universally affordable, accessible,
personalised, predictive, sustainable,
integrated, community-based
interprofessional and transprofessional
health and social care”

27. Work packages

28. WP 1: Coordination and management
 Ensure the effective and efficient
execution of work program according to
the time plan and budget
 Provide efficient financial management
and oversight
 Ensure the achievement of mICF’s
objectives as outlined in the work plan
 Report to and liaise proactively with
funders and all mICF partnership

29. WP2: Content specifications
The overall goal of this work package is to
provide evidence-based ICF-related content
— based on a bio-psycho-social-spiritual
approach in the context of an ethical,
human rights and legal framework — for the
development of mICF.
 The specific objectives of WP2 are to
define ICF-related content for different
patient journeys (e.g. Older persons,
adults with chronic diseases, vulnerable
children and youth) by:

30. Specific objectives of WP2
 Embedding the content in the context of ethics,
human rights and legislation
 Developing and refining questions (i.e. what
questions to ask and how to ask it)
 Identifying appropriate responses to the
potential answers to questions (i.e. identify the
qualifiers)
 Selecting relevant patient-reported outcome
measures i.e. PROMs

31. Specific objectives of WP2
 Determining ways to use ICF and PROMs in
optimising a service user’s assessment, enabling
shared decision-making and interprofessional
goal setting.
 Utilising technology to link the use of natural
language to ICF codes and qualifiers.
 Translating the content to other languages
 Refine the content specifications based on
iterative development cycles (WP3) and feedback
from the disciplined in-market experimentation
(WP4).

32. WP3: Lean minimum viable product (MVP)
design and technical implementation
 specify and create the technical service design
and implementation for the minimum viable
product (MVP) service platform, including
 the mobile solution on selected terminals
 as well as the backend solution for integrated
care by applying lean, agile, iterative and
continuous, interactive person-centred service
design methods.
 For that, Service Design Toolkit (91) and lean
UX methods will be used in close collaboration
with WP2 and WP4.
 design and implementation of the Big Data and
computer modelling platform that will be used to
process and analyse ICF assessment data.

34. WP3: Objectives for main phases
of (technical) design process are
 Learning: learn the user needs based on
tests and feedback.
 Creating: collaborative ideation and
creation of solutions that support
findings.
 Testing: test/experiment the solutions in
a relevant way and collect/analyse
feedback.

35. WP3 Description of work tasks
1. MVP development project management
2. Specifications of the MVP
3. Mobile solution (front end) development and
prototyping
4. Backend service platform development
5. End-to-End testing and product development
environment
6. Big Data analytics solution & integrated care
GUI
7. Hosting and maintaining the backend & Big
Data services

36. WP4 Disciplined in-market
experimentation
Objectives
 Users of the mICF
 Define and implement metrics to assess
user experience and data validity in
different user groups, e.g. older persons,
adults with chronic diseases enrolled in
community based rehabilitation,
vulnerable children and youth
 Define which requirements are to be
fulfilled in order to accept a part of mICF
to be released to clinical and scientific
use

37. WP4 Disciplined in-market
experimentation
Tasks
 Field test preparation
 Train clinician users in the use of ICF
 Capture feedback regarding usability data
from users
 Capture feedback regarding discrepancies
of data entry between patient users and
clinicians
 Compile data from the different test sites

38. WP 5: Impact and
economic evaluation
 Cost and effect analysis post-6 months of usage
of the mICF by user group individuals (e.g. older
persons, adults, and children or their caregivers)
and healthcare professionals in various
countries.
 Through quantitative and qualitative methods
measure the impact of the mICF on user groups
(e.g. older persons, adults and children or their
caregivers).
 Compare the satisfaction of healthcare
professionals’ use of the mICF product to
current products used by healthcare
professionals.

39. WP 5: Impact and
economic evaluation
 Demonstrate the interoperability of the mICF
with other electronic health record products.
 Share the findings of the impact and cost
evaluation as soon as data is analysed (linkage
to WP6).
 Conduct economic evaluation; benefits,
effectiveness and costs of mICF use.

40. WP6: Dissemination and Market
Introduction
 Application of appropriate commercialisation
techniques to guide the project from the
 (1) innovation phase, through the
 (2) incubation phase with agile
commercialisation, to an
 (3) acceleration (or scaling) phase.
 The most important outcome is a mature
offering with sustainable benefits that are
repeatable in a market segment that responds
predictably and that yield a critical mass of
references representative of an early
majority of the technology adoption curve.

41. WP6: Dissemination and Market
Introduction
 Continuous dissemination of research and
development results (e.g. mICF website,
social media, training events, user
support, presentations, academic and
non-academic publications)
 Implementation of a pragmatic marketing
strategy addressing the “4 Ps”, namely
Product, Place (Distribution or Sales
Channel), Promotion and Price.
 Creating the blueprint for a marketing
and early sales organisation

42. WP# Work Package Title Facilitators
1 Coordination and management Stefanus Snyman, Heidi Anttila
with WP facilitators
2 Content specifications Heidi Anttila
Thomas Maribo
3 Lean Minimum Viable Product
(MVP) design and technical
implementation
Petteri Weckstrom
Dirk Wagener
4 Disciplined in-market
experimentation
Olaf Kraus de Camargo
Patricia Saleeby
5 Impact and economic
evaluation
Joanne Valerius
6 Dissemination and Market
Introduction
Stefanus Snyman

43. Work groups for Helsinki
 Content specification (WP 2) [Heidi & Thomas]
 Questions, answers & Proms
 IT Team (WP3) [Petteri & Dirk]
 Get everything ready for the word “go”
 Research and Literature (WP 4 & 5) [Olaf & Joanne]
 Overall research framework
 “Generic” funding proposal
 Finish outstanding articles
 Prepare Manchester abstracts (due date 15 June)
 “Contract research” from other WPs

44. DISCUSSION
@icfmobile