Presentation by prof. R. Peleman at the occasion of the PRoF UGhent chair award symposium. The presentation gives prof. Peleman's vision on healthcare and the link to the prof consortium.

1. PRoF Award 2015
Chair UGent
prof. dr. R. Peleman
Twitter : #profchair

2. PRoF Award 2015
Program
16.30 – 16.45: Welcome,
Mr. Jan Van Hecke, CEO Boone nv. PRoF Consortium
16.45 – 17u15: Presentation PRoF
Prof. dr. Renaat Peleman, CMO University Hospital Gent
17.15 – 18.30: Presentation of nominated projects (5 x 15 min)
18.30 – 18.45: Deliberation
18.45: Presentation of the PRoF Award 2015 by prof. dr. Herman
van Rompuy, former President of the European Council
19.30: Invitation to the reception
21.00: End

3. Market-, customer-, socioeconomic
and technological trends that will
determine the hospital of the future
3

4. Recognition of the need to change
• Demographics changes
• Changes in morbidity
• Changes in life style
• Changes in technology
• Environmental changes

6. Future Health Care Trends
• The population is ageing
• The workforce is changing and ageing
• Current lifestyles present major risks to the
future health of the population
• The disease profile is changing
• Health inequalities remain challenging

7. EU Health Workforce (8% of total EU workforce)
Ageing population and
workforce
Rise of chronic diseases and
co-morbidities
Mobility of health workers
12,000
12,200
12,400
12,600
12,800
13,000
13,200
13,400
194,000
196,000
198,000
200,000
202,000
204,000
206,000
208,000
Trends in employment in the human health sector Trends in employment in all other sectors
Increasing demand for health workers
Change in models of care delivery
(less hospital-centric, more primary care)
Shortage and unequal distribution
Limited data causes fragmentation of
workforce planning
Underlying issues Challenges

8.  Complex and diverse with little data
 Two European research projects : Prometheus and Mobility of Health
Professionals
 Huge challenge for Central and Eastern European countries
HEALTH
PROMeTHEUS
17 countries
WismarCHALLENGE: Mobility of
Health Professionals

9. Number of physicians by age group in 17 EU member
States in 2004 and 2008
•In 2009, about 30% of all doctors in the EU were over 55 years of age
•By 2020 more than 60 000 doctors or 3.2% of all European doctors are expected to
retire annually.
•The average age of nurses employed today is between 41-45 years.

10. Future Health Care Trends
• The population is ageing
• The workforce is changing and ageing
• Current lifestyles present major risks to the future health of
the population
• The disease profile is changing
• Health inequalities remain challenging

13. Future Health Care Trends
• The population is ageing
• The workforce is changing and ageing
• Current lifestyles present major risks to the future health of
the population
• The disease profile is changing
• Health inequalities remain challenging

14. Poor mental health among manual workers in Spain by type of contract

15. • Organisation of healthcare becomes a priority for EU
• Role of national policies is fading
Societal changes

16. 16
Real annual growth in health spending, exeeds real annual
growth in GDP
OECD Health Policy Studies. Value for Money in Health Spending, 2010, 204pp

17. 17

18. Australian Institute of Health and Welfare
18

19. • The European Institute for
Health Records (EuroRec)
– common criteria for EHR
records across Europe
– EHR-Q focuses on quality
and certification of EHR
systems
Global healthcare ecosystem

20. Network of “networks”

21. The hospital of the next decade
• High-Risk Patients (5%)
A relatively small number of patients requiring the highest-intensity care.
• Rising-Risk Patients (15%–35%)
Those with one or two emerging comorbidities who may rise to the high-
risk pool. Rising-risk patients should be managed by a patient-centred,
multidisciplinary team anchored in primary care to achieve efficient,
economical care management and avoid unnecessary spending down the
road.
• Low-Risk Patients (60%–80%)
Patients for whom self-service care management will work. Reinforce low-
risk patients’ access to information and resources that will keep them
healthy and connected to the system, creating a convenient experience that
results in a high level of patient satisfaction.

22. Hospitals become “Health Centres”
• Standardisation
• Point-of-care testing
– Hospital, out-patient clinc, at home
• Hospitals: smaller, highly specialised, high-tech, “last
resort” function
– Emergency care
– Multidisciplinary care units
• “Branding” in a very specific segment
– Specialism, form of therapy
• Short stay, “care” hotels

23. 23

24. 24

25. PRoF: Chair UGent
Challenges in healthcare
Consequences for the hospitals:
- Management of care for chronic disease in the first line of care
- Second line = coach for the first line
- New role for the hospitals :
- shorter and less hospital stays
- specialized centers of expertise
- multidisciplinary teams
• Acute care: preliminary phase and follow up phase move from the
hospital to home care and flexible day care centers (care hotels)
• Patient centered healing environment
• Focus on privacy, safety and comfort
• Focus on efficiency for the care providers

26. PRoF: Chair UGent
Challenges in healthcare
Consequences for the financing of the care
• No longer based on volume nor activities
• Based on the level of care, quality and efficiency
• Scarce resources must be used optimally
Vision for the future:
• Hospitals and care centers for basic care
• Centers of expertise for advanced care
• Need for innovation and scientific research
 Urgently needed: a new model for financing our healthcare!
ProF-Chair at UGent
• Think tank PRoF : stimulating innovation and quality improvement of care
• Yearly award for innovation
• Knowledge exchange between different research groups and faculties

27. PRoF: international open innovation consortium
• Start in 2009
• > 300 care professionals from multiple disciplines and
organizations
• Creating visions about the future evolution of care systems
• Interdisciplinary approach:
– care organizations
– research centers, universities
– Companies
• Each vision has been realized as a concept room
• PRoF location in Poperinge – Belgium.
The PRoF consortium

28. • 2011: PRoF 1.0 - Patient Room of the Future
• 2012: PRoF 2.0 - Personalized Residence of the Future
• 2013: PRoF 3.0 - Private caRe room of the Future
• 2014: PRoF 4.0 - Patient Recovery room of the Future
PRoF : the history

29. • “Patients will be in single rooms designed for safety
and infection prevention. Outfitted with wall-sized
video screens as well as cameras capable of extreme
close-ups and wide angels.”
Visionary PRoF 2011:
Patient Room of the Future

30. • “For the patient with multiple chronic diseases, much
of the care that currently involves hospitalizations
and visits to doctors’ offices will be conducted
through televisits and IT-enabled home care.”
Visionary PRoF 2012: Personalized
Residence of the Future

31. • “Patients will have a much greater role, and voice, in
the new healthcare system, and the technology of
the future will help them to manage their new
responsibilities. To sort out new symptoms,
customized research tools will be available.”
Visionary PRoF 2013:
Private caRe room of the Future

32. • “ The confused patient who begins to climb out of
the bed will hear the recorded voice of a trusted
relative, triggered by a bed sensor: “Mom, it’s Linda.
It’s okay, get back to bed.”
• A patient will simply say, Nurse, I’m in pain” and the
nurse will appear on the screen.”
Visionary PRoF 2014:
Patient Recovery room of the Future

33. Awards:
• PRoF Honorary Award 2013: European President Herman Van Rompuy ROMPUY
Chairman of the European Council
• PRoF Honorary Award 2014: Prof. dr. Renaat Peleman, CMO University Hospital
GENT
PRoF Chair:
• 2014: First PRoF- Chair in Ghent University
– development of new visions in an independent way
– in cooperation with European universities
• 2015: Award and Symposium
PRoF : the history

34. awareness
comfort
safety
privacy
inter generational
flexibility
PRoF Keywords

35. • Awareness: sick, disabled or elderly people should have a good feeling
about the concept.
• Minimal Comfort: the minimal level of comfort that patients or elderly
people need.
• Safety : bringing a feeling of safety to patients and elderly people .
• Privacy: personal privacy and cocooning are critical.
• Loneliness: elderly persons are increasingly lonely in modern societies.
• Non-stigmatizing : technically a product can be perfect but people may be
ashamed or humiliated when they have to use it.
• Intergenerational: provide the opportunity to stay at home as long as
possible and be surrounded by care from younger generations when they
become older.
• Flexibility: hospitals, healthcare facilities, and elderly houses should use
the space in a flexible way.
The PRoF keywords

36. The patient Recovery Room of the Future: PRoF 4.0 provides an answer to the trend
for more day care hospitalization
- Ageing population with more chronic diseases
- A new way of organizing care around the patient
- Financial restrictions
- Different role for the hospitals :
- part of a care chain
- only acute care
- short stays
- shortage of staff
- no longer a lot of beds and a bathroom in every room
- PRoF 4.0 = a combination of an open plan and recovery rooms like business seats
in an airplane
- Meets the key words: privacy, safety, comfort, not stigmatizing, intergenerational
and flexible
Social entrepreneurship is the attempt to draw upon business
techniques to find solutions to social problems.
PRoF: Social entrepreneurship

37. Call for candidates for the competition via the University of Ghent:
• Innovative projects in the broad domain of healthcare applications
• Criteria:
– new concepts or theories in healthcare models (medical, care, ageing society)
– new insights regarding healthcare infrastructure (architecture and/or equipment)
– innovating healthcare processes and/or procedures
– innovating healthcare products and/or services
– at least at research proof-of-concept stage or early market phase (pilot phase, first
market introduction)
– effect on the future healthcare system and the relevant stakeholders
– innovation matches with the values of the PRoF consortium
• Top 5 innovating projects selected by the jury for presenting their projects
• Selection of the winner at the Symposium: PRoF award (10.000 €).
The 2015 PRoF Award

38. • 32 applications
• From Belgium (23), Germany (2), Greece (1), Italy (2), The Netherlands (1),
Turkey (1), United Kingdom (2)
• Topics:
• behavioral studies
• care for dementia
• care for the elderly
• care models
• education of care takers
• education of care takers in mental health services
• monitoring and screening methodologies
• patient participation in hospital design
• rehabilitation programs
• telemedicine
• trans mural data sharing
• wound care
The 2015 PRoF Award participants

39. The 2015 PRoF Award nominees
project name nominees partners
EXercise Prescription in Everyday
practice & Rehabilitative Training
Flowchart Project
Prof. dr. Dominique Hansen
32 experts in the rehabilitation of chronic internal diseases from 11 European
countries, coordinated by the EACPR (European Association for
Cardiopulmonary rehabilitation)
Hasselt University, Expertise centre for Digital Media (EDM)
Converge Dr Nick Rowe
Dr Nick Rowe - Associate Professor and Director of Converge - Faculty of Arts -
York St John University
Jill Copeland - Chief Operating Officer, Leeds and York Partnership NHS
Foundation Trust
Leeds and York Partnership NHS Foundation Trust
Cycling through your past
Jan Smolders
Wannes Meert
Roel Smolders
Woonzorgcentrum Witte Meren (Mol)
the Flemish Institute of Technological Research (Vito, Mol) the Computer
Sciences Department of the Catholic University Louvain (Leuven).
students from Group T (Leuven)
We take care! Paul Braem
WZC Regina Coeli Brugge
SEL Brugge Noord West Vlaanderen
AV Sint-Jan Brugge-Oostende
AZ Sint Lucas Brugge
Cura thuisverpleging
Foton expertisecentrum dementie Brugge
Different school collaborations: HOWEST bachelor education in social
sciences - LUCAS – KU-Leuven master education
Pilot Project Astor Geel Els Kuypers
Astor VZW - Medisch Pedagogisch Instituut (MPI) Oosterlo Het Openbaar
Psychiatrisch Zorgcentrum (OPZ) – Geel

40. Development of a digital algorithm to assist
healthcare professionals and physicians to prescribe
clinically effective and medically safe exercises for
patients with metabolic and cardiovascular diseases.
Rehabilitation in Internal Diseases
Hasselt University, Faculty of Medicine and Life Sciences, REVAL-BIOMED

41. Dr Nick Rowe - Associate Professor and Director of Converge - Faculty of Arts - York St John University
Jill Copeland - Chief Operating Officer, Leeds and York Partnership NHS Foundation Trust
A university and a mental health service provider
work together to offer educational opportunities to
people who use mental health services

42. Development of an intuitive platform for nursing
home inhabitants to break down the four walls
and rediscover the outside world while cycling on a
home trainer.

43. Paul Braem
WZC Regina Coeli Brugge
SEL Brugge Noord West Vlaanderen
AV Sint-Jan Brugge-Oostende
AZ Sint Lucas Brugge
Cura thuisverpleging
Foton expertisecentrum dementie Brugge
Different school collaborations: HOWEST bachelor education in social sciences - LUCAS – KU-Leuven master education
Regional care-network for people suffering
from early onset dementia and their
relatives

44. “Living Apart Together” – floating care labels for
a diverse life long home environment
Els Kuypers
Astor VZW
Medisch Pedagogisch Instituut (MPI) Oosterlo
Het Openbaar Psychiatrisch Zorgcentrum (OPZ) – Geel
Pilot Project Astor Geel

45. Twitter : #profchair
PRoF Award 2015
Chair UGent