Technology for care

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Vortrag von Prof. Guus van Montfort von "Actiz" im Rahmen des 5. Tag der Gesundheitswirtschaft im NINO-Hochbau in Nordhorn

TECHNOLOGY for CARE.Telemedicin: von der forschung in den Gesundheidsmarkt28-09-2011 , Nordhorn

Issues in thislecture Analysis health care problems TechnologicalDevelopments: Problemor solution!!?? Succes andfail factors: policy context

Future Health Care Problems 1 Aging of the population: Health care sector becomes a 65+ sector!!! 2 Costproblems ( financial crisis) 3 Labormarket ( extra increasewage level) 4 PATIENT PREFERENCES!!!!

Consequences trends - developments. Consequencesfor the healthcare system. 1. Patient in the lead. 2. Selfmanagementand care at home. 3. Pressure on efficiency 4. Especially on laborproductivity. 5. Substitutionand flexibility 6. More private payingandinvestments

Meaning of “Technology” Contribution of technology in solvingthisproblems?? Innovation more thantechnology

TECHNOLOGY and Healthcare Technology and Health care a difficultcombination!!!! ( in the past) Imago: Technology = Costincrease Technology is not the problem but the solution!!!! . Technology : product innovation & processinnovation!!!!!! .

Health care system CASE OF HOSPITALS. outcomes Effect on health level outputs Type patients DBC 1 Type patients DBC 2 Type patients DBC ….. Intermediate products X-rays Nursing Activit. Labora. examens operations staff Medical equipment buildings drugs inputs

Healthcare System Movingfrom: Supply oriented system to Demandoriented system (Value- andoutcome-driven , Kaplan and Porter,2011, Harvard Business Review)

Health care system Past 30/40 yearspaying system : input oriented & intermediate product oriented . Since 2005/2008/2012. more output oriented. free andintegraltariffs.

TechnologicalInnovations. Productinnovations: more supplyoriented. licenseregulated . Processinnovations: . more outputoriented . internalallocationresponsibility management

Health care system CASE OF HOSPITALS. Product innovations outcomes Effect on health level outputs Type patients DBC 1 Type patients DBC 2 Type patients DBC ….. outreaching Process innovations Intermediate products X-rays Nursing Activit. Labora. examens operations staff Medical equipment buildings drugs inputs

Changing policy context . Succesfactor forimplementingtechnology changing policy context. . Processtechnology : input output . Product technology : input input/ license . (Exception: acute care)

New tariff “ Care at distance” New tarifffor care at distance at home “Innovation” was payed. Outreaching / care at home Substitution

Implementinginnovations. “Inventing” is not the big issue. Sucessfullimplementationis the big issue. Combine the inventorsand the implementators. Combine the docters,thescientistsandenterpreneurs Practical problems are more important thanscientifical issues.

This document discusses compelling clinic metrics and how they can be used to manage a clinic effectively. It begins by defining compelling metrics as those that are forceful, powerful, and demand attention. It then provides examples of different types of metrics that can be measured, including measures of productivity, contribution, quality, and business operations. Specific metrics are outlined for each category. The document emphasizes that metrics must be objective, reliable, and linked to behaviors clinicians can control. It explores how metrics can be used for benchmarking, productivity goal setting, and daily schedule planning to maximize performance.

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The document provides tips for leading quality and safety improvements, noting that leaders need to prioritize high-cost problems, lead improvement processes using systematic methods, and monitor outcomes to evaluate savings and spread successful changes. It emphasizes using data to motivate improvements and setting measurable targets to track progress and savings from reductions in waste and avoidable harm.

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This document discusses three topics: moving from care provided for patients to care provided with and by patients, changing patients' lives together, and the "Uberization" of healthcare. It addresses involving patients in innovation efforts, developing digital ecosystems owned by patients, and new players that may dominate democratizing healthcare within years or months. The document argues that healthcare is becoming a software business and that the lives of patients can be changed globally by thinking together and with patients.

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1. Rob ten Hoedt, President of Medtronic Europe, gave a presentation on the medical technology industry and Medtronic's role in innovation in Europe. 2. Key trends in European healthcare include aging populations, rising costs, and a focus on prevention and chronic disease management outside hospitals. 3. Medtronic is developing innovative solutions like implantable devices, biologics, and wireless technologies to treat conditions like heart disease, diabetes, and neurological disorders.

It is important in the drug development process that marketers and researchers collaborate early to ensure that products being developed are truly innovative and deliver brand value to the different end users in a way that the product and the subsequent brand messaging is relevant, compelling and differentiating compared to the competition. T In the market place that is heavily cost constraint, innovation is no longer about a unique mode of action or a new formulation, but more about the incremental brand value offered by new pharmaceutical products over existing treatments (standard of care) and how much healthcare systems are prepared to pay for these incremental benefits. My lecture at the Department of Innovation, Lund University, Sweden explored the importance of R&D functions getter closer to external stakeholders to really understand their needs, how they define brand value and the importance of considering this early in the drug development process.

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This document discusses quality, safety, and productivity in healthcare. It notes that 66% of hospitals provide inadequate care and adverse safety incidents occur at a rate of 1 in 10, unchanged for 30 years. Four groups of patients are identified with different attitudes towards health. Quality is multidimensional, involving treatment outcomes, safety, and patient experience. Technology has potential to transform care if it enables interoperability and embraces disruptive innovations. Clinical leadership and engagement are needed to effectively lead change in the healthcare system.

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This document discusses GE Healthcare and its role in addressing challenges in healthcare. It provides an overview of GE Healthcare, including its history, size, areas of business, and investments in research and development. It then discusses some key trends in healthcare, such as rising chronic diseases, aging populations, and cost pressures. It outlines GE Healthcare's "healthymagination" initiative which aims to improve quality and access to healthcare while reducing costs. The document also discusses how GE Healthcare is working to address needs in areas like the operating room, ultrasound-guided regional anesthesia, and pain management through innovation and technology.

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Medical utopias are often about good health, absence of suffering, and even delaying of the aging process. The last two decades have seen a tremendous increase in emerging medical technologies to achieve these utopias. The completion of the sequencing of the human genome sets the stage for the next step of genetic and molecular advances. The increase in computing power, storage capacity, connectivity, and the Internet has opened avenues of new diagnostic and therapeutic modalities. The perfecting of sustaining cell growth in vitro and cell nucleus transfer has opened the way to cloning, stem cell harvesting, and a new field of regenerative medicine. However, these emerging technologies bring with them a large number of bioethical concerns that need to be addressed. These concerns involving tissue engineering, bioelectronics, new genetics, cloning, gene therapy, germ-line genome modifications are only the tip of the iceberg. In this paper I will reflect on three areas of concern. Firstly, the emergence of the digital patient will be considered. This digital patient will be deeply formed and informed by health information technology (IT), the social media, and issues involving privacy, confidentiality and data security. Secondly, the direct to customers (DTC) genetic screening tests will be discussed. The ethical issue of buccal swabs taken at home and be tested for genetic diseases and future prediction of other illnesses which is marketed directly to the consumers will be examined. Finally, the development of new pharmaco-therapeutics will be explored. There have been changes in the way new drugs are tested and these changes do raise some ethical concerns. The examination of these ethical issues will be done in the framework of respect for autonomy, beneficence, non-maleficence, and justice.

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This document analyzes economic and business factors influencing disruptive innovation in telehealth. It discusses how health economics, technology adoption costs, and system economics impact the adoption of new telehealth technologies. Main factors that influence technology adoption are identified as new technology costs, usability, perceived value, competitive systems, costs of existing systems, and type of users. The document also analyzes different telehealth technology models and their progression from conventional healthcare to remote teleconsultation to individual telehealth engagement.

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This document discusses a company called Spinea Medical that has developed an automated solution for lower back pain (LBP) diagnostics and analytics. It notes that LBP is a major global health issue, but current diagnostic methods are subjective, qualitative and provide limited information. Spinea Medical's solution takes a comparative and objective approach using medical imaging and big data to provide comprehensive and accurate analysis of the spine. It aims to measure and compare spinal features against general population data to give patients and clinicians a clean overview of spinal status and integrated abnormal findings. The company sees opportunities in the medical imaging market and plans clinical studies and partnerships to commercialize and achieve reimbursement for its technology.

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The document discusses developing a world-leading technology-enabled health research program by linking research to the real world. It notes current issues like the "mHealth app glut" and declining user interest due to a supply-demand mismatch. The proposed solution is to establish a partnership that brings together stakeholders from academia, healthcare providers, digital health industry, and the public. This partnership would use agile design methods, early and continuous user involvement, and evaluation approaches suited to digital interventions to develop solutions that meet real-world needs and ensure user acceptance. The goal is sustainable digital health programs through full engagement of stakeholders throughout the product lifecycle.

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The document discusses strategies for developing multidisciplinary safety and efficacy testing for medical devices and combination products to combat healthcare-associated infections. It highlights the issues of antibiotic resistance and emerging pathogens. Various new product designs and engineering solutions are presented as case studies, along with the need for safety testing that includes biocompatibility, microbiology, chemical characterization, and toxicology. Regulatory requirements and guidelines for combination products involving drugs or biologics are also reviewed.

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Technology for care

1. TECHNOLOGY for CARE.Telemedicin: von der forschung in den Gesundheidsmarkt28-09-2011 , Nordhorn

2. Issues in thislecture Analysis health care problems TechnologicalDevelopments: Problemor solution!!?? Succes andfail factors: policy context

3. Future Health Care Problems 1 Aging of the population: Health care sector becomes a 65+ sector!!! 2 Costproblems ( financial crisis) 3 Labormarket ( extra increasewage level) 4 PATIENT PREFERENCES!!!!

4. Consequences trends - developments. Consequencesfor the healthcare system. 1. Patient in the lead. 2. Selfmanagementand care at home. 3. Pressure on efficiency 4. Especially on laborproductivity. 5. Substitutionand flexibility 6. More private payingandinvestments

5. Meaning of “Technology” Contribution of technology in solvingthisproblems?? Innovation more thantechnology

6. TECHNOLOGY and Healthcare Technology and Health care a difficultcombination!!!! ( in the past) Imago: Technology = Costincrease Technology is not the problem but the solution!!!! . Technology : product innovation & processinnovation!!!!!! .

7. Health care system CASE OF HOSPITALS. outcomes Effect on health level outputs Type patients DBC 1 Type patients DBC 2 Type patients DBC ….. Intermediate products X-rays Nursing Activit. Labora. examens operations staff Medical equipment buildings drugs inputs

8. Healthcare System Movingfrom: Supply oriented system to Demandoriented system (Value- andoutcome-driven , Kaplan and Porter,2011, Harvard Business Review)

9. Health care system Past 30/40 yearspaying system : input oriented & intermediate product oriented . Since 2005/2008/2012. more output oriented. free andintegraltariffs.

10. Health care system CASE OF HOSPITALS. outcomes Effect on health level outputs Type patients DBC 1 Type patients DBC 2 Type patients DBC ….. Intermediate products X-rays Nursing Activit. Labora. examens operations staff Medical equipment buildings drugs inputs

11. TechnologicalInnovations. Productinnovations: more supplyoriented. licenseregulated . Processinnovations: . more outputoriented . internalallocationresponsibility management

12. Health care system CASE OF HOSPITALS. Product innovations outcomes Effect on health level outputs Type patients DBC 1 Type patients DBC 2 Type patients DBC ….. outreaching Process innovations Intermediate products X-rays Nursing Activit. Labora. examens operations staff Medical equipment buildings drugs inputs

13. Changing policy context . Succesfactor forimplementingtechnology changing policy context. . Processtechnology : input output . Product technology : input input/ license . (Exception: acute care)

14. New tariff “ Care at distance” New tarifffor care at distance at home “Innovation” was payed. Outreaching / care at home Substitution

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