Dr. Nick Guldemond

Transcription

1 Roadmap 1 Social-economic developments Kader schetsen - Actoren in de zorg inspelen op snel veranderende wereld NEN conference Healthcare paradigm shift 3 Health & Technology Associate Professor Integrated Care & Technology Chief Innovation Officer & Business Development 4 Data, information, intelligence 5 Patient centred health solutions population aged (>65) in proportion to working population (15-65) 2007 EU average 1:4 differences between countries Social-economic developments 2050 EU 1:3 (NL) 1:1.5 (Italy and Spain) average 1: China average 1:<1 % population with 1 or more chronic diseases current healthcare system sustainable? > 1 chronic disease 1 chronic disease 0 chronic disease NL population 2005 age Overall increase since % Increase co morbidity since % Dutch population with co morbidity 11.3% n.a.guldemond@umcutrecht.nl 1

2 Paradigm shift medical curative model social (interconnected) health perspective Healthcare paradigm shift community care local institutions community care advanced local care centres specialized institutions high specialized cure Integrated Care clinical pathway / patient journey Community Health Systems public health supportive environment community action self management delivery system information systems decision support productive interactions activated community improved outcomes support Example falls prevention social (interconnected) health team advise coordination monitoring & control Balance training Home monitoring fitness Nutricial intervention Critical Fall detection zone time screening + intervention rehabilitation monitoring assessment Decision making instruction planning Logistics task allocation Integrated Care Education n.a.guldemond@umcutrecht.nl 2

3 Life-style management & health technology Health & Technology health status healthy chronic acute care no technology with technology cure technology (home) care technology self management support tools life style health education risk monitoring health techology age living > 80 dependent independent assisted dependent Health status over time Cardiovascular Care Cycle Process Breakdown healthcare spending Key figures medtech sector sector global $ 221 miljard sector EU $ 124 miljard growth rate EU 5% variety of products 0.15 cents to $ EU companies jobs R&D investments $ 7,5 miljard (8% of sales) SME 80% < 250 employees short R&D cycles months reduction hospital stay -13% health expenditure 4,2% Medtech return on investment ($100) S&P 500 health care equipment index S&P 500 general index pharmaceuticals index n.a.guldemond@umcutrecht.nl 3

4 Home care technology & Assisted Living Interactive Health Information Anytime, Anywhere, AnyDevice, Real-time Smartphones communicator & Sensor of Human Behavior INFORMATION Commuting Travels Meetings Communications Sleeping Wake up times Office time Location patterns People s behavior User attention Emotion USER PROFILE & SERVICE INTEGRATION Health data & informatics INTERACTION Environment Society Health promotion Disease interaction Determinants, risk factors & pathways Added value Data analytics & clinical decision support What? Actual status Descriptive Why? Cause Effect Diagnostic Predictive Anticipate? Argumented pro actions Prescriptive How? Scenarios & likelihood Systems medicine Dna transscription Difficulty n.a.guldemond@umcutrecht.nl 4

5 Big data Data security & Privacy Velocity Volume Q variability Data functionality Legislation Technology anonymization vs pseudonymisation EU Framework for development, implementation & up-scaling innovations Policy level e.g Horizon 2020 e.g EIP AHA Creating community centred health solutions EU National Regional Local community based co creation infrastructure Community Based Co-creation Health insurers Patient organisations & consumers Healthcare professionals Industry Knowledge institutions Challenges Social workers & charities Public organisations Inventors Local government Local SME s n.a.guldemond@umcutrecht.nl 5

6 Interoperability Challenges standardisation Fragmentation technology, services, initiatives Privacy & security Public-private collaboration System innovation clustering functionality balancing interest cross sectorial design Specific challenges Connection between medical (professional) domain consumer (informal) domain technology > interoperability service > integrated finance > mixed models Thank you! Operational efficiency planning & organising > cost-effective care Trust and accessibility quality of service > ease of use & outcome assessment transparancy & control user involvement > co-creation & acceptance Mobile: n.a.guldemond@umcutrecht.nl 6