Greek Presidency Conference: 2014 eHealth Forum, Athens
Wednesday May 14th: 14.00-16.00
EIP parallel session: expert forum on community empowerment and
technology: implementing the new paradigm
Presentation 1: Nick Guldemond
View of meeting convenor
infrastructure
Dr. Nick Guldemond
EU Framework for development,
implementation & up-scaling
innovations
Presentation 2: Jim Phillips
View of a patient
Presentation 3: George Crooks
View of a health professional
Expert Forum on Community Empowerment and Technology
Implementing the New Paradigm
View from a Health Professional
Prof George Crooks OBE
NHS Scotland
OUR VISION IS THAT BY 2020:
Everyone is able to live longer healthier lives at home, or in
a homely setting. We will have a healthcare system where
we have integrated health and social care, a focus on
prevention, anticipation and supported self management.
When hospital treatment is required, and cannot be provided
in a community setting, day case treatment will be the norm.
Whatever the setting, care will be provided to the highest
standards of quality and safety, with the person at the centre
of all decisions. There will be a focus on ensuring that
people get back into their home or community environment
as soon as appropriate, with minimal risk of re-admission
INTEGRATION
From Supportive Self Management
To
Co Production
“Co production means delivering public
services in an equal and reciprocal relationship
between professionals, people using services,
their families and their neighbours.
Where activities are co produced in this way,
both services and neighbourhoods become far
more effective agents of change”.
http://www.coproductionscotland.org.uk/
Themes from community
engagement
•Giving back
•Caring for others
•Recognising resilience
•Sharing skills and experience with others
•Connecting people and communities
•Technology
Health, Care & Wellbeing –
person focussed
• Increasing;
1.
2.
3.
4.
5.
6.
Choice
Control
Connectedness
Collaborations
Contributions
Communities
wider world
locality
home
Presentation 4: David Somekh
View of a health policy analyst
eHealth and patient empowerment
realigning the paradigm
Dr David Somekh
European Health Futures Forum (EHFF) Network Director
eHealth2014 Conference
Athens May14
Why eHealth -to overcome structures?
IHE
Integrated
Healthcare
Enterprise
Telemedicine
Home
healthcare
Public health
information
eHealth
Martin Denz
Vice-President
EHTEL
Athens
Services and tools for
independent living
Disease
management
Personal
health
Source: Niilo Saranummi, PICNIC
management
23 June 2006
29
EU Quality and PS Health Policy to 2015
A helicopter view
eHealth
Patient
Safety
Patient as partner
Common
Vocabulary
+
Consensus
On Quality
Tools
Education for Quality
e.g. communication skills
Athens Dec. 2005
30
Three main issues
The concepts are sound but the pace is unacceptably slow
The paradigm needs to shift. Both for eHealth and for patient
empowerment, putting a major player in the centre doesn’t work
(in future healthcare the hospital can’t be the focus, in PE the
patient isn’t central, but has equal status with other stakeholders)
We have to find a more effective way to bring about change.
Large numbers of players and endless examples of good practice
aren’t enough for sustainable change. We need to explore new
ways of working together and learning together.
Presentation 5: Floor Scheepers
View of an integrated care specialist
PsyNet
Floor Scheepers, MD, PhD,
Head of psychiatry| Brain Center Rudolf Magnus | University Medical
Center Utrecht
May 2014
Background 1 costs
•
•
•
•
•
Health costs  (% Gross National Product) (5.5 billion psychiatry)
Aging of population
salary of care workers
Demand for care/cure 
treatment/medication costs 
Background 2 outcome
•
•
•
•
•
•
•
•
Life expectancy – 10 years
40% somatic complications (metabolic syndrome)
25% less societal participation (unemployment, homeless…)
20-30% no care
25-50% high care
Severity weighting 0.66 (like dementia)
30% no contact with relatives
DALY’s 10.000-30.000 (top 30)
problems
•
•
•
•
Patients have different problems in different
domains
Different laws
Different financial systems
Health care and community care organizations
fragmented (overlap and gaps) and not working
together
We need regional and national networks
•
•
•
•
Patient centered
GP can be in the lead
Care/cure from all domains connected in a
region
Science and knowledge connected on
(inter)national level
PsyNet platform
•
•
•
•
•
•
•
Efficacy proven in elderly, Parkinson, GP practice…
Patient centered, coordination by patient if possible
Communication platform for all participants
Overview of all activities
Possibility of personal health record
Possibility to include family member/mediator in network
Single sign on connection with different ICT medical files
PsyNet platform
??
Presentation 6: Gianna Tsakou
View of a provider company
Gianna Tsakou
Senior Project Manager
European Projects Dept.
Expert Forum on
Community
Empowerment &
ICT
Presentation Outline
The Company & Our Department
Structure, Products
Overview of research activities
ICT as an enabler: Selected Projects in ICT-supported Health & Independent
Living
Pincloud
Sociable
I-DONT-FALL
HOMEdotOLD
Barrier and facilitators for Community Empowerment
Conclusions
45
SingularLogic at a glance
86% owned by Marfin
Investment Group
(MIG), Greece’s largest
investment holding
company
No1 Greek software Vendor, with the most complete product offering
comprising more than 20 proprietary app solutions
Presence in 700 large domestic corporates and >100 multinationals
Most extensive (400-strong) partner network across the country
Being the largest Greek
software vendor,
SingularLogic delivers
comprehensive IT
services that help its
40,000-strong customer
base add business value
through business
innovation and increased
efficiency
Full spectrum of IT services – dominant position in large-scale integration
projects in the public and private sector
Greece’s elections manager
>300 IT consultants and 140 top-class developers
Local presence through subsidiaries in Cyprus, Bulgaria, Romania
46
Vertical market solutions case study
“SingularLogic’s Model Hospital Management System”
SingularLogic’s Model Hospital Management System is NOT just an IT system…it is a proven business
proposal for best-run Healthcare Organizations
Hospitals running
A comprehensive IT solution for Hospital Management based on business know-how
and international best practices, embedded in the SAP platform
Covers the full spectrum of hospital operations, both
5 in Greece
1 in Albania
….comprising General
Clinics and Maternity
Hospitals
back office: Financial Management, Controlling & Costing, Purchasing & Materials
Management, Human Capital Management, etc.
…and front office: Resource Planning & Scheduling for both Inpatient Clinics and
Outpatient Departments, Patient Administration, Payment Handling, Patient
Accounting, Medical Documentation, etc.
SingularLogic's Model Hospital Management System received a
“SAP Business-
All-In-One” qualification, the highest level of accreditation that SAP grants for
vertical market solutions developed by its international partner network
Offered as an Outsourcing service or on a project basis
The solution has been implemented across the Hygeia Group, Greece’s largest
private hospital group
47
European Projects Department
Participation in subsidized
R&D programs of the
EU and the General
Secretariat for Research
and Technology of the
Hellenic Ministry of
Development
Established in 1997 as part of the Integrator Division
Extensive experience in participating in R&D projects and EU initiatives
Bring innovative ideas forward
Contribute to the design of future products and improvement of existing
ones
48
ICT as an enabler: PINCLOUD: Integrated Care for
Personalized Medicine utilizing Cloud Infrastructure
ICT as an enabler: Cognitive Training through
SOCIABLE
SOCIABLE provides Next Generation Cognitive
Training Services to older adults, aiming at
strengthening their mental capacity and boosting
their social activation through serious gaming.
SOCIABLE integrated solution consists of:
A set of Cognitive Training Activities (covering all
cognitive skills) supported by surface computing
equipment (MS Pixelsense and/or tablet)
Tools for the Medical Expert to:
design the training programme and personalise
the cognitive training activities according to the
specific level of cognitive abilities of the person
monitor the evolution of the patients
50
ICT as an enabler: I-DON’T-FALL Services
Fall Prevention Services
Physical training
Cognitive Training
Fall Detection Services
Fall detection Alarms
Fall Management Services
Fall Knowledge Management Services
Decision Support Services for Fall Management
Telecare/Teleassistance Services
51
ICT as an enabler: HOMEdotOLD
Socialisation Support Services
HOMEdotOLD aims at using the TV medium in order to advance the social interaction of
older adults by bridging distances and reinforcing social volunteering and activation, in an
effort to prevent isolation and loneliness.
 Personal motivation services
 Social networking services
52
Facilitators & Barriers for Community
Empowerment
Facilitators
 Enabling technologies: Internet of Things, Cloud technologies, etc.
 ICT is mature enough to support all kinds of e-Health and m-Health solutions
 Special opportunity related to the cognitive stimulation/training market
Barriers
 Diverse regulatory frameworks in EU countries introduce complexity when adopting
enabling ICT: legal, privacy, ethical aspects cannot be treated homogeneously
 Creating/identifying the right content for e-Health services (e.g. games for cognitive
training) can be time/resource consuming
53
Conclusions
Elements for success:
 Addressing well-recognised problems vs. a creating the problem in order to address
it
 Well targeted solutions vs. doing a little bit of everything for everyone
 Attractive design/HMI for individuals vs. “design for patients”
 Blending of “pure health” with “general well-being” services
 Non intrusive solutions
 Co-design and collaboration: a horizontal platform could help!
54
THANK YOU!
QUESTIONS?
Gianna Tsakou
gtsakou@singularlogic.eu
Presentation 7: Donna Henderson
View from an ecosystem (1)
Living it Up (LiU)
Programme led by NHS 24, Scotland
LiU will co-design sustainable and
innovative improvements and choices in
health, care and wellbeing for 55,000
people by 2015, using familiar
technologies
Join us now – www.livingitup.org.uk
Funded by:
Services
Benefits
Refer to Appendix for benefit descriptions
Presentation 8: David Horsfield
View from an ecosystem (2)
14 May 2014
Expert forum on community
empowerment and technology:
implementing the new paradigm
More Independent:
Innovation in empowering communities
dave.horsfield@liverpoolccg.nhs.uk
Mi user empowerment model
Awareness
raising
Confidence
building
Take up of smart
solutions by primary and
secondary end users
Cocreation
Self-care
More independent living
Inclusion
User
empowerment
Mi user empowerment action
!
!
!
!
!
!
Service#redesign#
Key#
barriers:#
(consumers#
and#
professionals)#
#
#
Lack#of#
awareness#
#
Lack#of#
confidence#
#
#
Weak##
consumer#
marketplace#
#
#
Procurement#
barriers#
#
Digital#
exclusion#
#
#
#
!
#
Increased#
awareness#
Mi#Champions#
Health#Trainers#
#
!
Smart#House#
#
Increased#
confidence#
!
Digital#champions#
!
Social#marketing#
#
More#effective#
programme#
!
Insight#research#
Digital#hubs#
Broadband#
investment#
#
More#access#
Retail#outlets#(real#
and#virtual)#
#
Deploy>
ment#&#
take#up#of#
smart#
solutions##
#
#
Self>care#
#
#
Indepen>
dent#living##