An EHealth Strategy for Ireland

8/10/2019 An EHealth Strategy for Ireland

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An eHealth Strategy for Ireland

Bringing improved population wellbeing, health service efficiencies and economicopportunity through the use of technology enabled solutions.


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eHealth : What does it mean?

ICT and eHealth

eHealth is also known as

Health IT ( US phrase) Also known as

Connected Health

mHealth not solely about ICT & computerisation


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Definitions of eHealth exist

What is eHealth

"The combined use of electronic communication andinformation technology in the health sector

World Health Organisation

eHealth means Information and CommunicationTechnologies tools and services for health. WhethereHealth tools are used behind the scenes by healthcare

professionals, or directly by patients, they play asignificant role in improving the health of Europeancitizens

European Commission


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Societal changes from technology

We have seen enormous changes brought about by ICT basedtechnology in the last 20 years

Travelthink Ryanair.com, Trivago, AirBNB

Media think RTE player, IrishTimes.com

Twitter .. Facebook ..You Tube Education digital school books.. Distance

learning

Retail: think Amazon.com, ebay, pigsback,BT

Registrationfor nurses doctors is on-line

Bills, Bookings think Tolls, Bins, Parking fines,Banking, Theatre , Revenue pay and file end of the month All done over the Internet still costs the same !!


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Where is health care in all this?

Health care is well behind the curve

Why cant we readily book appointmentsfor

GPs, hospitals, clinics.. See our test results.

Keep track of immunisations for our kids.

Prescriptions. See on line what we are taking..what we took 6 months back or did we take it?

When we were last at the GP, Specialist etc


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What are the barriers to e-

enablement

Health Caretransactions Are complex

About vulnerable people

Services delivered by multiple professions, multipleproviders over many locations

Change processes to bring about change are notsimple

Legal issues

Technology issues Legacy issues such as PPARS

Privacy and confidentiality issues


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Process Change

At its simplest eHealth is about

Access to the right information, in the right place at the right time

Information is the lifeblood of modern medicne, and health information is dedicated to

be circulatory systems. David Blumenthal New England Journal of Medicine 362 2010

It is fundamentally about processchange andreconfigurationunderpinned by ICT

If we are to benefit from technology we must be prepared for change.


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Opportunities that eHealth provides

Impact of eHealth developments on the

healthcare delivery system

Potential and opportunities to change andhelp re-configure healthcare delivery

New information and systems environment

Provides a enormous opportunities and

significant challenges


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eHealth offers new services

Personal Health RecordsGoogleHealth, HealthVault, Have not got traction yet but are not mainstream

Health social networks,Breast cancer.org PatientsLikeMe, CureTogether, MedHelp very popular widely used

Consumer personalised medicine23andMe (Genomics) DirectLabs (Blood & Bio Marker Tests) Genome Sequencing is now nearly a consumer product

Quantified self-monitoringKeas, (Personalised Care Plans) Zumelife (Chronic Care)

Healthcare Social Media

Blogs - DiabetesMine, HealthMatters, WedMD

Microblogs- Livestrong, Stupid Cancer

Social Networking- Organised Wisdom, PatientsLikeMe, DailyStrength

Podcasts- John Hopkins Medical Podcasts, Mayo Clinic

Social Sharing- Flickr, You Tube, ICYou

Forums- Google Health Groups

Clinician Social NetworksSermo, Medscape Physician Connect, Asklepios, MEDTING


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For patients ..


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For clinical resources


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Use of Services

61% - American adults looked online for health information (2009)

84% - physicians engage online as part of their clinical workflow

71% - physicians are interested or already use physician social networks

Sources of informat ion used by American adults for health or medical issues inform at ion or

assistance:

86% - Ask a health professional - such as a doctor

68% - Ask a friend or family member

57% - Use the internet

54% - Use books or printed material

Impact of on l ine Health Inform at ion

60% - Affected a decision about how to treat an illness or condition

56% - Changed their overall approach to maintaining their health or the

health of someone they help take care of

53% - Led them to ask a doctor new questions, or to get a second opinionfrom another doctor


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Potential from Advances in

Technologies Location-aware technologies enables increased access

and quantity of informationprovides greater safety

Home automation and sensor technologies support

telehealth and mobile health applications

Virtual doctors/health professional visits

Easier user access to information and technologies

through voice, touch screen, eReaders, biometrics, etc.

Focus and investment by large scale companies in

monitoring and telehealth technologies

Broadband and Internet use among seniors increases

Significant developments in portals and tools for

caregivers

Increasing use and development in personal emergency

response systems


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How Smart can technology get?


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Some views of the future.


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eHealth is about Transformation from Industrial Age

Healthcare

to Information Age Healthcare

Person

Community

Primary

Secondary

Tertiary

Individual Self-care

Friends & Family

Community Networks

Professionals as Facilitators

Professionals as Partners

Professionals as Authorities

Transformation

Through

Cost-Effective Use

of Information &

Communication

Technologies

Industrial Age Healthcare Information Age Healthcare

Source: Adapted from Malaysian Telemedicine Blueprint


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Changing Role of Patients

Patient

PassiveRole

Information given

Top down delivery

PaternalisticMedicine

ePatient

Active(engaged role Role

Seek out information (Internet)

Partner in delivery

Participatory Medicine


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Health systems challenges we all know

them..

Increasing Demand due to: Ageing Populations

Rise of Chronic Diseases

Already Stretched Services

Planned Reform of Health

Services Universal Health Insurance

Money Follows the Patient Formation of Hospital Groups

Current ICT Issues Current Ireland ICT budget 0.85% vs. EU

average 2-3%. Lack of understanding of benefits


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Ireland eHealth Strategy : Methodology

Extensive Research 8 countries, EU and Non-EU

Benefits/ROI and Lessons Learned

eHealth week in Dublin in May eHealth Brings

Patient Centric, Empowerment

Higher Quality

Safer and more Transparent

Easier Access, Cost Efficiencies

Prevention Focus

Economic (Jobs) Impact

Analysis of EU and WHO Policy


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eHealth Benefits

To Ireland

Population Wellbeing Healthier Citizens

Empowered and Mobile citizens Patient as Consumer

Focus on prevention Healthy Ireland

Keep people out of hospital Supporting the clinical Programs

Health Delivery Service Benefits Deliver Higher Quality, Lower Cost,

Easier Access, Higher Transparency Supporting UHI , MFTP

Move to Patient-Centric system Chronic Disease Management / Tele health/care

Will enable Planned Reform Program : Supporting Money Follows the Patient

Economic Development Export-driven jobs creation : Some good examples of that in Ireland

eHealth start-ups :

Ireland Ideally placed for new Services : industry leader in Pharma, ICT harware and softwar

and Medical Devices


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International Experiences

Summary of Findings...

(Based on 8 countries analysed)

1. Dedicated delivery entity with proper

focus, governance and authority2. Deploy in phases. Avoid big bang

approach.

3. Use interoperability standards

4. Strong stakeholder and clinical

engagement from the outset.

5. National Health Identifier is crucial.

6. Strong branding and pubic awareness

7. Skills shortages need to be addressed at

all educational levels


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Implementation

Create eHealth Ireland Fully focussed delivery entity

Made up of stakeholder organisations Health, DJEI, Agencies, Academia etc

Full Fiscal Oversight 4 Key Functions

Project Delivery (ePrescribing, Telehealthcare etc)

Ecosystem Creation

Patient Empowerment

Economic Impact Realisation Key Enabling Functions

Legal and regulatory

Technical interoperability

Health identifier

Branding and Public awareness
http://www.google.ie/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=5Au8qUvSpIG28M&tbnid=TE6YymveTQ_zVM:&ved=0CAUQjRw&url=http://www.gencat.cat/salut/ticsalut/formularis/workshopaal.html&ei=kjZAUsjVAaHe7Ab5noHIBw&bvm=bv.52434380,d.ZGU&psig=AFQjCNHLpOVd3a66HxHet2SYlw2kROKzSg&ust=1380026370747708http://www.google.ie/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=e4fQTBD37utU1M&tbnid=h3tlaxxqDq7x1M:&ved=0CAUQjRw&url=http://www.hieanswers.net/mass-hiway/&ei=HzZAUuGnE8nE7Abj-IHoDQ&bvm=bv.52434380,d.ZGU&psig=AFQjCNEuHbn0vvOOqFcuZgQ5g7YHOECDsg&ust=1380026260990500http://www.nehta.gov.au/http://www.google.ie/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=DnhAK9GiZKv6WM&tbnid=JewR0JBrdK3R-M:&ved=0CAUQjRw&url=http://www.medicine.mcgill.ca/symposiumruismcgill/Commanditaires_en.htm&ei=WzRAUqeiArTb7AampoGwBA&bvm=bv.52434380,d.ZGU&psig=AFQjCNHWHeBSbzXNAmLx3Sztw3S--csoLQ&ust=1380025747994858http://www.medcom.dk/wm1


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eHealth Innovation

Ecosystem

Build a World Class Innovation Ecosystem

Collaborative Environment Academia

Industry

Health Services

Cross Border

International Alliances (e.g. EU/US)

Focus on Commercialisation

Open-up services to R&D

E.g. Horizon 2020 Funding Promote Entrepreneurship

Start-ups support

VC funds, incubators

Export-led Jobs Creation


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eHealth Innovation Ecosystem

Models in Catelonia, Northern Ireland, Manchester, New

York.


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Proposed Timelines


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Key Actions

1. Create eHealth Ireland and source requisite leadership.

2. Develop full Business Plan Input (funding and resources) from Govt depts, agencies, academia and others

Set up governance structure including board.

Strongly branded entity eHealth Ireland Resource internally where possible.

3. Begin Work on Priority Programs

ePrescribing, Online Referrals and Scheduling, Telehealthcare and others

4. Begin work on Enabling Functions

Legal, Regulatory, Standards, Branding and others.

5. Coordinate with Govt agencies to drive Economic Benefits program.

6. Health Identifier Bill due by end October Work with partners to ensure Identifier is deployed in a timely manner.


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Its only beginning

American Health care is one of the last great industries toremain largely undisturbed by information technologyrevolution of the past few decades

Vijay Vaitheeswaran, The Economist, November 22, 2010

Medicine has built on a long history of innovation, from thestethoscope and roentgenorgram, to the MRI. Doctors haveembraced each new technology to advance patients care. But

nothing has changed clinical practice more fundamentallythan one recent innovation: the Internet.

Pamela Hartzband and Jerome Groopman , New EnglandJournal of Medicine.


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Thank you for your time

An EHealth Strategy for Ireland

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