e-Innovation procurement
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Transcript of e-Innovation procurement
e-Innovation procurement
Hospital Sant Pau - UPC Barcelona Tech
Experience
Josep Picas
Hospital Sant Pau. CIO
• Significant and sustainable improvements in the
quality and efficiency of health and social care
can be obtained trough the procurement of
R&D services that can lead to solutions and
technologies that do not yet exist and that will
outperform the solutions available on market
Accelerating the Development of the eHealth Market in Europe
eHealth Taskforce report 2007
European Commission
Information Society and Media
Agenda
• First project. e-dis Dysphagia Tele-Rehabilitation
• Projects in development and assessment.
• Last challenge: e-blood Living Lab.
• Conclusion: R2R methodology for e-Innovation.
• Where & How: SP-KC & ACO
e-dis. Disphagia Tele-Rehabilitation
Why exercise with ?
It exits evidence that swallow
musculature increase strength/tone
with non-swallow excercises and
increased strength/tone translates into
improved function.• Clark H: Therapeutic exercise in dysphagia management: philosophies, practices, and challenges. Perspectives on swallowing and
swallowing disorders. Newsletter for the Dysphagia Special Interest Division of the American Speech-Language-Hearing
Association 14(2):24–27, 2005
• Logemann J: The role of exercise programs for dysphagia patients. Dysphagia 20(2):139–140, 2005.
• Robbins J et al. The effects of lingual exercise on swallowing in older adults. J Am Geriatr Soc. 2005;53(9):1483-9.
• Burkhead LM et al. Strength-Training Exercise in Dysphagia Rehabilitation: Principles,Procedures, and Directions for Future
Research. Dysphagia 2007; 22: 251–65.
6
7
How much costs a dysphagic pt?
Presential
• Videofluoroscopy: 381,25 €
• Dysphagia clinical evaluation
and treatment: 146,80€ x pt
• Transportation if needed x 15
days.
Distance treatment
• Videofluoroscopy: 381,25 €
• Dysphagia clinical evaluation
and treatment:
• 19,57€ (2 inhospital
visits).
• 1 therapist / 2 pts: 63,61€
• Total cost: 83,18€ x pt
• Transportation if needed x
2 days.• Computer: 304,99€
• Modem + internet connection: 30€/month
7
Projects in development & assessment.
Patient
Therapist
Projects in development & assessment.
Last challenge: e-blood Living Lab
Simulator for theoretical assessments.
Blood Bank
Blood Donor
Patient
Conclusion.
R2R methodology for e-Innovation.
Market
Multidisciplinary
ResearchMedical / Business / Technology
Health System and authorities
Users of
ServicesHospital
Primary
Care
Knowledge Center
as a driver of innovation at Sant Pau University Hospital
Center of Biotechnological Knowledge and Industrialists Demonstrator for
Innovation in Public Health
Sant Pau - Knowledge Center (SP-KC)
Funded: 1.3 M Euros:
NATIONAL PLAN OF SCIENTIFIC RESEARCH, DEVELOPMENT AND
TECHNOLOGICAL INNOVATION (2008-2011)
• Platform of Innovation - Mision
• To improve patient care by facilitating collaboration among patients, scientists, engineers/technologists and clinicians
• To catalyze the discovery, development and implementation of innovative technologies
• Emphasizing minimally invasive approaches, e-health and primary care
The need and the opportunity – Sant
Pau’s Knowledge Centre (SP-KC)• A „Multi-tasking Simulation Environment‟
• an area that could simulate one or more real-
world health-related settings, allowing rigorous
testing and rapid improvement of eHealth
innovations before they are introduced into real
environments
• equipped with high-capacity graphic
workstations with supercomputing and server
capabilities, data gathering equipment
(cameras, video network processors, etc.),
high-quality printing devices, complete
hardware for the simulation of various modular
environments, testing and observation rooms,
and work stations.
• A „Demonstrator Area‟
• Space for the
demonstration of
the products
generated in the
laboratory itself or
transferred to
industry or other
researchers who
wish to convene its
products and its
customers /
audiences in an
environment of
health validation
‘e-Health
• Laboratory
• Demonstrator
Simulation
• Citizens
SURGICAL
PROCEDURES
EMERGENCY
SERVICES +
CRITICAL
CARE
DIAGNOSTIC
PROCEDURES
ACO: Accountable Care Organizations
HOSPITAL
A.P. H.Primary
Care
Center
PATIENT CENTERED
“MEDICAL HOME”
?
Supporting
Clinical
Leadership
Accountable care organizations
Accountable care organizations: A new idea for managing Medicare
The goal of ACOs is to encourage physicians and hospitals to
integrate care by holding them jointly responsible for Medicare
quality and costs.
By Jane Cys, amednews correspondent. Posted Aug. 31, 2009
Dartmouth Institute for Health Policy and Clinical Practice and the Engelberg Center for
Health Care Reform at Brookings Institution
The ACO also would need a designated administrator and a formal
organization that could serve as a point of contact, work with
payers, monitor performance and collect any shared savings. The
physicians, hospital and other ACO members would need to agree
on how to divide any earned bonuses.
Summary
• e-Innovation procurement
• Traslational Research
• Living labs platforms (Tech + Ideas + Business
Models + Citizens)
• R2R methodology for e-Innovation.
• Approach to a sustainable model of funding
www.santpau.cat
Thank you !!
Josep M Picas
Sant Pau Hospital. CIO
Josep M Monguet
UPC- I2 Cat. Professor
Jaume Kulisevsky
Sant Pau Hospital Research Institute. Director