beyond connected health to connected wellbeing prof. jonathan wallace professor of innovation...

Beyond Connected Health

to Connected Wellbeing

Prof. Jonathan WallaceProfessor of Innovation

Director of Knowledge & Technology Transfer,Faculty of Computing & Engineering, University of Ulster, Northern Ireland

Faculty ofComputing &Engineering

InnovationSupportOn Your

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Not Here To . . .



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Demographic Ageing – The Ticking Timebomb

• According to the most recent United Nations estimates, the human population of the world is expected to reach 8 billion people in the spring of 2024.

• These are the first fully aged societies in human existence

• Manifest shift from institutional to community care

• Vocabulary of improved “individual autonomy” and “quality of life”

• Demographic & social trends suggest supply of family / informal care is finite:– people living longer

– declining birth rate

– greater inclusion of women into the work force

– spiralling divorce rate



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Healthy Ageing In Place

Many people experience unwanted or avoidable care encounters

• High costs and poor accessibility may mean putting off seeking care when early intervention would be better

• Many chronic patients are poorly served by care in hospitals – yet for many that is where they end up

• Systems often reward activity regardless of the overall outcomes

Infectious diseases1900-1950

Episodic care1950-2000

Personalised care 2000-

Health needs are evolving yet services have been slow to catch up

Source: George MacGinne - © PA Knowledge Limited 2012.



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Transformation from Industrial Age Medicine to Information Age Connected Healthcare

Source: Adapted from Malaysian Telemedicine Blueprint

Industrial Age MedicineInformation Age Medicine

& Connected Health

Transformation Through Cost-Effective Use of Information & Communication Technologies

Person

Community

Primary

Secondary

Tertiary

Individual Self-Care

Friends and Family

Community Networks

Professionals as Facilitators

Professionals as Partners

Professionals as Authorities



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Level 0: Population Wide Prevention

Level 1: Self Care / Supported Self Management (70-80% of chronic disease patients)

Level 2: Disease Management

(High Risk)

Level 3: Case Management

(Complex Risk)

Kaiser Triangle Model



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What Exactly Is Connected Health ?

• Not one specific technology !

• Spans every echelon of health care from first response/emergency medical systems through tertiary medical speciality consultations to the support of informal care in the home including motivation and behavioural change, medical education and information dissemination.

• It needs to be standards-based e.g. HL-7 and ensure interoperability.

“TECHNOLOGY”

IT IS NOT JUST SIMPLY NEITHER CAN WEFaculty of

Computing &Engineering


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More Than TechnologyAt Home

Provision of IntegratedTechnologies & Services

Tailored to SupportIndependent Living



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“The Wellness Paradigm”• The “Wellness Paradigm” – shift of responsibility

for health and well-being into patients’ hands

• “Home-centred capability is expected to become a catalyst for a huge health paradigm shift from last-minute heroic intervention to consumer-driven individualised prediction, prevention, early detection and maintenance”

(Herman, 2001)



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Expanded Chronic Care Model



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Information Veracity



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Social Media



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“DON’T SAY anything online that you wouldn’t want plastered on a billboard with your face on it” Chris Pirillo

Social Media• The impact of social media on how people now communicate

cannot be underestimated.

• Social media can be used both as an engagement tool and to analyse public, stakeholder and service user perceptions.

• Mental health service providers in the US are increasingly using social media to disseminate information, provide preventative and after-care, and reach out to those averse to receiving care.

• Social media can be invaluable as a way of providing 24/7 contact with mental healthcare professionals, A&E or after-hours GP care.

• To be successful, social media activity needs careful planning and to be properly resourced with a social media policy in place.



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• App for identification and support of clients with Perinatal and Postnatal Depression

• EQ5D QoL Self Assessment App

New Research Student Projects in Collaboration with Local Trusts

3 key themes emerging that are critical for change:

• Creating and deploying stratified medicine

• Challenging established structures through commercial model innovation

• Including greater patient insight

• Changing reimbursement to reward population health

Delivery of more effective patient outcomes based on the integration of new technologies, business models and partnerships

Patient Centric Healthcare

• Removing cost and improved access to new models of healthcare delivery.

• Patients becoming active partners in care management

• Accessing new data and information

• Developing eHR, medical devices, virtual health and wider technical infrastructure

Effective use of connected technologies is enabling a shift from curative/reactive healthcare to prevention and health management

Intelligent Health

Delivering health reforms to create healthier communities and maintain universal access

Healthcare Reforms

• Keeping universal access affordable

• Re-organising health services around people’s needs and expectations

• Securing healthier communities

Source: George MacGinne - © PA Knowledge Limited 2012.



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Thank You

[email protected]

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beyond connected health to connected wellbeing prof. jonathan wallace professor of innovation...

Documents

self care

personalised care

echelon of health care

support of informal

supply of family informal

connected healthto

health needs

medical education