WELCOMEmICF Collaborative WORKSHOP 22-4 June 2015Helsinki, Finland
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Successful consensus-based partnerships develop solid trust relationships
NAME, City, Country,
ProfessionEmployer
1-2 thing that nobody here will
know / guess about you?
PHOTO
1. What MOTIVATED you to be here? Why are you here?
2. What are your EXPECTATIONS? What would you like to get out of this workshop?
3. What VALUABLE CONTRIBUTIONS would you hope to make towards the mICF collaborative?
Getting on the same page
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ICF Spring: Part of the health revolution
Back then…• Introduction of
basic sciences in medical curricula• Doubling of
human lifespan1910
100 years later…
November 2010
HEALTH EQUITY
PATIENT-CENTREDNESS
INTEGRATEDCOMMUNITY-BASED
CARE
INTERPROFESSIONAL EDUCATION &
COLLABORATIVE PRACTIVE
(catalyst for change)
INSTRUCTIONAL
TRANSFORMATION
(health professions education)
INSTITUTIONALREFORM
(interdependence in providing healthcare)
RATIONALE FOR mICF
is driven by the global priority to reach
REFORMING HEALTH
SYSTEMS
HEALTH EQUITY
through
TRANSFORMING HEALTH
PROFESSIONS EDUCATION
TRANSFORMING HEALTH PROFESSIONS EDUCATION
Bio-psycho-social-spiritual approach incorporating complex interrelatedness of
• changes in body functions and body structures,• functioning and fulfilling life roles, • in the context of the barriers and facilitators of • environmental factors influencing health• (including social determinants of health)
which required competencies related to a
a person-centred approach
HOLISTIC CARE, SHARED DECISION-MAKING AND PATIENT-REPORTED OUTCOMES
resulting in
through
creating the opportunity for
PATIENT-DRIVEN DATA
RATIONALE FOR mICF
is driven by the global priority to reach
HEALTH EQUITY
through
TRANSFORMING HEALTH
PROFESSIONS EDUCATION
REFORMING HEALTH
SYSTEMS
implying
to provide
ultimately resulting in
which is dependent on
obtained by utilising paradigm-shifting
REFORMING HEALTH SYSTEMS
BIG DATA
PREDICTIVE HEALTH CARE
• Universal health coverage,• reducing institutionalised care and • focusing on preventative healthcare
a focus on community-based practice through• health-education harmonisation
(interdependence),• breaking down silo's and professional
tribalism, • embracing interprofessional collaborative
practice,• and decreasing power relations
PATIENT-DRIVEN DATA
RATIONALE FOR mICF
is driven by the global priority to achieve
REFORMING HEALTH
SYSTEMS
TRANSFORMING HEALTH PROFESSIONS EDUCATION
ultimately resulting in predictive health
careperson-centred approach
holistic care, shared decision-making, patient-reported outcomes
resulting in
through
big data
which is dependent
made possible by
resulting in
contributing to reaching
Individualised healthcare in a strengthened health system
MOBILE TECHNOLOGY UTILISING ICF
through through
PATIENT-DRIVEN DATA
creating the opportunity for
obtained by utilising
paradigm-shifting
HEALTH EQUITY
FDRG: Beijing 2013, London 2014 & Barcelona 2014
Aims of mICF
1. assist providers and users of health services in the front line to identify a person's problems in terms of the ICF (functional status and contextual information), and
2. To develop a user-friendly mobile application to amalgamate ICF-related data centrally.
Aim 1: Objective 1
1. Develop the specifications for the mICF to enable programmers to develop the application.
Activities
Requirement survey Partnership development Literature review Barcelona & Cape Town
Aim 1: Objective 2
2. Provide a means for providers and users of health services to collect and transfer ICF-related information to facilitate the continuity of care
Activities Agile and iterative developing of mICF
application Develop and test Minimum Viable
Product (MVP)to develop a first product/service
with the minimum effort and minimum cost that is still really useful
Aims 2: Objectives and Activities
To investigate the development of a user-friendly mobile application to amalgamate ICF-related data centrally
1. Convey information securely between service
2. Ensure a sustainable and cost-effective platform
3. Facilitate administration and reporting
4. Providing person-centred feedback to inform shared decision-making
Mobile ICF enhanced with Big Data Analytics
Private and Confidential Copyright Novolibri 2014
It is envisaged that the mICF will
ensure accurate and efficient capture of functional status and contextual information,
convey information securely between service providers in different service settings,
facilitate clinical decision-making by making person-centred data readily available,
facilitate administration and reporting through the aggregation of the data and
minimise the need for repeat data collection.
The envisaged benefits of the mICF would be to:
Empower providers and users of health and related services
Enable continuity of care Capture the interactions between ICF
components to facilitate Understanding of the complexity of
interactions between health and contextual factors
Person-centred decision-making and goal setting
Interprofessional and transprofessional collaborative practice
Amalgamate data to help strengthen systems.
Progress made over past 2 years
Fund raising efforts
CHEC / NRF (South
Africa) Tekes (Finland) Horizon 2020
application USA investigating…
“mICF can be a game changer in addressing health inequity by facilitating the necessary institutional reform as well as the transformation of health professions education by utilising patient-driven and patient-owned data to optimise individualised healthcare and to strengthen health systems.
It could facilitate the dawn of a new era of universally affordable, accessible, personalised, predictive, sustainable, integrated, community-based interprofessional and transprofessional health and social care”
Work packages
WP 1: Coordination and management
Ensure the effective and efficient execution of work program according to the time plan and budget
Provide efficient financial management and oversight
Ensure the achievement of mICF’s objectives as outlined in the work plan
Report to and liaise proactively with funders and all mICF partnership
WP2: Content specificationsThe overall goal of this work package is to provide evidence-based ICF-related content — based on a bio-psycho-social-spiritual approach in the context of an ethical, human rights and legal framework — for the development of mICF. The specific objectives of WP2 are to
define ICF-related content for different patient journeys (e.g. Older persons, adults with chronic diseases, vulnerable children and youth) by:
Specific objectives of WP2 Embedding the content in the context of
ethics, human rights and legislation Developing and refining questions (i.e. what
questions to ask and how to ask it) Identifying appropriate responses to the
potential answers to questions (i.e. identify the qualifiers)
Selecting relevant patient-reported outcome measures i.e. PROMs
Specific objectives of WP2 Determining ways to use ICF and PROMs in
optimising a service user’s assessment, enabling shared decision-making and interprofessional goal setting.
Utilising technology to link the use of natural language to ICF codes and qualifiers.
Translating the content to other languages Refine the content specifications based on
iterative development cycles (WP3) and feedback from the disciplined in-market experimentation (WP4).
WP3: Lean minimum viable product (MVP) design and technical implementation
specify and create the technical service design and implementation for the minimum viable product (MVP) service platform, including
the mobile solution on selected terminals
as well as the backend solution for integrated care by applying lean, agile, iterative and continuous, interactive person-centred service design methods.
For that, Service Design Toolkit (91) and lean UX methods will be used in close collaboration with WP2 and WP4.
design and implementation of the Big Data and computer modelling platform that will be used to process and analyse ICF assessment data.
WP3: Objectives for main phases of (technical) design process are
Learning: learn the user needs based on tests and feedback.
Creating: collaborative ideation and creation of solutions that support findings.
Testing: test/experiment the solutions in a relevant way and collect/analyse feedback.
WP3 Description of work tasks
1. MVP development project management
2. Specifications of the MVP
3. Mobile solution (front end) development and prototyping
4. Backend service platform development
5. End-to-End testing and product development environment
6. Big Data analytics solution & integrated care GUI
7. Hosting and maintaining the backend & Big Data services
WP4 Disciplined in-market experimentation
Objectives Users of the mICF Define and implement metrics to assess
user experience and data validity in different user groups, e.g. older persons, adults with chronic diseases enrolled in community based rehabilitation, vulnerable children and youth
Define which requirements are to be fulfilled in order to accept a part of mICF to be released to clinical and scientific use
WP4 Disciplined in-market experimentation
Tasks Field test preparation Train clinician users in the use of ICF Capture feedback regarding usability
data from users Capture feedback regarding
discrepancies of data entry between patient users and clinicians
Compile data from the different test sites
WP 5: Impact and economic evaluation
Cost and effect analysis post-6 months of usage of the mICF by user group individuals (e.g. older persons, adults, and children or their caregivers) and healthcare professionals in various countries.
Through quantitative and qualitative methods measure the impact of the mICF on user groups (e.g. older persons, adults and children or their caregivers).
Compare the satisfaction of healthcare professionals’ use of the mICF product to current products used by healthcare professionals.
WP 5: Impact and economic evaluation
Demonstrate the interoperability of the mICF with other electronic health record products.
Share the findings of the impact and cost evaluation as soon as data is analysed (linkage to WP6).
Conduct economic evaluation; benefits, effectiveness and costs of mICF use.
WP6: Dissemination and Market Introduction
Application of appropriate commercialisation techniques to guide the project from the (1) innovation phase, through the
(2) incubation phase with agile commercialisation, to an
(3) acceleration (or scaling) phase.
The most important outcome is a mature offering with sustainable benefits that are repeatable in a market segment that responds predictably and that yield a critical mass of references representative of an early majority of the technology adoption curve.
WP6: Dissemination and Market Introduction
Continuous dissemination of research and development results (e.g. mICF website, social media, training events, user support, presentations, academic and non-academic publications)
Implementation of a pragmatic marketing strategy addressing the “4 Ps”, namely Product, Place (Distribution or Sales Channel), Promotion and Price.
Creating the blueprint for a marketing and early sales organisation
WP# Work Package Title Facilitators
1 Coordination and management
Stefanus Snyman, Heidi Anttila with WP facilitators
2 Content specifications Heidi AnttilaThomas Maribo
3 Lean Minimum Viable Product (MVP) design and technical implementation
Petteri WeckstromDirk Wagener
4 Disciplined in-market experimentation
Olaf Kraus de CamargoPatricia Saleeby
5 Impact and economic evaluation
Joanne Valerius
6 Dissemination and Market Introduction
Stefanus Snyman
Work groups for Helsinki
Content specification (WP 2) [Heidi & Thomas] Questions, answers & Proms
IT Team (WP3) [Petteri & Dirk] Get everything ready for the word “go”
Research and Literature (WP 4 & 5) [Olaf & Joanne] Overall research framework
“Generic” funding proposal
Finish outstanding articles
Prepare Manchester abstracts (due date 15 June)
“Contract research” from other WPs
DISCUSSION
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