e-health and e-clinical governance

e-Health and e-Clinical GovernanceMilano, 12 novembre 2015

Roberto Mollica, MD

Tecnologia e Addiction: nuove sfide e nuove strategie – Milano 12 e 13 novembre 2015

Roberto Mollica has no conflict for financial, professional, private or personal interests or advantages in relation to contents presented.

Images and their representations are property of the cited owners (public and private industries/companies) which published them in the internet and have been used as example of technological solutions offered by the market or to accomplish and sustain explanation of contents.

DISCLOSURE


Introduction to innovative solutions in the addiction field


AccortoFurboScaltroAstutoArgutoSpiritosoBrillanteEleganteBelloSofisticatoVivaceEnergicoVigorosoSveglioBravoIntelligenteMordaceCausticoImpertinenteSfacciatoArrogante


232=4,3x109 2128=3,4x1038

Digital&Social divide

Servizi Telemedicina Connettività

AlfabetizzazioneAddestramento

InteroperabilitàSistemi

Users DevicesBanda

larga/ultralargaGestori tel

Hot spot wi-fi

Nativi digitaliImmigrati digitali

Tardivi digitali

ClientiCaregivers

Professional

e-Medical Recorde-Health Record

FSE

SicurezzaRiservatezza

Portabilità - riuso

SmartphoneTablet

Laptop - PC

Applicativi e-healthApplicativi m-

healthServizi on-line

EmpowermentSelf management

Riqualificazionee-CF

Internet of ThingsBig-open-linked

data

Smartcities

e—Healthcare System



https://ec.europa.eu/digital-agenda/en/digital-europe


Literacy???


Education???

~1/3 digital natives

Framework transitions – Digital natives


Framework transitions – Digital natives


Framework transitions – Digital connected



Disruption!!!

Guardare oltre lo schermo


1993

2015


Wearable devices



WINWINWIN

Framework transitions – the ExposomeWhat is the Exposome?

At its most complete, the exposome encompasses life-course environmental exposures (including lifestyle factors) from prenatal period onwardsA comprehensive measurement of all exposure events (exogenous and endogenous) from conception to death


Start with

strategy

Transform your

business and

decision making

Analize your data

Report your

results

Measure metrics

and data

Data driven decision management


Cyber-entropy?

Strategic and business plan


Data (quality)

Info (analysis)

Knowledge (dissemination)

Impact (value)

Ricognizione e valutazione flussi(adeguatezza, congruenza, validità)

Analisi flussi e potere informativo(amministrativo, clinico, organizzativo)

Produzione reportistica mirata(report semiautomatici, ad hoc)

Utilizzo strategico delle informazioni(spendibilità, applicabilità)



The biggest problem is that you have to ask the right questions.

Dati clinici 10%Professionisti della

salute

Dati genetici 30%Laboratorio

Dati esogeni 60%Prodotti da clienti

Personal health data ‘suite’


Why addiction?

FEATURES• Preventable chronic relapsing

disease• Very early onset (adolescence, early

adulthood)• Lifelong health, psycho and social

consequences

OPPORTUNITIES• Subjects already ‘’digital’’ and

connected• Subsceptible to early preventative

interventions• Brain plasticity as resource to

recovery

People suffering from addiction could be more susceptible by wearables as well as other e-solutions (EMA, EMI, serious games,

web-based interventions) in order to improve their:- Healthy lifestyles

- Disease management

Addiction


Personal data ‘suite’



It is not the strongest species that survives, nor the most intelligent, but the most responsive to change

Charles Darwin


Education???


Professional (re)qualification

Nel 2025 il 25% delle attività lavorative sarà gestito da intelligenza

artificiale o robot

In UK il 35% dei lavori è stimato a

rischio di sostituzione con

soluzioni automatizzate


Artificial Intelligence is Here


Siri e Watson stanno

evolvendo più rapidamente di quanto si pensi


Sono in fase di sviluppo sistemi ibridi

composti da intelligenza artificiale e

intelligenza umana


3 categoriesArtificial Narrow Intelligence (ANI)

Artificial General Intelligence (AGI)

Artificial Superitelligence (ASI)

Weak AI – specialized in one area

Strong AI – “a very general mental capability that, among other things, involves the ability to reason, plan, solve problems, think abstractly, comprehend complex ideas, learn quickly, and learn from experience.”

“an intellect that is much smarter than the best human brains in practically every field, including scientific creativity, general wisdom and social skills.”



NanotecnologiaStampa 3DManipolazione epigeneticaIntelligenza ibrida

e-Health and e-Clinical Governance


Professionals sideCare providers

Clients sideCure demand

Support change Support accessibility

EducationLiteracy Pay for valueSatisfaction Empowerment Self managementEngagement

OpenessLean organizationLeadership modelSystems interoperabilityTraininge-CF

e—Healthcare Governance

Matching supply and demand

Connectivity Devices

e–health solutionsm–health solutions

On-line servicesBig-open-linked data

Internet of Thingse-learning

MOOC

Instruments

APPROPRIATENESS – Outcome, not only volume


‘’Fare innovazione in modo originale e coraggioso’’ (cit. Massimo Mangia)

Non digitalizzare l’organizzazione as is ma promuovere la riorganizzazione in funzione delle soluzioni digitali disponibili



Affidarsi all’adozione di soluzioni tecnologiche a

supporto del cambiamento dei

tradizionali modelli di intervento ormai

anacronistici.

Evitare di essere travolti e subire passivamente la

quarta evoluzione industriale.


Abbandonare ideologie e romanticismi per trovare soluzioni pragmatiche utili,

moderne, convenienti ed efficaci.

e-health and e-clinical governance

Health & Medicine