The document discusses breaking down silos in healthcare through connected health ecosystems. It notes that chronic diseases account for most health spending and aims to improve outcomes, care management, staff efficiency, and resource use through mobile health. Northern Ireland's ecosystem brings together health, social care, education, research and private sectors to facilitate integration and economic growth. This includes developing interoperable devices and systems, compiling population data, and using mobile technologies to improve care speed and effectiveness. The ecosystem is expected to benefit quality, services, efficiency, patient experience and economic development by enabling better information sharing and integration across sectors.
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Andrew McCormick DHSSPS #MWC14 #mHealth
1. Breaking Down Silos,
Accelerating Mobile Health
through
Ecosystems
Andrew McCormick
Permanent Secretary DHSSPS, and
Chief Executive Health and Social Care Northern Ireland
25 February 2014
Mobile World Congress
Barcelona
2. Chronic Disease Challenge
Department of Health (2008 ) Raising the profile of long term conditions care
INIsPHO (2010) Making ChronicConditions Count
60% of all GP
visits
72% acute
bed days
69% of
health &
social care
spend
2/3s of over
75s
Population 1.8M
H&SC budget
£4.5bn
Rising to £4.66Bn
in 2014/2015
3.
4. Leadership of Change
Political mandate for Reform to all aspects
of health and social care services in
“Transforming Your Care”
Quality 2020 and new Public Health
strategy – in context of integration
eHealth as a tactical game-changer that
can:
– show everyone the possibilities for change
– facilitate new business models
– raise quality and effectiveness
– Promote innovation and technology
5. Connected and Mobile Health
Information (and all its uses) is the key to
changing the paradigm
Need for focus on real aims
– better outcomes for patients
– better management of care
– better ways of working for staff
– better use of resources
6. Connected and Mobile Health
A New and Clearer Focus, for the times
we are in
– Triple aim (IHI) of improving population
health, patient outcomes and efficiency – a
value based, clinician led care model
– Enhancing value depends fundamentally on
information – ideally at patient level
– Enabling technology is obviously central
– Making the most of the opportunities for
integration
7. Aspects of eHealth in the
Northern Ireland Ecosystem
Helping the health and social care system
work better – useable, interoperable
devices and systems for professionals and
support staff to use to do their jobs
8. Aspects of eHealth in the
Northern Ireland Ecosystem
Helping the health and social care system
work better – useable, interoperable
devices and systems for professionals and
support staff to use to do their jobs
Gathering, compiling and processing
population level data for research and
planning
9. Aspects of eHealth in the
Northern Ireland Ecosystem
Helping the health and social care system
work better – useable, interoperable
devices and systems for professionals and
support staff to use to do their jobs
Gathering, compiling and processing
population level data for research and
planning
Applying devices to measure and transmit
data to improve the speed and
effectiveness of care
11. Change of Paradigm
Oldthink
Episodic Care
Logic and Analysis
Hierarchies
Big plans big
implementation
Self contained system
siloes
Newthink
Continuous Care
Value based direction
Motivation of all
Small works
Interaction, fertile
creativity of new ideas
All enabled by better integration of
services, as information breaks down
the silos
12. Connected Health and Prosperity Agenda
in Northern Ireland
Memorandum of Understanding signed December 2011
by Health and Economy Ministers
Steering Group – Government agencies, universities
and private sector
Action Plan September 2012- mandate for innovation,
including:
Development of the NI Connected Health Eco
System, along with international linkages
Eco-System tasked with addressing health and social
care priorities to support implementation of the
Northern Ireland Health and Social Care
Transformation programme
14. Primary, Secondary and
Community Care
Domiciliary
services
Assisted
Living
services
Care
Homes
services
Technology devices, equipment and
services
Consumer healthcare products and
services
Industry
Commissioners of Healthcare
Commissioners of Social Care
Pharmaceutical
ICT / telecoms
CONSUMERS
PATIENTS
PEOPLE
US
Public Providers University & Research Organisations
15. Benefits from the Eco-System
Improved engagement across the sectors
Researchers and industry understand health
priorities
Innovation and R&D can be targeted more
effectively
Supports the dual objectives of improving health
and well-being and developing a sustainable
economy
Identified opportunities for innovative
procurement and a project on medicines
adherence is underway
16. Overview of an ECH Alliance Ecosystem
1. Collaboration of the willing
2. Flexibility about how each is organised
– evolving, work in progress & not prescriptive
3. Virtual Operating Board
4. Regular Members Business Meetings
5. ECH Alliance promotes dissemination of
best practice, ideas & solutions between
its Ecosystems & wider international
collaboration.
PERMANENTECOSYSTEMS
