How ecosystems can support mHealth?

Bringing improved population wellbeing, health service efficiencies and economic opportunity through the use of technology enabled solutions.

Background

• Drivers for mHealth and for eHealth are obvious for many

• Not always very well understood by policy makers

• The challenges are universal

Health  systems  challenges  …..we  all  know  them…..• Increasing Demand due to:

• Ageing Populations• Rise of Chronic Diseases

• Already Stretched Services

• Planned Reform of Health Services in Ireland• Universal Health Insurance• Money Follows the Patient• Formation of Hospital Groups

4

mHealth is about transformation

Person

Community

Primary

Secondary

Tertiary

Individual Self-care

Friends & Family

Community Networks

Professionals as Facilitators

Professionals as Partners

Professionals as Authorities

Transformation Through Cost-Effective Use of Information & Communication Technologies

Industrial Age Healthcare Information Age Healthcare

Source: Adapted from Malaysian Telemedicine Blueprint

Opportunities that mHealth provides

• Empowered patients•

• Safer and better quality services

• More efficent services by eliminating multiple transactions

What are the barriers to m-health enablement

• Health Care transactions – Are complex– About people when they are vulnerable– Services delivered by multiple professionals, multiple

providers over many locations– Change processes to bring about change are not

simple– Legal issues – Technology issues– Privacy and confidentiality issues

Privacy  is  a  key  issue  …..

Ireland’s  contribution

• Ireland held the EU Presidency in Jan-June 2013

• We held eHealth week last May

• Meeting of EU Ministers and Experts

• The Irish Declaration agreed at that meeting about ehealth ecosystems

The Dublin Declaration, May 2013

• “A  strong commitment to developing eHealth ecosystems in support of reforming health systems and innovation was demonstrated by all participants”.

• “eHealth  ecosystems, comprising health and social care providers, industry, research institutions, authorities and …..  represent a positive response to the opportunities and challenges in a specific geographical area, and can accelerate the development and adoption of innovative solutions …..  providing real and tangible ….  benefits  for individual patients and other citizens”.

Intel Quadruple Helix Innovation

Government, Academia, Industry and Citizens collaborating together to drive structural changes far beyond the scope of any one organization could

achieve on it’s ownGovernment/Public

Academic

Industry

Citizen

What did the Declaration say about ecosystems?

• Improve the understanding of healthcare needs• Support the health reform process• Improve user acceptance for improved process

management• Increase understanding and exploitation of new

and innovative public/ private business models• Provide the rationale to build the necessary

partnerships• Incentivise plans for pilot-to-deployment, and• Create multi sector synergies

All parties agreed to..

• Strengthen the coordination of all policies related to e-Health

• Promote an ecosystem dialogue• Implement disruptive innovation schemes, • Facilitate the use of cross-sectoral high risk,

but high value solutions• Accelerate the implementation of existing and

proven devices and processes

Ecosystems  Innovation  …..moving  out of the Lab

Intel

Centralized inward looking innovationClosed Innovation

Ecosystem centric, cross-organizational innovation Innovation Networks Ecosystems

Externally focused, collaborative innovation Open Innovation

Ireland update

• eHealth strategy finalised and published

• eHealth Ireland entity• CIO• Health Identifiers Bill• APJ 2014• MoU with NI

Its  only  beginning……

American Health care is one of the last great industries to remain largely undisturbed by information technology revolution of the past few decades

– Vijay Vaitheeswaran, The Economist, November 22, 2010

Medicine has built on a long history of innovation, from the stethoscope and roentgenorgram, to the MRI. Doctors have embraced each new technology to advance patients care. But nothing has changed clinical practice more fundamentally than one recent innovation: the Internet.Pamela Hartzband and Jerome Groopman , New England Journal of Medicine.

Ecosystems supporting mHealth

Thank  you  for  your  time…….