ibm health and social programs summit: trends & directions

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Hear from: Martin Duggan, Director, IBM Curam Research Institute Hans-Horst Konkolewsky, Secretary General, International Social Security Association (ISSA) Tracy Wareing, Executive Director, American Public Human Services Association (APHSA) John Halloran, CEO, European Social Network (ESN) Steven Lieber, President and CEO, Health Information and Management Systems Society (HIMSS) Learn more: http://www.ibm.com/software/products/en/category/health-social-programs

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Page 1: IBM Health and Social Programs Summit: Trends & Directions
Page 2: IBM Health and Social Programs Summit: Trends & Directions

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Page 3: IBM Health and Social Programs Summit: Trends & Directions

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Day Two General Sessions

1. Trends & Directions

• Martin Duggan, Director, IBM Curam Research Institute

• Hans-Horst Konkolewsky, Secretary General, International Social Security Association (ISSA)

• Tracy Wareing, Executive Director, American Public Human Services Association (APHSA)

• John Halloran, CEO, European Social Network (ESN)

• Steven Lieber, President and CEO, Health Information and Management Systems Society (HIMSS)

2. Innovation That Matters: Roadmap for Smarter Care & Social Programs

• Oisin Clark, Director, Director, IBM Smarter Care & Social Programs Development and Product Management

• Amy Santenello, Director, Director, IBM Smarter Care & Social Programs Product Management

• Ronan Rooney, Director, Programs of Care, IBM Research

3. Innovation That Matters: Partner Ecosystem

Mike Hortatsos, Channels IBM Smarter Care & Social Programs

Panel 1: Solution Delivery with System Integrators

• Andrew Wishart, Partner, Deloitte

• Ashish Mukherji, President, eSystems

• Thomas Stockdale, Business Development Manager, Wipro

Panel 2: New Solution Capabilities with Technology Partners

• Mahesh Chavan, President & CEO, Connvertex

• Patty Donaldson, Executive Vice President, Diona

• Daniel Lakier, Director, RedMane

• Dr. Robert J. Dudzinski, Executive Vice President, West

Corporation

Page 4: IBM Health and Social Programs Summit: Trends & Directions

© 2014 IBM Corporation

Martin Duggan

Director, IBM Cúram Research

Institute

#ibmhsps14

Trends & Directions

Page 5: IBM Health and Social Programs Summit: Trends & Directions

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Bridging the Gap Between Policy and Service Delivery

Visit us at:

www.ibm.com/curam-research-institute

IBM Cúram Research Institute

Linkedin Group

http://linkd.in/1yv7fme

Research Partners

Page 6: IBM Health and Social Programs Summit: Trends & Directions

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New Thought Leadership

Papers in Production

• “Integrating Health and Social

Care – a global perspective of

experience, best practice and

the way forward”

• “Can Social be Social:

Empowering Citizens toward

Social and Economic

Participation Through Social

Media and Mobility”

Evaluating 2015 program

Page 7: IBM Health and Social Programs Summit: Trends & Directions

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Promoting excellence in

Social Security

Hans-Horst Konkolewsky

Secretary General

International Social

Security Association

(ISSA)

Page 8: IBM Health and Social Programs Summit: Trends & Directions

Promoting excellence

in social security

www.issa.int

Proactive and preventive social security:

Investing in people

Hans-Horst Konkolewsky

ISSA Secretary General

IBM Health and Social Programs Summit, October 20-21, 2014 ǀ Washington, DC

Page 9: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

06/11/2014 9

International Social Security Association

The leading international organization for social security institutions,

departments and agencies

Headquarters based in Geneva (ILO)

Founded in 1927, ISSA counts today around 340 members in 160 countries

Provides international professional standards in social security

administration and services to support their implementation as well as

databases, information, research, expert advice and platforms for

members to build and promote dynamic social security systems

worldwide

Page 10: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

06/11/2014

The ISSA Strategic Vision

“To promote dynamic social security as the social dimension in a

globalizing world through supporting excellence in social security

administration”

Proactive and preventive approaches represent a key dimension

of dynamic social security

Page 11: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

Supporting sustainability

Supporting employment

and activity

Proactive and Preventive Social Security

Promoting health

Sustaining responsibility and

capacity for action

Page 12: IBM Health and Social Programs Summit: Trends & Directions

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Part 1 «Because everyone matters»

A new, integrated prevention approach addressing

both safety, health and well-being at work

Page 13: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

06/11/2014 13 13

Prevention is facing increasing complexity

A changing world of work Impact of globalization An ageing workforce Trend from safety to health and wellbeing

Work and non-work related factors

Page 14: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

06/11/2014 14 14

From work accidents to diseases

Global incident rates for fatal accidents

have over 10 years (1998-2008) been

reduced by more than one third from

16.4 to 10.7, while incident rates for fatal

diseases are stagnating

85 % of all 2.3 million work-related

fatalities annually are caused by

occupational diseases

Source: ILO 2011

Page 15: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

06/11/2014 15 15

WHO (2010) OECD (2010)

Increase in chronic diseases

and mental health disability inflows

Percentage of new disability grants due to mental ill-health, 1990-2008

Page 16: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

Model by Dr. Paul A. Schulte (NIOSH) 2013

A holistic view on prevention needed

Well-being of

the workforce

Well-being of

the population P

r

e

v

e

n

t

i

o

n

Work

threats to

well-being

Non-work

threats to

well-being

Work-

related

factors

Non-

work-

related

factors P r o m o t i o n

Page 17: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

17

The individual at the centre of

prevention

The health and well-being of

the individual must be at the

centre of prevention

Not only as a worker, but as a

whole person

Not only at the workplace,

but in society at large

Page 18: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

The ISSA’s 3-dimensional approach to prevention

06/11/2014 18

Page 19: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

The ISSA’s 3-dimensional approach to prevention

06/11/2014 19

Page 20: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

The ISSA’s 3-dimensional approach to prevention

06/11/2014 20

Page 21: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

The ISSA’s 3-dimensional approach to prevention

06/11/2014 21

Page 22: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

Socio-economic benefits of prevention

Various studies calculating the potential return on

occupational risk prevention come to a similar

cost-benefit result of 1:2.2 (EC benOSH, ISSA RoP and OPPBTP, France)

Workplace health promotion leads to reductions of

approximately 25% in sick leave, health plan costs

and workers’ compensation and disability

insurance costs (Meta-evaluation by Larry S. Chapman, USA)

The potential benefits of return-to-work

programmes are likewise considerable, both for

employees, enterprises and social security

systems e.g. a RoI for SocSo, Malaysia, of 1:2.4

06/11/2014 22

Page 23: IBM Health and Social Programs Summit: Trends & Directions

The ISSA Centre

for Excellence:

A roadmap to good

governance, high

performance and

service quality in

social security

administration

23

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Stage 1:

Obtain knowledge

Page 25: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

Obtain knowledge: The ISSA Guidelines

Guidelines for 8 core areas: Good Governance

Service Quality

Information and Communication Technology

Contribution Collection and Compliance

Investment of Social Security Funds

Return to Work and Reintegration

Workplace Health Promotion

Prevention of Occupational Risks

Guidelines in preparation

Actuarial Valuations

Communication by Social Security Institutions

Extension of Coverage to Difficult-to-Cover Groups

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Page 26: IBM Health and Social Programs Summit: Trends & Directions

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Part 2 – From «Payer» to «Player»

The ISSA’s prevention guidelines and new Centre for

Excellence in social security administration

Page 27: IBM Health and Social Programs Summit: Trends & Directions

Social Security - from “Payer” to “Player”

3 ISSA Prevention Guidelines

Page 28: IBM Health and Social Programs Summit: Trends & Directions
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www.issa.int

Promoting excellence

in social security

29

ISSA Guidelines on risk prevention

Chapters and topics (37 guidelines)

Basic conditions for prevention programmes –

framework for prevention (legal, programme and

stakeholders) and institutional settings (strategy,

resources, infrastructure)

Prevention activities and services – information &

communication, economic incentives, occupational

diseases, consultation service, R&D, skills and training,

collaboration and networking, prevention culture,

SME’s, specific risks

06/11/2014

Page 30: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

The guideline:

standard or principle

What: Structure

How: Mechanism

Selected good

practices

Page 31: IBM Health and Social Programs Summit: Trends & Directions

Improving health and well-being

at the workplace

Page 32: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

32

ISSA Guidelines on health promotion

Chapters and topics (29 guidelines)

Establishment of basic conditions for WHP - legal

framework, role of institution, synergies and

partnerships

Needs assessment, planning and priority setting

WHP activities and services – motivation and

incentives, services and support to workplaces

06/11/2014

Page 33: IBM Health and Social Programs Summit: Trends & Directions
Page 34: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

34

ISSA Guidelines on Return-To-Work (RTW)

Chapters and topics (32 guidelines):

Basic RTW principles and guidelines – arguments in

favour, legal and policy basis, stakeholders, promotion

Specific RTW principles and guidelines – holistic

approach, early intervention, individual approach, active

participation, collaboration with stakeholders,

qualification of experts, monitoring and evaluation

06/11/2014

Page 35: IBM Health and Social Programs Summit: Trends & Directions

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Stage 2

Self-assessment – define priorities

Page 36: IBM Health and Social Programs Summit: Trends & Directions

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Stage 3

Implement improvements

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Stage 4

Achieve recognition

Page 38: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

Summary - 5 steps to excellence

1. Select the sets of Guidelines important to your organization

2. Complete the online self-assessment, and receive a prioritized action

plan

3. Connect with the ISSA Support Centre for advice in implementation,

and access to experts in your field

4. Participate in the ISSA Academy workshops for practical support

5. Evaluate your progress and gain ISSA recognition

38

Page 39: IBM Health and Social Programs Summit: Trends & Directions

www.issa.int

Promoting excellence

in social security

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Conclusion

Proactive and preventive approaches represent a key dimension of

dynamic social security; an investment in people and in the

sustainability of social security and health systems

At the workplace the risk of exclusion is growing, as health and well-

being at work increasingly are influenced by both occupational and

non-occupational factors

More unified approaches are needed with focus on the individual,

supplementing classical risk prevention measures with health

promotion and return to work programmes

ISSA prevention guidelines and Centre for Excellence strengthen the

prevention capacities of workers compensation boards and promote a

major change in their role from “Payer” to “Player” in that process

06/11/2014

Page 40: IBM Health and Social Programs Summit: Trends & Directions

THANK YOU

40

Page 41: IBM Health and Social Programs Summit: Trends & Directions

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Transforming the Human

Services System

Tracy Wareing

Executive Director

American Public Human

Services Association (APHSA)

Page 42: IBM Health and Social Programs Summit: Trends & Directions

What’s Shaping the Path Forward?

Integrated Policy

Modern Platforms

Innovation Labs

Investing in Outcomes

Science Co-creation

Page 43: IBM Health and Social Programs Summit: Trends & Directions

Integrated Policy Setting the Stage to Integrate

• Multiple Federal-level cross agency efforts underway

• OMB as a key influence

• Busting confidentiality myths

• A-87 Cost Allocation Exception

• State and Local Agencies Leveraging Opportunities

Page 44: IBM Health and Social Programs Summit: Trends & Directions

Modern Platforms Enabling Transformation • Modernizing legacy systems • Designing Apps supporting

modern customer interfaces • Aligning business processes and

flow to modern service delivery • Aligning workforce capacities

with modern approaches • Attracting the Millennial

workforce to the public sector

Page 45: IBM Health and Social Programs Summit: Trends & Directions

Innovation Labs Creating Learning Opportunities

• Embedding R&D in business model; use of learn by doing approaches

• Consumer voice driving change

• Offices of innovation at federal, state and local levels; growing numbers of innovation grants

• Similar efforts underway in other countries

Page 46: IBM Health and Social Programs Summit: Trends & Directions

Investing in Outcomes Identifying & Scaling What Works

• Data-driven reporting tools; transparency in reporting

• Predictive Analytics

• Rapid Cycle Evaluation

• Social Impact Financing

Page 47: IBM Health and Social Programs Summit: Trends & Directions

Science Applying What Science Tells Us

• Brain Science; Executive Functioning

• Behavioral Economics

• Framing – how to tell the story of impact

Page 48: IBM Health and Social Programs Summit: Trends & Directions

Co-creation Partnering for Collective Impact

• Requires new and sometimes unlikely alliances

• Eyes on the same prize – shared ownership in measuring and articulating impact

• Shift from linear/contractual to dynamic/outcome driven public-private partnerships

Page 49: IBM Health and Social Programs Summit: Trends & Directions

What is government’s (and the public’s) tolerance level for creativity (a necessary component to innovation)? What are the short and long term implications of the highly polarized political environment? How will changing demographics (e.g., aging population) impact service delivery? •How will technology advance or disrupt the path ahead? Can government keep pace with the rapid change in technology?

•What “known knowns” will be unknown tomorrow?

The Unknowns

Page 50: IBM Health and Social Programs Summit: Trends & Directions

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15 Years promoting

Social Services in Europe

John Halloran

CEO

European Social Network

(ESN)

Page 51: IBM Health and Social Programs Summit: Trends & Directions

John Halloran CEO, European Social Network

esn-eu.org

Page 52: IBM Health and Social Programs Summit: Trends & Directions

About ESN

Page 53: IBM Health and Social Programs Summit: Trends & Directions

Setting

the context

Page 54: IBM Health and Social Programs Summit: Trends & Directions

Challenges

Page 55: IBM Health and Social Programs Summit: Trends & Directions

So

what’s new?

Page 56: IBM Health and Social Programs Summit: Trends & Directions

Making

a difference

Page 57: IBM Health and Social Programs Summit: Trends & Directions

Making a difference

Some examples…

Education - Sweden

Elderly - Germany

Disability - Netherlands

Mental health - Ireland

Page 58: IBM Health and Social Programs Summit: Trends & Directions

…? Data

Planning

Personalised

Evidence

Page 59: IBM Health and Social Programs Summit: Trends & Directions

So

what’s

next?

Page 60: IBM Health and Social Programs Summit: Trends & Directions

Thank you! esn-eu.org

Page 61: IBM Health and Social Programs Summit: Trends & Directions

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Transforming

Healthcare Through IT

Steven Lieber

President & CEO

Health Information and

Management Systems

Society (HIMSS)

Page 62: IBM Health and Social Programs Summit: Trends & Directions

Better Health Through IT:

Quality, Value and

Continuity of Care

H. Stephen Lieber

President & CEO, HIMSS [email protected]

Model Information

http://himssanalytics.org/emram/continuity.aspx

Page 63: IBM Health and Social Programs Summit: Trends & Directions

• Mission: Transform health through information technology

• Services: Education, events, analytics & consulting, media, communities

• Reach:

– Operate in 20+ countries

– Annually reach more than 600,000 professionals

Introduce You To HIMSS

Page 64: IBM Health and Social Programs Summit: Trends & Directions

Quality

– IT is a Strategic Asset

Value

– ROI is a Must

Executive Engagement

– Change executive perception of IT

Key IT Strategic Themes Today

Page 65: IBM Health and Social Programs Summit: Trends & Directions

• Better care outcomes at lower consumption of resources

• Break down silos across care providers to achieve:

– A dynamic interconnected community wide focus:

• Health Information Exchange

• Coordinated patient care

• Patient engagement

• Advanced analytics

• HIMSS has developed global model to provide comparative framework, gap analysis, and directional guidance

How: Focus on Patient not Episode

Page 66: IBM Health and Social Programs Summit: Trends & Directions

• Provide new perspective (to America) and guidance

• Support strategies towards a dynamic interconnected community wide focus:

• Healthcare Information Exchange

• Coordinated patient care

• Patient engagement

• Advanced analytics

• Complement to existing EMR Adoption Models

• EMRAM

• A-EMRAM

Model Purpose

Page 67: IBM Health and Social Programs Summit: Trends & Directions

• Global applicability

• Primary Target Audiences:

– Regional & National Health Authorities / Ministries of Health

– Integrated Delivery Networks (IDN’s)

– Health Management Organizations (HMO’s) /

Accountable Care Organizations (ACO’s)

– (Private) care chains

– Large hospitals with tethered care providers

Target Audiences

Page 68: IBM Health and Social Programs Summit: Trends & Directions

IT S

yste

m

Ca

pa

bili

ties

Org

an

ization

Str

ate

gy

Sta

nd

ard

s &

Inte

ropera

bili

ty

Health

Info

rmation

Exch

an

ge

Patient C

are

Coo

rdin

ation

Patient &

Citiz

en

Em

pow

erm

ent &

Engagem

ent

Advan

ced

Analy

tics

Pan

-

org

aniz

ational

Cap

abili

ties

Po

licy-l

evel

Initia

tives

Model Scope

Page 69: IBM Health and Social Programs Summit: Trends & Directions

Health

Information

Exchange

Care

Coordination

Citizen

Engagement

Advanced

Analytics

Page 70: IBM Health and Social Programs Summit: Trends & Directions

• Basic Health Information Exchange Focus

– Stage 0 – Data Capture, Very Limited Data Exchange

• Essentially no electronic exchange

– Stage 1 – Basic Peer to Peer Data Exchange

• View only portals, push pull on demand

– Stage 2 – Basic System to System Exchange

• Both structured and unstructured data

• Patient access to administrative functions and education content

• Care Coordination

– Stage 3 – Normalized Patient Record

• Normalized data, agreed upon formats, de-duplication

• Composite patient record taking shape, orders, results of participants

– Stage 4 – Actionable Data

• Standardized data, semantic interoperability

• Event based actions fire across the multi-provider care team

Different Stage Expectations

Page 71: IBM Health and Social Programs Summit: Trends & Directions

• Patient Engagement

– Stage 5 – Applied Information

• Bi-directional real time or near real time data

• Solid communal governance processes

• Risk stratification begins

• Patient & Consumer submitted data

• Advanced Analytics

– Stage 6 – Closed Loop Care Coordination

• Community wide record including paraclinical care team

• Cross vendor, cross provider workflows & predictive alerting

• Non sharing due to competition is out of the question

– Stage 7 – Knowledge Driven Engagement

• All provider types

• Completely coordinated, including health maintenance and wellness

• Patient control of PHR

Different Stage Expectations

Page 72: IBM Health and Social Programs Summit: Trends & Directions

Summary Considerations

• The Journey to better health

– Few have it figured out as care changes unfold more rapidly than health care

responds

– You have to know where you are to know where you need to go

(Assess Plan Act)

– Government plays a critical role; issues bigger than a single setting

– IT is a strategic assets just like facilities, medical staff, financial resources; use it

that way

Page 73: IBM Health and Social Programs Summit: Trends & Directions

Thank You.

Steve Lieber

HIMSS President & CEO

[email protected]

Page 74: IBM Health and Social Programs Summit: Trends & Directions

74

Panel

• Hans-Horst Konkolewsky, ISSA

• John Halloran, ESSN

• Tracy Wareing, APHSA

• Steven Lieber, HIMSS

• Moderator: Martin Duggan

Page 75: IBM Health and Social Programs Summit: Trends & Directions

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