rationale for icf education

ICF education: rationaleFirst International Symposium: ICF Education

5 June, Helsinki, Finland

Stefanus SNYMAN1, Heidi Anttila2 & Olaf KRAUS de CAMARGO3

1 University of Stellenbosch, South Africa 2 National Institute for Health and Welfare, Finland

3 CanChild, McMaster University, Canada

1

@icfmobile

Interprofessional collaboration and transforming health professions education

Stefanus Snyman@stefanussnyman

5 June 2015 2

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

is driven by the global priority to achieve

REFORMINGSYSTEMS FOR

HEALTH

HEALTH EQUITY

through

TRANSFORMING HEALTH

PROFESSIONS EDUCATION

TRANSFORMING HEALTH PROFESSIONS EDUCATION

Bio-psycho-social-spiritual approach incorporating the 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)• personal factors influencing health

which required competencies related to a

a person-centred approach

HOLISTIC CARE, SHARED DECISION-MAKING AND PERSON-REPORTED OUTCOMES

resulting in

through

creating the opportunity for

PERSON-DRIVEN DATA

RATIONALE

is driven by the global priority to reach

HEALTH EQUITY

through

TRANSFORMING HEALTH

PROFESSIONS EDUCATION


HEALTH

Integrated community-based care – reforming systems for health

Heidi Anttila@anttilaheidi

5 June 2015 10

Universal health coverage

• World Health Organization (WHO) aims at re-engineering primary health care with emphasis on community-based, person-centered care

• The International Classification of Functioning, Disability and Health (ICF), provides standardized information structure and common language across professionals, to describe the lived experience of a person’s real life situation

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12

Reforming systems for health– universal health coverage

From• Institutionalized care• Silos and professional

tribalism• Hierachical power relations• Linearity (cell-organ-body-

disease-disability)• Professional only

(”objective”)• Crisis-focussed and

reactive

Towards• Community-based • Embracing

interprofessional collaborative practise

• Holistic care, shared decision-making

• Complexity (interactive bio-psycho-social)

• Person-reported (”subjective”)

• Preventative and predictive

5 June 2015

Health care reform: Example: Sub-Saharan Africa

• To ensure effective interprofessional communication and continuity of care

• Nurses, community health workers, other health professionals

Example:• Challenge by 2015:

1 million community health workers needed

• One of the solutions: Mobile phones

5 June 2015 13

Health and social care reform: Example: Finland

• To create a novel service structure for Finland's public social welfare and health services.

• Equal, client-centred and high-quality services, smooth service and care chains throughout the country.

• Services should be close to the users, situated quite close for many people or provided electronically or as a mobile service as part of people's everyday lives.

5 June 2015 14

Omahoitopolut.fi

Support for the citizen to actively maintain healthy and active

lifestyle

24.4.2015 FT Heidi Anttila

Use of web: 27% 75-89 y 92% 16-74 y

Renewal of services must be supported by ICT solutions

5 June 2015 mICF International Partnership 16

implying

to provide

ultimately resulting in

which is dependent on

obtained by utilising paradigm-shifting

REFORMING SYSTEMS FOR HEALTH

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,• decreasing power relations,• and using information technology

PERSON-DRIVEN DATA


HEALTH



predictive health care

person-centred approach

holistic care, shared decision-making, patient-reported outcomes

resulting in

through

big data

which is dependent

contributing to reaching

through through

PATIENT-DRIVEN DATA


obtained by utilising

paradigm-shifting

HEALTH EQUITY

HOW??

Patient-Driven Big Data – Towards Personalized Care

Olaf Kraus de Camargo


Striving to personalize care

• Anticipate/predict the needs of the user• Use the most common codes necessary to describe a certain

condition• Development of Core-Sets:

– 2001 - 2005: 26 publications– 2006 - 2010: 76 publications– 2011 - 2015: 110 publications

• Stroke, Depression, Breast Cancer, Chronic Ischaemic Heart Disease, Rheumatoid Arthitis, Osteoporosis, Low Back Pain, Pain, Chronic Health Conditions, Head and Neck Cancer, Spinal Cord Injury, Sleep Disorders, Guillain-Barré-Syndrome, Hearing Loss, Incapacity to Work, Shoulder and Hand Problems, Traumatic Brain Injury, Cerebral Palsy, Autism Spectrum Disorders, etc.

• Care follows diagnostic or functional labels

5 June 2015 20

Evidence Based Practice includes the Patient


EBM Triad copryright 2013 Florida State University, College of Medicine. All rights reserved.

You Need to Empower to Engage


Institute of Medicine, I. O. M. (2013). Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement: Workshop Proceedings. The National Academies Press. Retrieved from http://www.nap.edu/openbook.php?record_id=18397

Shared Decisions Need Clear Information


Institute of Medicine, (2013). Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement: Workshop Proceedings, The National Academies Press.

Example:mICF Information System

5 June 2015 24

What is Big Data?


http://www.politik-forum.eu/viewtopic.php?p=2909009

Desire Lines


http://lemasney.com/consulting/2014/02/03/33-365-desire-lines-design-principle/

How will mICF be developed?

• Data will be person-driven, facilitating shared decision-making and well-coordinated, holistic, continuity of care across various service settings

• Personal health data will be processed securely, informing a patient-empowering bio-psycho-social approach

• Big data analytics will enable personalised, predictive care

• Proof-of-concept validation across the globe will include low-and middle income countries

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5 June 2015 28

• Clinical studies will focus on older people, as well as children and adults with chronic diseases

• State-of-the-art service design will entail iterative in-market experimentation, and impact and economic evaluation

• An extensive dissemination strategy, in close collaboration with the International mICF Partnership, will focus on change management, allowing new patient pathways and interprofessional collaboration

• Lean, agile commercialisation will ensure sustainability and the development of new business and service solutions adhering to ethical and legal regulations

Our Desire Lines…

5 June 2015 29http://homepage.ntlworld.com/davesplace/Chistory.htm

• ICF big data describe each person with an personalized functional profile, focusing on the lived experience and taking into account relevant localized environmental factors.

• ICF big data avoid labeling by diagnostic or functional category

• ICF big data facilitate personalized care

Cor(e)sets are getting out of fashion!

5 June 2015 30http://homepage.ntlworld.com/davesplace/Chistory.htm

• ICF big data describe each person with an personalized functional profile, focusing on the lived experience and taking into account relevant localized environmental factors.

• ICF big data avoid labeling by diagnostic or functional category

• ICF big data facilitate personalized care

5 June 2015 31

mICF International Partnership

mHealth solution based on International Classification of Functioning, Disability

and Health

The mobile ICanFunction App (mICF)

@ICFmobile

Facebook: ICanFunction

RATIONALE FOR ICF EDUCATION

is driven by the global priority to achieve


FEALTH



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

Personalised healthcare in a strengthened

systems for health

TECHNOLOGY UTILISING

ICF

through through

PATIENT-DRIVEN DATA


obtained by utilising

paradigm-shifting

HEALTH EQUITY

rationale for icf education

Health & Medicine