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eHealth @ Hanze UAS

eHealth @ Hanze UAS. Hugo Velthuijsen, professor New Business & IT. Health and IT: worlds apart?. Societal issues in rural areas. Demographic change necessitates new solutions. Demand for and costs of healthcare are increasing

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eHealth @ Hanze UAS

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  1. eHealth @Hanze UAS Hugo Velthuijsen, professor New Business & IT

  2. Health and IT: worlds apart? New Business & ICT

  3. Societal issues in ruralareas Demographic change necessitates new solutions • Demand for and costs of healthcare are increasing • Supply of (potential) caretakers is decreasing shortage in skilled employees • Also, necessary shift from intramural to extramural ► maximize number of people that live in “regular” housing • North East Netherlands is at the front of this change in The Netherlands • Technology is considered to be instrumental in solving issues resulting from resource shortage: • Money • Personnel • Dedicated housing New Business & IT

  4. Challenges Health & Techology Common analyses national ánd international • Known bottlenecks: • Attitude andwillingnessto change patientsandclients • Attitude andwillingnessto change healthcare professionals • Limited or missing ‘medicalevidence’ • Lack of knowledge on availablesolutionsandhowtousethem • Lack of standardisation • Lack of sustainable business case • Law & regulations, e.g. privacy Source: www.ehealthnu.nl/barrieres and Actionplan eHealth implementation research, ZonMw, april 2013 New Business & ICT

  5. Developments in Health & Technology Meanwhile…. But the goodnews is…. Developments in the Netherlands: • Acknowledgment healthcare insurers • Awareness in healthcare industry • Self management patients • Access to personal health records • Planning appointments with specialists • Growing need for synchronisation in care supply • Growing need for communication & interaction on patient level (health literacy) • Growing need for sharing with peers • Growing sense of urgency to resolve those bottlenecks New Business & IT

  6. Health and IT: how to build a bridge • “intercultural cooperation” • Create common language/common culture • Co-makership • Integral approach: strategy, organisation, finance, technology New Business & ICT

  7. Benefits of IT • Main benefits of IT • facilitating access tocomprehensiveanddetailedpatient data • supportingadherencetoguideline-based care • improving the process of care • increasingindependenceforpatientsinclself management • But IT is oftenassociatedwith • Quality control • Distractionfromcaregiving New Business & ICT

  8. Adherence to guideline-based care • Process steps • Options • Values • Standardisation • Ease of use • Collaboration New Business & ICT

  9. The process of care Source: Ordening in de wereld van ehealth, Whitepaper, Nictiz, 24 augustus 2012 New Business & ICT

  10. The process of care Source: Ordening in de wereld van ehealth, Whitepaper, Nictiz, 24 augustus 2012 New Business & ICT

  11. The process of care Source: Ordening in de wereld van ehealth, Whitepaper, Nictiz, 24 augustus 2012 New Business & ICT

  12. Ehealth topics NB&ICT Alignment between healthcare and technology educations • Active and Healthy Lifestyle and IT (mHealth, blended treatment, serious gaming, biofeedback loops: Quantified Self). • Healthy Ageing @ Work (biofeedback loops: Quantified Self) • Independent living solutions • Dementia, Living lab, and eHealth • eHealth and organisational change 24-8-2014 New Business & ICT 12

  13. Healthy@Work sensors Biofeedback loops to improve “fitness for the job” database • A database that stores output of all the sensors in use by employees. • A tool that analyses the sensor output data to distil relevant information out of this data and to allocate relevant suggestions for employees and employers. • An interface for employees to view their own information and suggestions to improve working habits and/or lifestyle, typically made available via a smart phone or tablet and/or website • A web-based interface for employers to view aggregated information on employees’ overall fitness and to offer suggestions for possible HR interventions analytics

  14. Independent Living Interreg project iAge defines needs-driven solutions schedule Closing windows advanced audio system Internet access Info services contact peeers contact clubs contact friends traffic scheduling contact family Video communication Contact neighbours contact gen practitioner e-consult door camera fire alarm burglary alarm door opener EMR fall detection alarm button stove protection hotline carer sport / exercise online shopping groceries sleep monitor delivery groceries 1 NB Maslow used for organising ideas, not as a preferred model needs New Business & ICT

  15. Independent Living Intelligent monitoring of Mentally Handicapped People Development of a system of telemonitoringandautomatedinterventionssupporting independent living of mentallyhandicappedpeople. Mentallyhandicapped • IQ ca 50-85 • Needfor a regulated life without excesses • Poor sense of time, duration, location, distance, risks, good or evil • Poor sense of cause & effect, if-then, takinginitiatives, planning, finishing • Current support • Human interventions: observation, signalling, intervention • Mostlyreactive • Improvements: • Automatic observation, signalling , intervention • Improving independence of clients • Support more proactivethanreactive • Support more tacticalthanoperational • Decrease of incidents andescalations • System • Sensors and actors in homes • Expert system thatinitiatesinterventionsgivenobservedsituations New Business & IT

  16. Dementia Computer Aided Virtual Environment for patients with dementia • CAVE project • Aimed at improvingwellbeing of patientswith dementia • Stimulating memories with images, sounds, smells • Genericandspecific content • Living Lab: Research environment with sensors observing: • Reactions & interactions • Physicalsigns of well being • Mentalstates • Research questions: • Whichinterventions improve well being? • How can we measure well being? • What are potential benefits for the healthcareorganisation New Business & IT

  17. Ehealth and organisational change • Change management and co-creation (Agile) • Business modelling • IT maturity • Managing success and failure • Evolving standards of “evidence-based” 24-8-2014 New Business & ICT 17

  18. STOF Business Model Framework Ehealthandorganisational change MARKET DYNAMICS e.g. changing customer demands competition Best practices during all steps of the development process BUSINESS MODEL Service Domain ValueProposition Market Segment Requirements NETWORK VALUE e.g. revenues Design Technology Domain Functionality required Financial Domain Coststructure Profitpotential TECHNOLOGICAL ADVANCEMENTS Experiments CUSTOMER VALUE e.g. ease of use, costs, experience Pilot Organisational Domain Structure of value network Implementation CHANGES IN LEGISLATION e.g. antitrust and privacy legislation Source: ehix.nl New Business & ICT

  19. Thank you!

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