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ICT for supporting eCare

ICT for supporting eCare. Mate Beštek, Andrej Brodnik {mate.bestek,andrej.brodnik}@upr.si Koper, May 22 nd , 2014. Motivation General interoperability Intervetions implemented in a project eCare Specific tools and frameworks for interopearability. B ased on projects

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ICT for supporting eCare

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  1. ICT forsupporting eCare Mate Beštek, Andrej Brodnik {mate.bestek,andrej.brodnik}@upr.si Koper, May 22nd, 2014 M. Beštek, A. Brodnik: ICT for supporting eCare

  2. Motivation • General interoperability • Intervetions implemented in a project eCare • Specific tools and frameworks for interopearability M. Beštek, A. Brodnik: ICT for supporting eCare

  3. Based on projects • E-health care process support – eCare • https://eoskrba.pint.upr.si/ • Financed by Research Agency of RS and Ministry of Health RS • E-health on a crossborder area • http://e-health-ita-slo.eu/ • Interreg project M. Beštek, A. Brodnik: ICT for supporting eCare

  4. E-health care process support – eCare Chronic noncommunicablediseases represent an important and growing threat to sustainability of health care systems. To fight this challenge reserves in health care system need to be better utilized and health care innovation is needed. The unoptimal care process and poor patient engagement in this process are key topics of this project. eHealth enables relatively quick and effortless implementation of innovative health care services. The project will use years of experience of consortium partners to develop, implement and evaluate innovative health care interventions, utilizing eHealth and contemporary organizational approaches. M. Beštek, A. Brodnik: ICT for supporting eCare

  5. E-health on a crossborder area The E-health project aims to increase the quality of life through the development of coordinated health and social systems, and specifically the Italian and Slovenian patients’ quality of life through ICT (Information and Communication Technology) tools and new technologies. M. Beštek, A. Brodnik: ICT for supporting eCare

  6. Issues for eHealth Integration • Interoperability • Integrated systems that can use the shared data in a meaningful way. • Systems can exchange data in a standardized way. • Systems can collaborate in a meaningful way. M. Beštek, A. Brodnik: ICT for supporting eCare

  7. Issuesfor eHealth Integration • Sustainability • as part oftheSustainableDevelopment: • “sustainable development is development that meets the needs of the present without compromising the ability of future generations to meet their own needs. • as part oftheTripleBottom Line approach to businesssustainability: • “Triple Bottom Line (TBL) approach to business sustainability” is based notonly on economic performance, but also environmental and social accomplishment M. Beštek, A. Brodnik: ICT for supporting eCare

  8. Issuesfor eHealth Integration S U S T A I N A B I L I T Y I N T E R O P E R A B I L I T Y ENABLES M. Beštek, A. Brodnik: ICT for supporting eCare

  9. Issuesfor eHealth Integration Enterprise I N T E R O P E R A B I L I T Y S U S T A I N A B I L I T Y Organizational ENABLES Semantic Technical M. Beštek, A. Brodnik: ICT for supporting eCare

  10. Technical Interoperability • Technical standards and agreements on system interconnection • Webservices collaboration • Informationrepresentation formats • Middleware • Platforms • Networkconnectivity, • Accessibilityand security Enterprise Organizational Semantic Technical M. Beštek, A. Brodnik: ICT for supporting eCare

  11. Semantic Interoperability Enterprise • Data and representation schemas • XML standards (generic and sectoral) • General ontologies • Metadata sets • Unifiedcode lists • Core components • Data elements • Glossaries Organizational Semantic Technical M. Beštek, A. Brodnik: ICT for supporting eCare

  12. Organizational interoperability • Process representation and alignment • Collaborativeprocess design • Businessprocess re-engineering for interoperability • Collaborativeorganizational models Enterprise Organizational Semantic Technical M. Beštek, A. Brodnik: ICT for supporting eCare

  13. Enterprise interoperability • Legislation and business rules representation and alignment • Collaborativebusiness models • Collaborativeenterprise goal setting • Cross enterprise and international supply chain collaboration • Example: epSOSproject, Parentproject Enterprise Organizational Semantic Technical M. Beštek, A. Brodnik: ICT for supporting eCare

  14. How much of interoperability is enough? • You don‘t want too much focus and lose focus on the main project goals • You don‘t want too little focus on it and create Just Another Silos – Detached Data Warehouse • Learn from past experience of other projects! • Reuse as much as possible! M. Beštek, A. Brodnik: ICT for supporting eCare

  15. Interoperability Sample Projects • epSOS • Parent • NwHIN • eCare M. Beštek, A. Brodnik: ICT for supporting eCare

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  21. Motivationforthe eCare project x Healthy Condition x x Chronic condition At risk Interventions: Saltintake Diabetes mg. Pre-diabetes mgmt Excercise Pre-hypert. mgmt Hypert.mg. Semantic Interop. -OpenEHR -MLHIM Depression mg. Stressmgmt Mentalfitness Platform M. Beštek, A. Brodnik: ICT for supporting eCare

  22. Sport Activity • Obesity Interventions • Diabetes • Asthma • Schizophrenia x Healthy Condition x x Chronic condition At risk M. Beštek, A. Brodnik: ICT for supporting eCare

  23. Stakeholders • Healthcare System • General Practitioners (GPs) – Primary Level • Hospitals – Secondary Level • National Institute for Public Health – Tertiary Level • Specialized Clinics – Tertiary Level • People in different roles: • Healthy, Patients • Doctors, Nurses • … M. Beštek, A. Brodnik: ICT for supporting eCare

  24. Interventions • Definition: • How to Design? • How to Deploy? Psychology Medicine ICT M. Beštek, A. Brodnik: ICT for supporting eCare

  25. How to Design Interventions? • Behaviour Change Techniques • Doctors as business analysts (BPMN2) • Doctors model clinical knowledge (OpenEHR) • Care manager role is crucial • Collaboration is established • Educational content is provided • … M. Beštek, A. Brodnik: ICT for supporting eCare

  26. Interventions – general • Patient empowerment • Doctors as business analysts (BPMN2) • Doctors model clinical knowledge (OpenEHR) • Care manager role is crucial • Collaboration is established • Educational content is provided M. Beštek, A. Brodnik: ICT for supporting eCare

  27. Intervention #1: Diabetes • University of Ljubljana, Chair for Family Medicine • Diabetes Type 2 • Primary sector (GPs) ~ 20 • The nurse is the care manager • Patients receive tasks and are notifed of them through different channels • Clinical trial was conducted M. Beštek, A. Brodnik: ICT for supporting eCare

  28. Intervention #2: Asthma • Secondary sector (University Clinic of Respiratory and Allergic Diseases Golnik) • The nurse is the care manager • Patients receive tasks and are notified of them through different channels • Clinical trial was conducted M. Beštek, A. Brodnik: ICT for supporting eCare

  29. Intervention #3: Schizophrenia • Secondary sector (Psychiatric hospital Begunje) • Family members play an active role of care managers together with nurses • Patients receive tasks and are notified of them through different channels • Additional role – relatives • The tasks were games for cognitive improvement M. Beštek, A. Brodnik: ICT for supporting eCare

  30. Intervention #4: Obesity • Tertiary sector (The National Institute of Public Health of the Republic of Slovenia) • Clinical trial was conducted • 12 locations in Slovenia • Patients receive tasks and are notified of them through different channels • Focused on educating the obese M. Beštek, A. Brodnik: ICT for supporting eCare

  31. Intervention #5: SportActivity • General public • Clinical trial was conducted • Patients receive tasks and are notified of them through different channels • Dynamic workout plans were assigned to people • Workout plans changed according to the feedback M. Beštek, A. Brodnik: ICT for supporting eCare

  32. Interventions Common Elements • Behaviour change techniques (tailoring, alarms,…) • We reused BPMN2 care process models • We reused OpenEHR clinical knowledge models • The design and development was iterative and incremental in its nature M. Beštek, A. Brodnik: ICT for supporting eCare

  33. How to Deploy Interventions? • eCare in the Cloud • Internet and mobile access • IHE profiles • Open source technology • … M. Beštek, A. Brodnik: ICT for supporting eCare

  34. M. Beštek, A. Brodnik: ICT for supporting eCare

  35. The big picture EU NCP National eHealth Terminology Server CKM Caremodels M. Beštek, A. Brodnik: ICT for supporting eCare

  36. THANK YOU! Mate Beštek, Andrej Brodnik: Interoperability and mHealth – precondition for successful eCare, In mHealth: The Technology Road Map, Springer(In Print) M. Beštek, A. Brodnik: ICT for supporting eCare

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